CareConnection Innovative Healthcare in Your Backyard Winter 2018
New Year, New You Healthy Living
How Gadgets Are Keeping You Awake
My Story. My Life. Childhood Leukemia
Ask the Doc
Uterine Cancer
Hypertension
A WellHealth Quality Care Publication
WellHealth Quality Care Healthcare. The WellHealth Way.
Letter from the Medical Editor There is something about midnight on New Year’s Eve that makes all of us feel energized and ready to take on the new day. We all set high goals for ourselves with the best intentions, but then we realize that, while the calendar may have started over, we are still dealing with our past, present and future; maybe adding one more thing to our to-do list seems too daunting.
K. Warren Volker, MD, PhD CEO of WellHealth Quality Care
“
Challenge yourself this new year to not only reach new goals but to become a better, stronger and more
With that in mind, we should approach the new year with a different point of view. What if we simply continue working on who we were before the clock turned to midnight and keep building on what we’ve already created? I took this approach last year; I was working out with my family and changing my diet. When the new year resolution conversation started, I decided that I wasn’t going to change anything I was doing, but when I reached the point that I could successfully do X, I would try to reach for Y. I stayed with it, and after months and months of training, I finished my third Spartan Race. I truly believe that if I had only focused on the end goal of doing a Spartan Race, I wouldn’t have celebrated my fitness milestones along the way. And without those little wins, I wouldn’t have gained the confidence to finish that Spartan Race.
diverse you. This year, I challenge you to start by commending yourself for who you are and where you are at with any goal. Then, add one or two small goals until you accomplish those, and so on, until you look back at this time next year and realize how far you’ve come. Have a safe and happy New Year, Dr. K. Warren Volker
Winter 2018 WellHealthQC.com
3
“
Demand The Best For Your Inner
Harmony Studies have shown as many as 50 percent of women suffer from vaginal dryness, itching and pain. Now, there is an answer.
MONA LISA
Touch
MonaLisa TouchTM is the only laser therapy approved by the FDA to restore women’s pelvic health. It delivers gentle laser energy to the treated area, resulting in the generation of new collagen and elastin.
Schedule a no-cost consultation today:
(702) 255-3547 NATURAL / LIFE-CHANGING / PAINLESS QUICK / SAFE / NO DOWNTIME lvmis.com|
wellhealthmedicalgroup|
@whmedicalgroup
WellHealth Quality Care Healthcare. The WellHealth Way.
Tips, stories and guides for a
Healthier You In this issue:
Winter 2018
Contents Letter from the Medical Editor Challenge yourself this new year
07.
Letter From The Editor A message from a reader
P.14
09.
Ask The Docs In-depth discussion about uterine cancer
Lymphoblastic STORY. Leukemia I just broke down. How do I tell my LIFE. three-year-old she has cancer?
10.
New Year, New You A dietitian’s perspective on healthy living
12.
Vegas Strong In memory of those we lost
14.
My Story. My Life. Childhood leukemia
16.
Why You May Not be Sleeping Well How gadgets are keeping you awake
18.
Talk To Your Doctor Screenings to talk to your doctor about
19.
Flu Season is Here How to protect your family this season
20.
Your Teeth and Your Health Diet tips to prevent dental problem
21.
What’s The Deal With Hypertension? Helpful tips about Hypertension
Dedicated Docs The best doctors in Southern Nevada
MY
MY
03.
How Gadgets Are Keeping You Awake
P.16
Credits Medical Editor
Contributing Writers
Managing Editor
Alissa Dougherty, MS, CDE, RD, LDN Brett Benton Jeffrey Wrightson, MD Meghan Bailey Natasha Muhmel
K. Warren Volker, MD, PhD Meghan Bailey
Copy Editor
Sara Williamson
Art & Design Brett Benton
22.
WellHealth Quality Care Healthcare. The WellHealth Way.
Letter from the Editor Here we are. It’s 2018, and we’ve finished another year of CareConnection. The stories we share are so real, and I (being biased) feel that we can’t be beat. The people that I’ve met this past year have changed me and hopefully some of you. I rarely share the feedback that we received, but I felt so compelled to share this email because it is everything I have ever hoped to hear.
reading about medical topics that are not usually covered; I find it reassuring that you are not afraid to push the envelope and find unique stories. Keep up the good work.” - Theresa C.
