WellHealth CareConnection: Winter 2017

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CareConnection Innovative Healthcare in Your Backyard Winter 2017

Make Your Resolution Stick In the Community

My Story. My Life. Sarcoidosis Ask the Docs Heart Healthy Recipes

A WellHealth Quality Care Publication

WellHealth Quality Care Healthcare. The WellHealth Way.

Letter from the Medical Editor Optimism and hope are emotions that only the New Year can bring in abundance. The start of a new year means the start of new personal aspirations. No matter the time of year, you have permission to reset, but it seems globally acceptable to make a drastic change at the beginning of the year.

I speak with patients on a regular basis about their health and wellbeing. Most questions revolve around their diet or workout goals. However, not many conversations look at overall health including K. Warren Volker, MD, PhD CEO of WellHealth Quality Care

mental, physical and in personal cases, spiritual health.

Moving into 2017, please remember you are your own person. The

A new year brings new goals,

goals you make for yourself are just that, goals for you. may not

challenges, excitement,

be able to change the world, but you can modify the world you

optimism and hope. Let’s kickstart 2017 by taking a few moments to reflect on ourselves and make the new year productive.

live in. You have the permission to rest. You are not responsible for fixing everything that is broken. You do not have to try and make everyone happy. This year, you can take the time to replenish yourself.

As you go through 2017, keep in mind that small changes can lead to big ones. Every step forward is a step closer, and sometimes stepping back can serve as a jumpstart for where you want to be.

To a healthy new year, Dr. K. Warren Volker

Winter 2017 WellHealthQC.com


WellHealth Quality Care Healthcare. The WellHealth Way.

A WellHealth Quality Care Clinical Center of Excellence


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Winter 2017 WellHealthQC.com

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WellHealth Quality Care Healthcare. The WellHealth Way.

Tips, stories and guides for a

Healthier You In this issue:

Winter: 2017

Contents P.10 MY


STORY. Sarcoidosis Living with sarcoidosis. LIFE. As told by Jessie Matheny A NEW BEGINNING


Credits Medical Editor

Dr. K. Warren Volker

Managing Editor

Contributing Writers Alison Sherman Alissa Dougherty MS, RD, LDN

Meghan Bailey

Brett Benton

Copy Editors

Jay Hsu, MD

Kristina Pool Meghan Bailey Sarah Harper Sara Williamson

Jessie Matheny

Art & Design

Meghan Bailey

Brett Benton


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


Letter from the Editor Meghan Bailey


Here’s To A Healthy Heart A happy heart is a happy life


My Story. My Life. Living with sarcoidosis


Ask The Docs Your questions answered about hypertension


A New Beginning Make your resolution stick


In The Community Ronald McDonald House Charities


In The Know Sports injuries and your children


A Year of Health A look back at CareConnection in 2016


Dedicated Doctors Southern Nevada’s best doctors


Here’s To Health 8 Steps for a healthy baby

Keith Boman, MD, FACC Kimberly Doan Sarah Harper

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Letter from the Editor Every year we have a chance to hit the reset button because the New Year creates new opportunities. Many times you look back not realizing how far you’ve grown until the New Year holiday. It’s incredible to have the chance to reflect and to understand who you were last year is not who you are today.

affect your children, and insight into an invisible disease that is becoming more and more common - sarcoidosis. No matter the resolution or goals you’ll set in motion when the clock ticks to midnight, remember that you are still you, and it’s important to always to be true to yourself first. Set goals and resolutions that will help you become a more enhanced version of your already beautiful self.

The same principle applies to this magazine. Where it started and how it’s shaping up is very different. It’s exciting to see the growth and know that the information you are reading comes from local Las Vegas providers who want to share their knowledge with you firsthand. Happy New Year, The first issue of 2017 will give you heart Meghan healthy living tips, the 411 on hypertension, information on how sports injuries can

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WellHealth Quality Care Healthcare. The WellHealth Way.

