WellHealth CareConnection: Volume 1 | Issue 6

Page 1


Innovative Healthcare in Your Backyard.

Volume 1

Protection over UV Rays In the Community

My Story. My Life. We Build Health Ask the Doc The Modern Day House Call

A WellHealth Quality Care Publication


Issue 6

WellHealth Quality Care The WellHealth Way

Letter from the Medical Editor A typical day for me could consist of an early morning OR emergency, followed by back-to-back meetings until five, and a dinner meeting at six-thirty. I didn’t see fault in it; I wore many types of hats from physician to lecturer to CEO; it worked for me until one day it didn’t. My lifestyle wasn’t as healthy as it needed to be, and I knew it wasn’t helping me in the long run. It wasn’t until I was talking to a patient about living a healthy lifestyle that I realized I wasn’t practicing what I was asking my patients to do. I worked out here and there and added vegetables to my plate when the opportunity presented itself, but that’s where it stopped. I knew I needed to make a change; I needed to make myself a priority, knowing that it would make me better for my day-to-day life.

Nothing happened overnight, and there were times that I didn’t stick to my original plan. So I made tweaks, but I never compromised the goals that I set to create a new healthy lifestyle. A lot of misconceptions come when someone starts a health and wellness journey. It doesn’t happen overnight, and just like anything, you have to give it time to evolve. I want to challenge you not to be so hard on yourself, and make a change to refresh your mind and your body. Put yourself first, and you’ll start to see that everyone will benefit from it.

Have a great summer,

K. Warren Volker, MD, PhD CEO of WellHealth Quality Care

3rd Quarter: 2016 WellHealthQC.com


WellHealth Quality Care The WellHealth Way

Tips, stories, and guides for a

Healthier You In this issue:

3rd Quarter: 2016

Contents P.08 STORY. The art of medical building LIFE. construction in Southern Nevada MY


We Build Health.



Credits Medical Editor

K. Warren Volker, MD, PhD

Managing Editor Meghan Bailey

Copy Editing Nick Dawson

Art & Design Brett Benton

Contributing Writers Meghan Bailey Brett Benton


Letter from the Medical Editor K. Warren Volker, MD, PhD


Cool Runnings 8 ways to beat the heat this summer


Letter from the Editor Meghan Bailey


My Story. My Life. We Build Health


Ask a Doctor Paul Tomasic, MD, MS, FACP, FACE


Virtual Care The Modern Day House Call


Skin Cancer Sunny days and your skin


In the Community Three Square


Summertime SADness How the seasons affect your health


Adult Acne Your age vs. your skin

21. Sunscreen What’s your SPF?

Kimberly Doan Sarah Harper Paul Tomasic, MD


Dedicated Docs Southern Nevada’s Best Docs

WellHealth Quality Care The WellHealth Way

Cool Runnings L

8 ways to beat the heat during your workout

iving in the desert means Southern Nevadans are consistently combating triple-digit temps, little cloud cover, and dry air all summer. Add in increased body temperature from physical exertion plus the dangers of dehydration, and outdoor exercise can quickly becomes a risky activity with potentially life-threatening complications.

One of the most common health problems associated with summer is heat exhaustion and heat stroke. Both can occur when your body is unable to cool down properly. Signs of heat exhaustion include fatigue, weakness, nausea, dizziness, cramps, and an increase in body temperature. More severe than heat exhaustion is heat stroke, which is characterized by a body temperature of 104 degrees or above, difficultly breathing, loss of consciousness, and absence of perspiration. If not treated properly, heat stroke can lead to death. While heat exhaustion and heat stroke are very real dangers associated with outdoor exercise in high temperatures, it does not mean you have to give up your routine. Follow the eight tips below to stay cool while working on your fitness in the summer heat.

Strategize and acclimate

Exercise in the morning or evening, when the temperatures are the lowest. If you have to work out in the heat, slowly build up to your normal workout intensity level and time. It can take up to 14 days for your body to adjust.

Hydration, hydration, hydration!

Aim to drink 20-ounces of water a couple of hours before heading out, and then taking a hydration break every 15 to 20 minutes while you’re out.

Reevaluate your pace

Understand that you may not hit a personal record when it’s hot. This is the perfect time to work on form!

Dress for success

Wear lightweight, moisture-wicking clothes and always wear sunscreen.