“Dear Meghan, I want to thank you and the team who put CareConnection magazine together. I visited WellHealth Medical Group monthly when I was pregnant and on a whim picked up the issue you wrote with the little boy who was born with half a heart. Being a new mom, the story resonated with me because I know how that mom felt because all of us moms are connected. I pray for that little boy now every day. I’ve also enjoyed
Her words could not have pinpointed the reason why we started this magazine. We wanted something different. We wanted a platform for those with rarer conditions or diseases not covered as much to have a voice. We will continue to share that voice with you in 2018. Cheers to a new year, Meghan Bailey Director of Marketing, WellHealth Quality Care
Shop Small Support Handmade Stay Local ---
---
Follow on Instagram: @baresolesmoccs ---
Like on Facebook: Facebook.com/baresolesmoccs ---
Shop at: Mkt.com/baresolesmoccs
Images provided by local photographer: Britmoss.com or @britmossphotography
Meet local “Momprenuer” and the face behind Bare Soles Moccasins, the best place to go for genuine leather moccasins for your infant and toddler. Located right here in Las Vegas, local mom and owner, Brittney Andersen, handcrafts each pair personally. Bare foot walking is recommended for all children until the age of 4. Bare Soles Moccasins provides all kids with the benefits of bare foot walking with a safe and stylish moccasin to promote the best orthopedic bone and muscle growth. With moccs starting at $25, you can’t go wrong. Use: shopsmallLV for a discount 4
Love Sight at first
YOU’VE QUESTIONED
Whether or not love at first sight existed, until this exact moment.
About Us You have been waiting for this moment, and have everything planned to the smallest detail. Your health and your baby’s wellbeing is the primary focus for our team of obstetric providers and midwives at Women’s Specialty Care. Five convenient locations in the Las Vegas Valley
Locations Northwest Centennial Hills
North MountainView Smokey Mountain
Summerlin Summerlin
Southwest Spring Valley
Same day or next day appointments available at certain locations Seamlessly coordinated care between obstetrics, midwifery and anesthesia
Book your appointment online or by phone womensspecialtycare.com|P: (702)255-3547|
wellhealthmedicalgroup|
@whmedicalgroup
H Ask the Doc
WellHealth Quality Care Healthcare. The WellHealth Way.
An In-Depth Discussion About Endometrial Cancer We talked to Dr. Jeffrey Wrightson, with WellHealth, a DaVita Medical Group, to learn more about the ways to diagnosis and treat endometrial cancer.
CareConnection: What is uterine cancer? Dr. Jeffrey Wrighton: Uterine cancer for the most part refers to endometrial cancer. Endometrial cancer is the most commonly diagnosed gynecologic malignancy and refers to cancer of the lining of the uterus. Approximately 50,000 women a year will be diagnosed with endometrial cancer. There is also a type of cancer that can develop from the muscle of the uterus and is called leiomyosarcoma. These cancers are fairly rare and at times are associated with uterine fibroids.
CareConnection: What causes endometrial cancer?
CareConnection: What are the types of endometrial cancer? Dr. Jeffrey Wrighton: There are two types of endometrial cancer. Type 1 is called endometrioid adenocarcinoma and it accounts for more than 75 percent of all cases. Most of these cancers are low grade, meaning less aggressive, and are
CareConnection: What are the symptoms of endometrial cancer? Dr. Jeffrey Wrighton: The most common presenting symptom is abnormal bleeding. Since many women are menopausal when diagnosed, any bleeding after menopause should be investigated. In women who are not menopausal, irregular bleeding and irregular periods can be signs. This is important with increasing rates of obesity in pre menopausal women. Other signs can include abdominal or pelvic pain, bloating and change in bowel habits.
CareConnection: Will obesity increase the risk of endometrial cancer? Dr. Jeffrey Wrighton: Women that are overweight have higher amounts of estrogen in there bodies. This stems from production and storage that occurs in fat tissue. This increased estrogen leads to continuous stimulation and growth of the uterine lining, which over time leads to overgrowth of the lining and eventual progression to cancer.