Here’s to a

Healthy Heart Have you been told you have high cholesterol or that you need to watch your sodium intake? If so, there are two meal plans that may help. The Mediterranean meal plan has been shown to help reduce the risk of heart disease by lowering bad cholesterol (LDL-C) levels which can build up in your arteries; whereas, the dietary approaches to stop hypertension (DASH) meal plan can help you better control your blood pressure levels by eating a variety of nutritious foods and reducing sodium intake. The Mediterranean meal plan is based on the eating patterns of those who live along the Mediterranean coast. It emphasizes a primarily plant-based diet rich in fruits, vegetables, whole grains, nuts and legumes. Herbs and spices are used for flavoring instead of salt and butter is replaced with monounsaturated fats such as olive oil. Red meats are typically limited to a few times a month, and it is recommended to eat fish and lean poultry at least two times a week. The DASH approach to eating also emphasizes a diet rich in vegetables and fruits, plus low-fat dairy foods. It also recommends consuming whole grains, fish, poultry and nuts in moderation. Not only can the DASH diet help reduce your sodium intake and lower blood pressure, it can help prevent of osteoporosis, heart disease, stroke and diabetes.

Mediterranean Power up with vegetables, fruits and whole grains: • Strive towards seven to ten servings of vegetables and fruits a day. • Choose whole grains and opt for brown rice or quinoa instead of white rice. Get nutty: • Keep portioned nuts like almonds, pistachios and cashews on-hand for a quick, healthy snack. Pass on the butter: • Use olive oil or canola oil instead. Spice things up: • Use herbs and spices instead of the salt shaker • Try dill and lemon on salmon, trout and water-packed tuna. Gone fishing: • Eat fish at least once or twice a week. Salmon, trout, and waterpacked tuna are smart choices. Reduce the red meat: • Eat fish or lean poultry instead. Raise your glass: • If it is ok with your healthcare professional, indulge in a five-ounce glass of red wine occasionally throughout the week.

Dash Gravitate towards whole grains: • Six to eight servings per day. • Look for products that are labeled with 100 percent whole grain or 100 percent whole wheat. Get a variety of vegetables: • Four to five servings a day (two-two and a half cups per day). • Fresh produce is great, but remember to keep your freezer stocked so you always have vegetables on-hand. Don’t forget your fruits: • Four to five servings a day (two-two and a half cups per day). • Keep a fruit bowl at home or in the office. Diversify your dairy: • Two to three servings a day (twothree eight ounce servings per day). • Look for low fat milk, yogurt, and cheeses which are high in calcium, vitamin D, and protein. Keep it lean with poultry and fish: • Six servings (Six ounces per day). • Monitor your portions and trim away any visible fat or skin. Go nuts, legumes and seeds: • Four to five servings a week. • These are great sources of potassium, protein and magnesium.

Limit sweets: • Five servings or fewer a week, don’t avoid that cookie completely, but moderation is key.

8 08

Winter 2017 WellHealthQC.com

Written by: Meghan Bailey & Alissa Dougherty MS, RD, LDN

Incorporate healthy fats: • Two to three servings a day. • Limit saturated fats and increase your intake of unsaturated fats like avocado and nuts.

WellHealth Quality Care Healthcare. The WellHealth Way.

My Story. My Life.


iving with an invisible disease like sarcoidosis is frustrating, especially because your physical pain isn’t visible from the outside. When people break their foot or experience an injury that is outwardly visible, it’s easy for people to give compassion and understanding, but for the millions of people who are living with an invisible disease, explaining what is wrong can be challenging and mentally exhausting. This was certainly the case for Jessie Matheny, an Ohio native living in Las Vegas with sarcoidosis. Before being diagnosed, Jessie started to notice shortness of breath and chest pain. She was immediately admitted to the hospital for a full cardiac workup, and her doctor found something on her x-ray that concerned him enough to send Jessie for a CT scan within hours. The CT Scan revealed something in her lungs, but doctors still didn’t know what it was. The preliminary diagnosis was lymphoma, so she began working with a specialist to perform a bronchoscopy. This ultimately led to a procedure where a portion of her lymph node under her chest plate was removed. Once the biopsy came back, she was diagnosed with stage two sarcoidosis, something