Plan ahead

Take your workout indoors for the day if you know your diet and water intake was less than ideal the day prior.

Take the path more traveled

Know the ins-and-outs of the route you are taking. Try to find areas that are shaded so you can limit the amount of time you are in direct sunlight.

Think twice

Consult your doctor

Work with your doctor to create a safe outdoor workout schedule and hydration plan. And always let him or her know any adverse symptoms you may be experiencing as soon as they start.


3rd Quarter: 2016 WellHealthQC.com

Author: Sarah Harper

Now may not be the best time to try a brand new activity. If you don’t know how your body will react to an exercise, don’t do it. If you don’t feel well, listen to your body and shorten your workout.

WellHealth Quality Care The WellHealth Way

Letter from the Editor Can you believe we’ve already reached the mid year point? I’m in constant awe of how quickly time moves these days, and it may make me sound like a broken record, but the next time CareConnection comes out, we will be talking about the holiday season. For now, we have summer to enjoy and memories to make. As I was reading through this issue sipping on cucumber water, I found myself wondering how could anyone be sad when it’s so warm and bright outside? With all of the BBQs, pool parties, baseball, and traveling, no one should feel sad. But, did you know that summertime sadness affects 4-6 percent of the population? The summer issue of CareConnection is diving into the deep end, so to speak, and showing you behind-the-scenes of building healthcare facilities, picking the right sunscreen for you, and

seeing the resurgence of a modern-day house call written by yours truly. I have such a passion for telemedicine, and when it’s correctly used within your healthcare journey, it is an invaluable tool. Stay cool, have fun, and make a lot of memories! As always, don’t forget to reach out if you have any suggestions or comments for the next issue:

mbailey@wellhealthqc.com Happy Summer, -Meghan

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WellHealth Quality Care The WellHealth Way

We Build


The art of medical building construction in Southern Nevada

My Story My Life: The Business of Medicine

Author: Sarah Harper

The art of medical building construction in Southern Nevada


3rd Quarter: 2016 WellHealthQC.com

WellHealth Quality Care The WellHealth Way


ealthcare and technology have seen rapid growth, not only in the United States but particularly in Southern Nevada over the past decade. As a result, providers look at medical building construction in a new light. “Right now, healthcare services are spread throughout the valley, with patients traveling all over town for appointments. What we’ll see in the future are medical campuses, where patients will go to one location for primary and specialty care,” says Steven Keltie, President

of Business Development at WellHealth Quality Care. “And these campuses will be strategically placed next to retirement communities and other areas of Las Vegas where those who need services the most won’t have to travel far.” While medical campuses may be the future, presently, medical building construction requires more foresight and planning than simply breaking ground. Just like the world of medicine and its specialties, any type of building construction requires multiple experts to make sure the structure is not

only sound, but that there is also proper ventilation that works within the chosen aesthetic. We sat down with Sean Delp, P.E., S.E., Principal of PK DELP Structural Engineering, LLC, and Rebecca Barker, P.E., Associate Engineer to learn more about the structural engineering challenges presented with medical building construction.

“There are three facets to any project – cost, quality, and speed. What a lot of people don’t realize is you can only choose two.” - Sean Delp The pillars of structural engineering “There are three facets to any project cost, quality, and speed,” says Sean. “What a lot of people don’t realize is you can only choose two. Rebecca Barker, Associate Engineer, PK Delp Structural Engineering Anything that is high quality and fast won’t be cheap, and anything cheap either won’t be the best quality or it won’t be done quickly.” In the case of medical buildings, it is crucial to hire the right experts for the type of clinic or center being built and to have a reasonable timeline. Construction varies based on the type of medical equipment that will be used. The needs for a regular clinic will vary from that of a surgical center or a hospital. The intended usage of a new clinic within an existing building can

significantly impact the design parameters and total construction costs. For example, if the intent is to have space which provides services similar to that of a general practitioner, then the buildout from an engineering design and construction standpoint will be very similar to a standard office space, with the addition of plumbing for sinks in exam rooms. A space for radiology and similar usages, as another example, would require structural support for heavy equipment and vibrations, with very specific and stringent requirements given by the equipment manufacturer. It is important to note that with expensive and sensitive medical equipment, it is imperative to not overlook these requirements, as deviations from the manufacturer’s design and installation constraints can void warranties. More specialized clinics or larger facilities, such as surgery centers, nursing facilities and hospitals, have a higher risk category, and therefore, have additional building code criteria that structural engineers must legally adhere to. Once the risk category of a space is increased