CareConnection: How can I reduce my risk of endometrial cancer? Dr. Jeffrey Wrighton: The way to reduce risk is to eliminate risk factors that can be controlled. Weight loss to achieve a BMI less than 25, smoking cessation and control of diabetes, hypertension and thyroid disease are important. If you’re on medications that include estrogen, discuss long-term use with your physician, especially if it is being given without a progesterone.
Jeffrey Wrightson, MD
CareConnection: If I have endometrial cancer, what are the treatments? Will I need a hysterectomy?
QA &
Dr. Jeffrey Wrighton: Though we do not yet know the specific cause of endometrial cancer, there are well identified risk factors. The most important risk factor is prolonged exposure to unopposed estrogen. Though this exposure can come from taking estrogen alone (meaning without progesterone included) for a prolonged period of time, prolonged endogenous exposure is more common. Conditions where this can happen include obesity and polycystic ovary syndrome. Women with a body mass index greater than 25 have a 200 to 400 percent increase in risk. Other risk factors include older age, white race, smoking and diabetes. There are also genetic conditions such as Lynch syndrome that put some women at higher risk.
diagnosed earlier leading to better survival. Type 2 cancers are more likely to be high grade and carry a higher risk of spreading outside the uterus.
Dr. Jeffrey Wrighton: The initial treatment for most endometrial cancers are a hysterectomy. The cancer involves the uterus, and there is no lesser procedure that is effective. Usually, removal of the ovaries and lymph node sampling is also included. This approach helps to decide if additional treatment may be needed. Depending on the extent of the disease, other treatments such as radiation therapy or chemotherapy may be needed.
CareConnection: What type of checkups will I need after being treated for uterine cancer? Dr. Jeffrey Wrighton: Follow up after treatment for endometrial cancer will usually include visits every three to six months for two years, every six months for three years and annually thereafter. Physical exam including pelvic exam should be done at each visit. Further testing may be ordered based on the exam findings and may include X-rays, CT or PET scans. Lifestyle changes are very important and should be discussed at follow-up visits. Winter 2018 WellHealthQC.com
9
STICKING TO YOUR NEW YEAR’S RESOLUTIONS A DIETITIAN’S PERSPECTIVE
new year, new you It’s that time of year again where the hustle and bustle of the holiday season is coming to an end, and we have a little more time to look back on the past year. For some people, this may be the time where we want to make a new lifestyle change or reflect back on previous resolutions that we were not able to attain. If you happen to fall in either one of those categories, this article may be able to help you adopt new strategies to avoid pitfalls and stay on track.
TAKE THESE STEPS TO SUCCESS 1. Make it meaningful
Don’t set a resolution if it isn’t meaningful to you. If the resolution is set because your friends and family are doing it or because you feel like you need to set some sort of resolution, you are not going to follow through or stick with the plan year-round. If you are planning on making a new year’s resolution, make sure that it is desirable to you.
2. Keep it SMART
Most of us tend to state broad resolutions such as lose weight, eat healthier or exercise more; however, they don’t generally provide a clear path to follow. Setting a Setting a SMART - specific, measurable, attainable, realistic, timely - plan can help you identify tangible steps toward achieving your goals. For instance, if exercising more is your goal, and you don’t currently exercise, starting out with small incremental goals to reach a larger goal of 150 minutes of exercise a week can help you stay on track.
10
Winter 2018 WellHealthQC.com
WellHealth Quality Care Healthcare. The WellHealth Way.
3. Engage in activites you enjoy To continue with the idea of exercise, if your longterm goal is to attain 150 minutes a week of aerobic exercise but you dislike running, training for a 5K may not be the best choice. Engaging in activities that you enjoy, in pleasing environments, and/or in groups that you like to be involved in makes the task more manageable, and you are more likely to stick with the activity. Distract yourself with your favorite playlist or enjoying a walk in nature. Gather friends, family members or coworkers to take part in the activity with you.
did you know? The average adult, age 19-30, should consume an average of 2,000 calories per day to maintain a healthy weight.