Winter 2017 WellHealthQC.com

infection and disease, resulting in damage to the body’s tissues. Sarcoidosis isn’t a common illness, which means it’s not immediately recognized when medical attention is needed. “Each time I visit the ER, I feel as if I’m reliving Groundhog “We want Day. I constantly she had lived with have to explain understanding undiagnosed for more than my medical six months. and to spread condition from awareness about A to Z to receive The social challenges care, because that Jessie faces are I look healthy sarcoidosis.” common among on the outside.” those with an invisible There is not disease. These conditions currently a cure for sarcoidosis, prove challenging to explain to and very little research is ongoing caregivers, coworkers and friends. because the cases are so few and “There is a constant uphill battle far between. “If I could tell anyone that people with sarcoidosis face,” something about my disease it Jessie mentioned during our would be that the medications that interview. “This disease isn’t one we take have extreme side effects that will go into remission, so while I that internally affect us in extreme look okay on the outside, I feel 100 ways, such as fever, tiredness, years old on the inside.” Sarcoidosis tingling or burning in parts of the is an inflammatory disease that body and an overwhelming sense can affect almost any organ in of weakness. We want to be seen the body and can make everyday as ordinary members of society, but tasks feel impossible. It causes an also understood with compassion overactive immunity, which means that we are fighting a rare disease.” that a person’s immune system attacks the body For more information on sarcoidosis instead of protecting it from visit stopsarcoidosis.org

As told by: Jessie Matheny Written by: Meghan Bailey


Living with Sarcoidosis

WellHealth Quality Care Healthcare. The WellHealth Way.

H Ask the Docs

Your Questions Answered About Hypertension February marks American Heart Month, which is a great time to commit to making small changes in our lifestyle, resulting in a lifetime of better heart health. Heart disease is the leading cause of death for both men and women. We talked to Dr. Keith Boman and Dr. Jay Hsu with WellHealth Medical Group to learn more about measuring blood pressure and how to prevent hypertension. CareConnection: How is blood pressure measured?

CareConnection: What is considered normal, pre-hypertension and hypertension?

Dr. Hsu: Blood pressure is simply the pressure of the blood pushing against the walls of the artery. We measure the pushing force against the walls of the artery by using a blood pressure cuff around the artery of the arm or leg, depending on the patient. The cuff allows us to measure the systolic and diastolic pressures. CareConnection: What does systolic and diastolic mean?

CareConnection: What are health problems associated with hypertension? Dr. Hsu: Hypertension adds to the risk for heart disease and heart attacks, strokes, kidney damage, aneurysm formation, development of a weak heart and dementia. CareConnection: How can I lower my blood pressure? Dr. Hsu: The first step is to assess your lifestyle choices, including your diet and sodium intake, as well as your activity level. Obesity also results in higher blood pressure readings, along with high cholesterol and blood sugar problems. Stress, tobacco use, alcohol and sleep apnea are also contributors to hypertension. There are medications available to help lower blood pressure readings. If you find that your blood pressure is elevated, first start by talking with your physician to confirm the diagnosis. Together you create a treatment plan that is personalized for your situation.

Keith G. Boman, M.D., F.A.C.C. CareConnection: What are common side effects of high blood pressure medication?

QA &

Dr. Hsu: When your blood pressure is measured, you will notice there is a top number and bottom number. For example, you may see your provider write down that your blood pressure is 120/80, verbally reported as 120 over 80. The top number is the systolic pressure, which represents the pressure of the wave of blood pushing against the walls of the artery. This wave is generated by the heart pushing blood out of the heart into the arteries of the body, which travels in pulsing waves. After the wave leaves a section of the artery, the artery walls relax, and this is the diastolic pressure.

Dr. Hsu: Less than 120/80 is normal blood pressure. Between 120-140 systolic or 80-89 diastolic is considered pre-hypertension. Hypertension is greater than 140 systolic or greater than 90 diastolic.

Dr. Boman: Most medication is doserelated: higher doses leads to more side effects. Although there are many common side effects, the most common are fatigue, light headedness and some peripheral swelling. CareConnection: How do I know if I have high blood pressure?