Sean Delp, Principal Partner, PK Delp Structural Engineering

past a certain level, this increase in category can, and typically does, also increase the risk category for the entire building. If a new owner is looking to open a certain type of center or clinic for which the risk category is higher than the existing building was designed for, a situation becoming more common in the medical industry, a huge and unanticipated cost can occur. “At a minimum, additional extensive engineering work would be required in the form of a full analysis of the entire structure to determine whether the building’s existing lateral system [to resist the wind and seismic forces] due to the increase in risk category is structurally suitable,” Rebecca explains. “Typically, there is at least some, if not significant, structural modifications required. And this is just one example of an aspect from the design and construction side which is notable. We are structural engineers by profession, so this explanation of new medical space design and construction is from the perspective of a structural

3rd Quarter: 2016 WellHealthQC.com


WellHealth Quality Care The WellHealth Way

engineer. From experience, for a successful buildout, which is designed efficiently, per the applicable building codes, and constructed correctly, it is imperative a good team be in place.” An excellent team of design professionals consists of individuals who can assist in navigating these costly implications at the onset of looking for a space in an existing building or building a new structure from the ground up. “As a member of our society, if I have a broken bone then I have need of specialized medical care,” says Sean. “The design and construction of a new facility should be seen the same way; we all have our specialties. A new owner would be wise in utilizing and trusting other professionals, architects, and engineers with the specialized and important work of making your new venture come to life.”

Healthcare and technology in Southern Nevada As the landscape of healthcare delivery and technology continues to advance, it’s important to think of the future when building a medical facility. From reading the fine print to assembling the correct team of engineers and experts for each area of consideration. The business of medicine takes far more time and consideration than deciding to open the doors. Now more than ever, healthcare providers must give consideration to how their clinic is affecting the overall health and recovery of their patient, and there is much more to the equation than simply moving a little dirt.

My Story My Life: The Business of Medicine The art of medical building construction in Southern Nevada

Montecito Point, Las Vegas Nevada


3rd Quarter: 2016 WellHealthQC.com


Ask the Doc

WellHealth Quality Care The WellHealth Way

Your questions answered about endocrinology. As you age, your primary care provider may recommend that you go see an endocrinologist for solutions to some chronic health problems. Endocrinologists treat and diagnose hormone imbalances or hormone-related conditions such as diabetes and hypertension that can occur at any stage of life, especially those that arise with age. Here are responses to commonly asked questions from WellHealth Medical Group’s Endocrinologist, Dr. Paul Tomasic.

Question: Does being diagnosed with type 2 diabetes mean I will have to go on insulin? Dr. Tomasic: A diagnosis of type 2 diabetes does not necessarily mean having to go on insulin. The foundation of treatment is diet and exercise. Most commonly, oral medications are added next. If one, two, or three oral medications do not control the blood sugar levels, injectable medications are usually added to a patient’s treatment plan. There are potent injectable medications called GLP-1 agonists that are often given before insulin. If none of the previous options are effective in controlling blood sugar, insulin is then added to the regimen. Question: How do my hormones affect my bone density?

Question: What is a normal blood pressure and how can I maintain it? Dr. Tomasic: A blood pressure of 120/80 mm Hg is generally regarded as a normal blood

Question: I’m at risk for diabetes, what steps can I take to reduce my chances of developing diabetes? Dr. Tomasic: Lifestyle changes, diet, and exercise are the best measures to reduce the risk of progression to diabetes. If prediabetic, the best scientifically proven way to prevent progression to diabetes is to enroll in a 16-week CDC approved Diabetes Prevention Program (DPP) that teaches healthy eating, achieves weight loss, and incorporates exercise. Medications such as metformin are often used for diabetes prevention in prediabetes, but the data shows that the formal DPP has better results.

Question: Can I get rid of diabetes if I stop eating carbohydrates and/ or lose weight? Dr. Tomasic: Type 2 diabetics can sometimes control blood sugar levels with diet and exercise only. Weight loss is a key factor in most type 2 diabetics trying to control blood sugar levels. I do not advise stopping carbohydrates altogether. Appropriate portions of carbohydrates, fat, and protein are important in having a balanced diet. Working with a dietician can be very important to learn how to eat a balanced diet that incorporates an appropriate amount of carbohydrates.