Written by: Alissa Dougherty MS, RD, LDN, CDE
4. Track your progress Tracking steps or crossing off goals on a calendar can help give you a visual picture of how you are progressing to your ultimate goal. Sharing your goals with friends or family and showing them your progression can help keep you accountable. Utilizing social media and uploading your fitness tracker or checking in with weekly status updates can help keep you motivated. Charting your attendance can also help keep you accountable to your goal. You may do this either on a calendar or by checking in on social media.
5. Reward yourself and stay positive You are going to have those moments where you slip up, but instead of beating yourself up over it, remain positive. Identify the barrier that could have gotten in your way and problem solve to work through it. If
did you know? To calculate your maximum heart rate, subtract your age from 220. For example, a 45 year old’s maximum heart rate would be 175 or 220 - 45 = 175. you just had a bad day, remember that tomorrow is a new day and keep moving forward. Don’t dwell on the weak point, learn from it and move on. Reward yourself when you have successes no matter how big or small. Give yourself a good old pat on the back and engage in positive self-talk. When it comes to making health-related resolutions, working with a registered dietitian, certified personal trainer or certified health coach can help guide you and support you in reaching your goals. By making resolutions that are personal, realistic and timely you, set yourself up for success right out of the gate.
IN MEMORY OF THOSE WE HAVE LOST OCTOBER 1, 2017
WellHealth Quality Care Healthcare. The WellHealth Way.
MY
MY
STORY LIFE
Childhood Leukemia
A
ubree is three, and her feet hit
I took Aubree to see the specialist,
the ground running every day.
and we were immediately rushed to
It isn’t until her head lays on
the hospital for a red blood cell and
her pillow that she stops. To classify her
platelet transfusion. It happened so
as hyper would be an understatement
fast, and we were barely seen before
because this girl has a love for living
an emergent trip was ordered. Our
everyday to the fullest already. When
doctors performed a bone marrow
the doctors told me that Aubree had
biopsy to find out what they may have
leukemia, I sunk into my chair and
already suspected. She was diagnosed
buried my head in my hands. How can
with b-cell acute lymphoblastic
this happen? What was I going to tell
leukemia in less than 48 hours.
my daughter? Would I have to live life without my baby girl? Before her diagnosis, Aubree was melancholic for a few days, and I knew it was time to take her to the doctor. Aubree’s initial diagnosis from her pediatrician was bronchitis and a double ear infection. I scheduled a follow-up for one week later to make sure we had her bronchitis managed and on the mend. At the time of her follow-up she checked out okay, but her pediatrician was worried about how pale Aubree had become
to struggle, being sick with a port was very difficult for her. When you are three, it is even more difficult because it is something they do not understand. The new normal for us consists of multiple daily house cleaning tasks
Symptoms of
to ensure she doesn’t contract any
B-Cell Acute Lymphoblastic Leukemia in Children
infections, and she sees her doctor for chemotherapy up to four times a week. Somehow though, throughout all of this, Aubree stays true to her sweet self. She is often seen helping
• • •
giving other people high fives. The
back showing the pediatrician that
road to recovery is not going to be
Aubree had a deficiency in all three
short nor easy, with approximately 3.7
•
cellular components of the blood,
percent of all new cancer cases in the
red, white and platelets. Thinking she
U.S. being leukemia with around 4,900
may have contracted a viral infection
children being diagnosed, we know
we were referred to a hematologist-
that we are not alone with our fight
oncologist.
and recovery.
Summer 2017 WellHealthQC.com
the nurses cleaning her port site and
Bleeding or bruising easily Very tired or lethargic Frequently contracting infections Loss of appetite Pale skin Fever Swollen lymph nodes in the neck, underarms or groin Red or purple spots on the skin called petechiae Learn more and find support at LLS.org
As told by: Natasha Muhmel Written by: Meghan Bailey
complete blood count. The test came
• • • •
and asked us to allow them to run a
14
Our everyday full of life Aubree started
WellHealth Quality Care Healthcare. The WellHealth Way.
The average adult needs at least 7-9 hours of sleep to be fully rested.