Dr. Boman: High blood pressure is often called the silent killer and is often associated with few or no symptoms. There are some rare symptoms that can include dizziness, headaches, and nosebleeds, but these symptoms are usually associated with severe hypertension. Generally, 140/90 is considered mildly hypertensive, but the best way to know for certain is to consult your physician, or visit one of the many blood pressure stations around your community for a free blood pressure check.

Jay Hsu, M.D. Winter 2017 WellHealthQC.com


WellHealth Quality Care Healthcare. The WellHealth Way.



How to make the most of your New Year’s fitness resolution. It is estimated that 40 to 60 percent of New Year’s resolutions are to lose weight, but with a failure rate of more than 92 percent, what is the real problem? We sat down with certified fitness group trainer, Alison Sherman to find out. If you have a big goal, what should you do to start? It’s all about focusing on each day. You want to have your end goal in mind, but that may be overwhelming for some, small goals help. Set daily goals that will help you achieve your end goal and remember that by achieving these daily goals, you are one step closer to that end goal! For example, get a cute water bottle that will ensure you drink at least half your body weight in ounces. Schedule your daily workouts on your calendar. Meal prep and/or menu prep each week. Set out your workout clothes and shoes as a reminder of that day’s workout. Create rewards for reaching small goals like a new workout outfit, massage, or new tunes for your playlist. Keep healthy snacks with you at all times so that you don’t get too hungry and end up overeating whatever you can get your hands on! What is the benefit of having smaller goals in addition to your overall goal?


Winter 2017 WellHealthQC.com

Can you recommend classes or exercises that would set a good foundation for a fitness lifestyle change? Honestly, any class or type of exercise that someone enjoys and wants to do is going to be the best choice. If someone is brand new to exercise, start small. Choose one or two types of activities to start with. Once the foundation is laid, I’d suggest a wellrounded approach to exercise, meaning a variety of workouts. Your body and muscles move and work in many different ways on a daily basis, so your exercise choices should support that variety like walking, yoga, resistance training, and dancing takes you through various plains of motion and movement, which support every day life. Everyone has a bad day at the gym. Can you share tips on how to overcome the tough days? There are definitely days that feel so much harder than others and thats normal. Consistency is key, especially on

the tough days. We all have bad days, but the important thing is to not allow it to get you off course. Accept it for what it is, be proud of yourself for at least moving your body, and then focus on that next workout. On days that you may not feel motivated, I’d suggest either attending a group fitness class or scheduling a workout with a friend. There’s built-in accountability. Outside of the gym, what steps should someone take to cultivate a healthier lifestyle? There are so many ways to live a healthier lifestyle and every little bit helps. Drink more water (and less of the other stuff). Park your car a little further away and walk. Use the stairs instead of the elevator. Try to add more produce to each meal. Rather than meeting friends for happy hour, meet for a fun class or walk together. Get enough sleep. Limit processed food and keep tempting foods out of the house. Find ways to reduce stress either through meditating, yoga or talking to someone. Surround yourself with healthy, like-minded people.

Written by: Alison Sherman

Smaller goals allow you to see that goal and actually reach it! If we only have big end goals, most of us will never get there. Big end goals can be too overwhelming and seem unattainable. I don’t know about you, but when I feel overwhelmed, I actually do nothing!

That’s definitely not helping me reach my end goal. By setting smaller goals, you feel a sense of accomplishment and excitement each time you reach one, which will then help motivate you to keep going!

WellHealth Quality Care Healthcare. The WellHealth Way.

Winter 2017 WellHealthQC.com


WellHealth Quality Care Healthcare. The WellHealth Way.

In the


What are Ronald McDonald House Charities and how does it serve the local community? The Ronald McDonald House Charities (RMHC) of Greater Las Vegas provides temporary housing for families who travel to Las Vegas to receive critical medical treatment for their children. Additionally RMHC creates and supports programs that directly improve the health, education and well-being of children in our community.

These programs include the RMHC family room, care mobile, scholarship program, and Lunch Is On Us! program. Who benefits from the work provided? Families who find themselves in Las Vegas for medical treatment for their sick or injured children benefit from the House. Families, local and from far away, whose children are in the hospital, benefit from the Family Room

at Sunrise Hospital. The Ronald McDonald Care Mobile provides free dental treatment to underinsured children. The RMHC Scholarship Program awards thousands of dollars to Las Vegas high school seniors and alumni each year. Lastly, the Lunch Is on Us! Program benefits families whose children are in the hospital by bringing them healthy lunches so they do not need to leave their child’s bedside.