QA &

Dr. Tomasic: In women, estrogen acts as an anti-resorptive (anti-bone loss) agent. After menopause, the rate of bone loss that occurs with normal aging will accelerate with the decrease in estrogen. Similarly in men, a significant decrease in testosterone (hypogonadism) may also lead to an accelerated rate of bone loss.

pressure. However, blood pressure in the gray area of 120-139/8089 mm Hg can be categorized as prehypertension. Because prehypertension can progress to hypertension in 50 percent of patients over four years, even low-risk prehypertensive patients should be monitored annually. Measures that can reduce the risk of developing hypertension include losing weight if obese, treating sleep apnea if present, decreasing salt intake if it is elevated, limiting alcohol to no more than two drinks daily, quitting smoking if a smoker, avoiding NSAIDs if possible, and maintaining an adequate potassium intake.

If you are currently experiencing any of these symptoms, or other conditions that are affecting your quality of life, make an appointment to talk with your preferred provider.

3rd Quarter: 2016 WellHealthQC.com


WellHealth Quality Care The WellHealth Way

The Resurgence of the Modern Day House Call with a doctor that you have already established an in-office

home to care for them when they were too ill to travel.

relationship with is okay, but using a service such as

And, while many would have you believe the option

telemedicine could be potentially dangerous if you have an

to have a house call is extinct, doctors from all over

underlying medical condition they are not aware of because

the United States can argue otherwise.

you haven’t established a relationship in the office with a


The adoption of telemedicine is not as widespread

as it could be, but it is one of the fastest growing ways

to access medical care. Early adoption began with the

telemedicine comes down to two factors,” said Dr. Warren

millenial generation, but has seen exponential use among

Volker. “The first is if it is a safe and secure way to be seen,

other generations. Researchers believe it’s a key to reducing

and for common symptoms it is. Through a video appointment

healthcare costs, improving patient outcomes, and helping

providers can look at any skin issues, see if your glands are

to maintain a patient’s health. But, for the general population,

swollen, look in the back of your throat, and based on

it’s an easy, convenient, and safe way to access medical

symptoms can help you get on the path to feeling better.”

care for common symptoms.

I can remember my first experience with telemedicine

and provider will be an issue,” Dr. Volker continued. “Having a

as clear as day. I was vacationing in California with my son,

telemedicine visit isn’t much different than seeing a provider

who at the time, was a little over a year old. I woke up, and

at a quick care, using a retail clinic, or seeing your doctor’s

he was covered in a rash from head to toe. But, he wasn’t

nurse practitioner. You still have to fill out a health history

itchy and didn’t seem to have any care about it. Being a first

before being seen, and since they are medically trained, they

time mom, I was concerned, and the nearest hospital was in a

will ask you the same questions as someone in the office. The

part of town I wasn’t familiar with. So I tried telemedicine. The

only difference is that you may be at home, in your office, or

doctor that I spoke to over video chat on my smartphone was

at a break room table when they do.”

kind and thorough. She asked me about his health and told

me to perform a couple of skin checks on him. The doctor then

immensely since the days of a traditional house call. Due in

asked me if he recently had any immunizations, specifically the

part to the millennial generation (individuals born between

MMR shot. I told her yes, about six weeks ago. The diagnosis

1984-2000), healthcare is shaping rapidly into an ever-

was clear at the time; he had a non-life threatening reaction

growing technological world of medicine. Between health

to the shot. The doctor said it would clear up in a day or so,

and wellbeing mobile apps, health management push

and if there were any fevers, etc. to immediately go to the

notifications, blogs, and now the ability to see a doctor on

Emergency Room. Not only did telemedicine give me an

your mobile device when it’s convenient for you. This makes

immediate piece of mind, but it also saved on unnecessary

the modern-day house call continue to evolve throughout the

out-of-pocket costs. Within 48-hours his rash cleared up.

healthcare spectrum.

Despite the rise in popularity, some consumers are

alarmed at the idea of telemedicine. The ability to video chat


3rd Quarter: 2016 WellHealthQC.com

“The fear that many people have before using

“The second is if the lack of familiarity between patient







Author: Meghan Bailey


n the early 1950s, doctors would often visit a patient’s

WellHealth Quality Care The WellHealth Way

Skin Cancer Sunny days and your skin





most common form of all cancers, occurs when one’s normal cells





Apply and Reapply

and multiplying without normal controls. Millions













common types of skins cancer are Basal Cell Carcinoma (BBC), Squamous Cell Carcinoma (SCC), and the deadliest form of skin cancer, Melanoma. Each of these types of skin cancer are linked to their own causes, but the main cause for diagnosis is excessive

Are you planning on being exposed to sun rays for an extended period? It is recommended that you reapply sunscreen every two hours on the parts of the body that will be exposed to the sun, making sure to get the areas of skin that are most exposed, such as the face, neck, lips, nose and back of hands.

exposure to UV rays. Here are some proactive steps

Block the Harmful Rays The most common and easiest way to help prevent skin

Take Cover Sunscreen is a great proactive solution to protecting yourself from UV rays, another great solution is to wear protective clothing

cancer is to apply sunscreen every day with a minimum

when possible, including: wide-brimmed hats, tightly woven

SPF of 30. This will block the harmful UV rays.

clothing, and long sleeves.


3rd Quarter: 2016 WellHealthQC.com

Author: Brett Benton

that can be taken to reduce the risk of skin cancer.

WellHealth Quality Care The WellHealth Way

Skip the Tanning Bed UV rays found in tanning beds are significantly more harmful than UV rays from the sun. Opt for a more natural way instead of artificial sun (with either tanning method you will need to apply sunscreen of at least an SPF 30).

See a Dermatologist Setting routine appointments with a dermatologist is highly recommended, as these forms of skin cancer are all treatable if found in the earliest stages.

More than 50% of skin cancer diagnoses are

UV rays found in tanning beds are significantly more harmful than UV rays from the sun.

Even with taking preventative measures, you could still be at risk of getting skin cancer. Other factors play a part in the forming of skin cancer, such as your gender. More than double the amount of men have been diagnosed with



with the most Skin Cancer Cases per the CDC*

• Utah

skin cancer than women. Other risk factors can include, but may not be limited to skin type. Fair-skinned individuals

• Delaware

are more prone to getting skin cancer in their lifetime than a darker skin type. Additional factors include age,

• Vermont

heritage, chemicals or products used on the skin, smoking, the strength of your immune system, and the location that

• Minnesota

you reside.

• Idaho Skin cancer is not something that can be predicted or

*Data sourced from CDC.gov

made completely preventable for every person. Instead,


a healthy lifestyle in which proactive steps are taken to protect yourself from harmful UV rays can be the best and only way to reduce the risk of developing skin cancer.

(see page 21 for more detailed information on sunscreen).

3rd Quarter: 2016 WellHealthQC.com


WellHealth Quality Care The WellHealth Way

In the


Q: What is Three Square and how does it serve the local community? A: Three Square is Southern Nevada’s only food bank providing food assistance to the residents of Lincoln, Nye, Esmeralda, and Clark Counties. Three Square’s mission is to provide wholesome food to hungry people, while passionately pursuing a hunger-free community. They combine food banking (warehousing canned and boxed goods), food rescue

(obtaining surplus or unused meats, bread, dairy, and produce from hospitality and grocery outlets), and ready-toeat meals to be the most complete food solution in Southern Nevada Q: Who benefits from the work that Three Square provides? A: Three Square works with a service network of approximately 1,300 community partners, which includes non-profit and faith-based organizations,

schools, after school programs and feeding sites in our community to reach struggling individuals and families at risk of hunger. In 2015, they distributed more than 38 million pounds of food, the equivalent of more than 31 million meals through community partners. If you would like to help Three Square, please contact us at (702) 365-6574 or visit us at threesquare.org.

together, we can feed everyone.

WellHealth Quality Care The WellHealth Way

r e m Sum



For many people, summer

keep depression at bay, so

and its longer days and milder

it’s no wonder that summer’s

weather are a welcome relief after

boisterous call for spontaneity












However, if you’re part of the 4-6

individuals through the wringer. With

move to pack more

percent of the U.S. population

additional activities and vacation,

activities into their daily routine.


summer can also bring financial

Others find it hard to sleep through

disorder, or SAD, changing seasons

worries not seen in other seasons.

the perpetually increasing twilight,

can be anything but welcomed.