WellHealth Quality Care Healthcare. The WellHealth Way.


prevent heat illness. Play safe. Strict rules against headfirst sliding (baseball and softball), spearing (football), and checking in hockey should be enforced.Stay hydrated. Avoid heat injury by drinking plenty of fluids before, during and after exercise or play; decrease or stop practices or competitions during high heat/humid periods; wear light clothing.

More American children are competing in sports than ever before. Sports help children and adolescents keep their bodies fit and feel good about themselves. However, there are some important injury prevention tips that can help parents promote a safe, optimal sports experience for their child.


Sports-Related Emotional Stress The pressure to win can cause significant emotional stress for a child.

ll sports have a risk of injury. In

particular sport to allow the body to

Sadly, many coaches and parents

general, the more contact in a

recover. Wear the right gear. Players

consider winning the most important

sport, the greater the risk of a

should wear appropriate and properly

aspect of sports. Young athletes should

traumatic injury. However, most injuries

fit protective equipment such as

be judged on effort, sportsmanship and

in young athletes are due to overuse.

pads (neck, shoulder, elbow, chest,

hard work. They should be rewarded

knee, shin), helmets, mouthpieces,

for trying hard and for improving their

Most frequent sports injuries are sprains

face guards, protective cups, and/

skills rather than punished or criticized

(injuries to ligaments) strains (injuries

or eyewear. Young athletes should

for losing a game or competition. The

to muscles), and stress fractures (injury

not assume that protective gear will

main goal should be to have fun and

to bone) caused when an abnormal

prevent all injuries while performing

learn lifelong physical activity skills.

stress is placed on tendons, joints,

more dangerous or risky activities.

bones and muscle. In a growing

Strengthen muscles. Conditioning

child, point tenderness over a bone

exercises during practice strengthens

should be evaluated further by a

muscles used in play. Increase

medical provider even if there is

flexibility. Stretching exercises after

minimal swelling or limitation in motion.

games or practice can increase

Contact your pediatrician if you have

flexibility. Stretching should also be

additional questions or concerns.

incorporated into a daily fitness

Copyright Š 2016 American Academy of Pediatrics

plan. Use the proper technique. To reduce the risk of injury:

This should be reinforced during

Take time off. Plan to have at least

the playing season. Take breaks.

one day off per week and at least one

Rest periods during practice and

month off per year from training for a

games can reduce injuries and

Winter 2017 WellHealthQC.com


WellHealth Quality Care Healthcare. The WellHealth Way.


A Year of


Welcome 2017! As the New Year gives us a fresh start on our journey to health and well being, we would like to take a moment to look back at some of the most popular articles from 2016. We covered a lot of ground in 2016, with everything from fertility issues to adult acne to depression and anxiety. To see the full stories, visit My Healthy Life at my.wellhealthqc.com.

CareConnection Issue 5: Spring

You spend hours on end at that same desk, drinking out of that same coffee cup every day, but have you thought about how many germs can be lingering around that desk or on the lip of that coffee mug? Our CareConnection team set out to come up with some tips to help you eliminate some of those germs that are calling your desk a home.


Winter 2017 WellHealthQC.com

CareConnection Issue 5: Spring

A study by the Center for Disease Control suggests that more than 18 percent of women in the United States will have trouble conceiving or carrying a baby to term. These difficulties often go undiscussed or are hidden in fear or shame. We spoke to Brittany and Lacy about their struggles with fertility and how they have advocated towards the awareness of infertility.

CareConnection Issue 6: Summer

With the rapid growth in the healthcare industry, especially in Southern Nevada, medical office buildings have been the choice for many companies looking for locations to practice. We spoke with PK Delp Structural Engineering, a leader in the development of medical office buildings, on how these spectacular buildings are growing in popularity and design.

WellHealth Quality Care Healthcare. The WellHealth Way.