Rising temperatures mean

and often awake groggy from an

While it is hard to pinpoint the

shorts, tank tops, and more exposed

incomplete sleep cycle. The added

exact reason for summer SAD, experts

skin, which can negatively affect

stress from sleep deprivation can lead

believe an increase in anxiety levels,

self-confidence and usher in body

to an increase in the stress hormone,

an increase in temperature, and

imagen issues

cortisol, and negative thoughts.

the disruption of natural circadian

If severe enough, individuals may

rhythms may be partly to blame.

find themselves overheating under

feeling a little blue? Talk to someone.


There is no shame in admitting you




Anxiety can be associated

previously unseen.




What do you do if you start

with multiple changes that come with

avoiding social situations altogether.





summer. Established routines often

Some feel energized by longer days

Primary Care Provider how you’re feeling and they may refer you to a therapist or psychiatrist for more specialized care. They may also help you devise a plan to keep the blues at bay, whether it’s finding a new routine,regularly exercising, or

Author: Sarah Harper

planning healthy meals.

Whatever your plan, work

with someone so you can let the sunshine chase the blues away.

3rd Quarter: 2016 WellHealthQC.com


3rd Quarter: 2016 WellHealthQC.com

Acne occurs when sebum (skin oil), dirt, and dead skin cells mingle and clog a pore opening in the skin. As a result, the inflamed bump may become red. Despite the common misconception, acne may develop beyond our adolescent years due to several factors: Hormone Fluctuations According to the American Academy of Dermatology,women are 45 percent more likely to develop acne as an adult than men due to hormone fluctuations that occur when women approach their menstrual cycles, pre-menopause, and menopause. However, men are not completely off the hook. Both men and women produce androgenic hormones, which over-stimulate oil glands in the hair follicles of the skin. As a result, men may notice skin oil heavily contributes to seeing those familiar red bumps again.

Family History It is common for acne to run in the family. Research has found that mothers can increase their child’s chances of adult acne by three times and fathers by twofold. If your parents experienced acne as a teenager or an adult, your chances of developing acne later in life are significantly increased. Products Products that are not oil-free or noncomedogenic can clog pores and promote acne. To avoid breakouts, try double checking the claims and ingredients on personal products such as make up and shampoo. In addition, your skin can become very sensitive to the products you use over time. The conditioner or hair gel that you have been using for years may be the culprit of the pimples forming on your face. Try switching product one at a time, and once per month.

Stress As you rush throughout your daily life under constant stress, your body produces more and more androgenic hormones. As a result, your skin is more irritable and shedding skin cells become sticky in conjunction with oil production in your pores. Medications Some medications may have acne as a side effect—making the bumps on your face worse. Talking with your doctor who prescribed the medication is the best option to find out if your medication is causing your acne and what you can do to reduce its negative effects. As you begin to find treatment options for acne, it is important to take appropriate care of the situation. If your acne gets progressively worse, contact a dermatologist for a consultation.

Author: Kimberly Doan


“You only get acne when you are a teenager” is a MYTH. Although it is easy to associate horrendous breakouts with junior high and high school, adults can get spotty later on as well.”

Adult Acne: Your Age. Your Skin.

WellHealth Quality Care The WellHealth Way

With unique entertainment, hundreds of retailers and dozens of restaurants, everyone experiences Town Square Las Vegas differently. Discover your Town Square today.


NEW Town Square App is now available for Android and Apple devices.


100+ brands & boutiques | 20+ dining destinations | 18-screen AMC theatre | 9,000 sq. ft. children’s park

WellHealth Quality Care The WellHealth Way

SUNSCREEN What’s your SPF?


f you have ever caught yourself

skin type and how much sun you are

standing in front of a display of

trying to absorb will ultimately determine


what SPF you should use.



the difference between SPF 30 or

Once you determine the SPF that

SPF 15 is and which one you should use,

is best for your skin, one must then decide

you are not alone. While you may think

whether to use a spray or lotion sunscreen,

using a higher SPF will protect you more

as both have their own benefits.

than another, it’s important to understand


application purposes because it allows






Spray sunscreen is great for most

recommended for your skin type.