CareConnection Issue 7: Fall

The holidays can be a stressful time for everyone. Don’t catch yourself running to the big box stores last minute to get that perfect gift. We’ve selected multiple gifts for the family and pets in your life.

CareConnection Issue 6: Summer

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 millennial generation, but has seen exponential use among other generations. Researchers believe it’s a key to reducing healthcare costs, improving patient outcomes and and maintaining patients’ health. For the general population, it’s an easy, convenient and safe way to access medical care for common symptoms.

CareConnection Issue 7: Fall

Millions of women suffer silently with symptoms like vaginal dryness, increased vaginal pH levels, itching, irritation and even pain during intercourse. With the MonaLisa TouchTM some of these conditions can be can be reversed or even cured.

CareConnection Issue 7: Fall

Seeing a nutritionist is commonly thought of When someone needs to go on a diet for weight loss or help maintain a chronic illness, they often see a nutritionist. However, there are many other reasons to see a nutritionst. Nutrition is much more involved than just calories in and calories out. A visit to your nutritionist should be as routine as your yearly wellness visits, eye exams and dental checkups.

Winter 2017 WellHealthQC.com


WellHealth Quality Care Healthcare. The WellHealth Way.

Dedicated Doctors: ALISSA DOUGHERTY, MS, RD, LDN, shares her passion for a healthy lifestyle by encouraging people of all ages to observe within and regain their lives. Before moving to Las Vegas in 2016, Alissa worked at the University of Chicago where she helped patients with diabetes and weight management issues regain their health through meal planning, physical activity, and medication management. Alissa works with patients to find balance through healthy lifestyle changes, taking into consideration their sometimes hectic schedules. Alissa is a graduate of Western Michigan University where she received her Bachelor of Science in dietetics and played for the women’s soccer team. She continued her education at Benedictine University in Illinois where she completed her dietetic internship and received her Master of Science in Nutrition and Wellness. Alissa is currently working towards obtaining her CDE.

JESSICA SISTO, MD, will always call California home; however, she has lived all around the country and the world completing her education. She received her undergraduate degree from Pitzer College, followed by her master’s degree at Drexel University. She completed her medical training at the University of Cincinnati in Ohio, during which she spent a year abroad in Central America working on a maternal health education project. This project sparked her interest in international health. She then returned to California to finish her OB/GYN residency at the University of California Irvine. Dr. Sisto considers women’s healthcare her passion and has always been interested in underserved communities and women’s global health. She has worked in Nicaragua, Honduras, Ecuador and Tanzania, and plans to continue to fight for all women to have access to healthcare around the world.

JAY HSU, MD, Dr. Hsu practiced for six years in Wichita, Kansas before relocating to join his family in Las Vegas. With his skills in cardiology, he also brings an emphasis on preventative care and less-invasive treatment therapies. He is originally from Nebraska, and completed his medical training in California at UC Irvine’s medical school, fulfilling his residency requirements and cardiology fellowship at UCLA Kaiser Permanente Los Angeles. Dr. Hsu had the honor of being chief resident in internal medicine, and chief fellow for his cardiology program during his medical training. Afterwards, he returned to the Midwest to work at the largest multi-specialty practice in Kansas. While there, he served as the chairperson of internal medicine on St. Teresa Hospital’s Medical Executive Committee. Outside of treating patients, he has taught a Mayo Clinic-derived communications course for physicians, underscoring his commitment to patient engagement and patient-doctor cooperation in health promotion.

JEFFREY WRIGHTSON, MD, Dr. Wrightson was born and raised in Portland, Oregon. After medical school and a short time in private practice, he was appointed chair of the Department of OB/GYN at the University of Nevada. During his tenure as chair, he developed divisions within the subspecialties and also developed a program to provide prenatal care to underserved women that continues today. He also served on a number of boards including Planned Parenthood and the Governor’s Maternal Child Health Advisory Board. Dr. Wrightson was an early member of CUCOG, attended the Wyeth/Harvard Executive Development Course for new chairs and served as an oral board examiner for the American Board of Obstetrics and Gynecology.


Winter 2017 WellHealthQC.com

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

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