you to reach areas of your body that

The first sunscreen was invented

you could not normally reach, such as

in 1936 by chemist Eugene Schueller to

your back. Another added benefit of

protect oneself from the sun’s harmful

spray sunscreen is that it’s great for a

rays and ultimately reducing the risk of skin

quick application and for an even coat.

cancer. Schueller later coined the word

However, it is not ideal for applying a

SPF to create a gauge, based on one’s

thicker layer if you would like to be more

skin and the time said person would be


exposed to the sun. SPF or Sun Protection

Factor refers to the amount of time that


one could stay in direct sunlight and still

layers but lacks in the other benefits

be protected from the suns UV rays. For

listed above. Which one you use is up to

example, SPF 15 means that an individual

you as each type has its own strengths

could be in direct sunlight 15 times longer

and weaknesses. The main point is that

than an individual with no sunscreen on.

regardless of which you decide to use, just

But it doesn’t necessaily mean that it is

make sure that a sunscreen is applied.

Lotion sunscreen, on the other is





Author: Brett Benton

better to use an SPF 100 all the time. Your

3rd Quarter: 2016 WellHealthQC.com


WellHealth Quality Care The WellHealth Way

Dedicated Doctors: PAUL V. TOMASIC, MD, MS, FACP, FACE, is the Medical Director of Endocrinology & Primary Care Services. He is a native southern Californian who moved to Las Vegas in 2005 after completing a career in the United States Navy at the rank of Captain, Medical Corps. Dr. Tomasic graduated from UCLA with a Bachelor of Arts degree in Biology, cum laude. He received his Doctor of Medicine degree from the Uniformed Services University of the Health Sciences. He completed his Internal Medicine Residency at Naval Hospital, San Diego. He completed his fellowship in Endocrinology, Diabetes, & Metabolism at the National Naval Medical Center in Bethesda, Maryland. He earned a Master of Science degree in Management Information Systems from Bowie State University where he also became a certified Information System Analyst. He has earned a professional certificate in Business Management from UCSD Extension.

TIMOTHY TRAINOR, MD, is a Board Certified Orthopedic Surgeon. He has been voted by his peers as a Top Doctor and is published by multiple magazines that have both national and international recognition. He graduated with honors from the university of Notre Dame. He received his MD from Northwestern University, where he was elected into the AOA medical honor society. He completed his orthopedic surgery residency at Georgetown University. After residency, Dr. Trainor served in the US Navy, providing orthopedic surgical care for our Armed Forces. In 2004, Dr Trainor was appointed to the teaching faculty of the Tripler Army Medical Center where he taught orthopedic sports medicine to the orthopedic residents. He is currently the Vice Chairman of the Medical Executive Committee at Centennial Hills Hospital and is the consulting physician for the Nevada Athletic Commission. YARINI QUEZADA, MD. Dr. Yarini Quezada provides patients with the kind of bedside manner they truly love, along with the real-world expertise they need. She has trained at some of the most acclaimed schools across the country, including The Christ Hospital in Cincinnati, Ohio, the Albert Einstein Medical Center in Philadelphia, and St. George’s University. She has also completed a three-year Fellowship in Female Pelvic Medicine and Reconstructive Surgery (FPMRS), and just finished her FPMRS boards, leading her to be double board certified. She is bilingual in both English and Spanish. To provide the best care for her patients, she specializes in treating a wide range of female pelvic ailments, such as pelvic organ prolapse, urinary and fecal incontinence, voiding difficulties, interstitial cystitis, pelvic pain, mesh erosions and fistula repairs. She is also highly regarded in vaginal reconstruction surgery, as well as nonsurgical treatments for these conditions.

CANDACE SPANN, MD. Dr. Candace Thornton Spann is a board-certified dermatologist in Las Vegas. As Co-Owner of Couture Dermatology & Plastic Surgery, her mission and promise to her patients is that they have both healthy skin and vibrant, gorgeous results. Dr. Spann specializes, diagnoses and treats conditions of the skin for patients of all ages and skin types. Her areas of expertise include women’s hair loss, the prevention and treatment of various skin cancers, as well as the treatment of numerous skin disorders. She offers both dermatologic surgery for the removal of both cancerous and benign lesions, and is an expert in skin rejuvenation. For patients seeking cosmetic skin treatments, she offers countless nonsurgical treatment options for the signs of aging.


3rd Quarter: 2016 WellHealthQC.com