WellHealth Quality Care Healthcare. The WellHealth Way.
how gadgets are
Keeping You Awake! Our cell phones, tablets, computers, televisions, games, watches and other electronic gadgets have become such a huge part of our daily lives that, when it comes to bedtime, we can’t seem to put them away. Have you ever thought about how these gadgets are affecting your health, especially when it comes to catching some z’s?
An estimated one in three people check their smartphones at least 30 minutes prior to going to sleep.
They Suppress Melatonin According to sleep.org, the blue light emitted by screens on cell phones, computers, tablets and televisions restrain the production of melatonin, the hormone that controls your sleep/wake cycle or circadian rhythm. Reducing melatonin makes it harder to fall and stay asleep. Helpful Tip: If you use your iPhone at night, there is an option called night shift that turns the blue light on your phone to a warmer orange color, which helps your brain relax. They Wake You Up It’s common to almost be asleep and “ding” an email notification from Facebook, Instagram or Youtube comes through. Since we’re such a technology-heavy society, we reach for our phones to see the new content, even if it’s 2 a.m. Turn your phones or tablets on vibrate or set a time to make technology-free zones before bed. Helpful Tip: There is a setting on most smartphones that will allow you to schedule times that notifications will not be accepted. This allows your screen to not light up and sounds to not play during certain times. They Keep Your Brain Alert Answering that last email or commenting on one more post before bed seems like a harmless idea, but doing this too soon before going to sleep activates the brain, making it harder to relax or wind down before bed. Try to not use any technology gadgets at least one hour before bed. You’ll be more rested before you know it.
Winter 2018 WellHealthQC.com
17
WellHealth Quality Care Healthcare. The WellHealth Way.
2
Talk To Your Doctor
Type 2 Diabetes and Prediabetes in Adults
A
staggering 8.1 million people are unaware they are at risk of becoming pre-diabetic. Undiagnosed diabetes leads to risk of eye, heart or kidney disease along with nerve damage. Here are some things to talk to your doctor about to avoid the problems associated with prediabetes •
•
18
Screenings - there are screenings that you should get starting at age 45 or if you have a family history of diabetes. These screenings help to determine if a patient is at risk for prediabetes or have type 1 or 2 diabetes. Family History - going back to your grandparents, if you have any history of diabetes, it is essential to let your doctor know. You may benefit from screenings earlier than the recommended age of 45.
Winter 2018 WellHealthQC.com
Screenings for diabetes and prediabetes If you meet any of the criteria noted previously, you should talk to your primary care provider about being tested for prediabetes or diabetes. In asymptomatic patients, there are three methods of testing that are considered equally appropriate.
1 2 3
Fasting Plasma Glucose is a simple blood test after fasting for at least eight hours to determine your blood sugar levels.
Two-hour plasma glucose value after a 75 gram oral glucose tolerance test.
A1C Test - Blood test that provides information about average levels of blood glucose, over the past 3 months.
Written by: Meghan Bailey
•
Balanced Eating Habits - take a moment to talk to your doctor about your eating habits. Most people who believe they are eating a healthy and balanced diet may not be on the right track. It is essential to eat foods that keep your pancreas from working overtime since this is the organ that makes insulin in your body.
An estimated 8.1 million people may be unaware and at risk of prediabetes in the U.S.
The ins and outs of the flu As the winter season rolls around, cheerful thoughts of the holidays, changing leaves and cooler weather come to mind. With the season comes coughs, runny noses and sore throats. With the season comes coughs, runny noses and sore throats, commonly caused by the flu.
Around 20% of the U.S. population get the flu each year!
What is the Flu?
Written by: Ashlyn Call, PA-C
The flu, also called influenza, is a viral infection that emerges each year in the fall and winter. This viral infection can affect anyone. The flu is easily transmitted by sneezing and coughing. Often times, the viral infection suppresses the immune system, leading to bacterial infections, such as pneumonia, sinusitis, ear infections and bronchitis. These infections can cause long-term health issues.
If it has been more than 72 hours, the antiviral medication will not be effective in helping with the condition or shortening its duration. Antiviral flu medications are effective against viral strains A and B. An antibiotic is not effective against a viral infection, but if your primary care provider How do I know if I have the Flu? Your primary care doctor can diagnose thinks you may have a bacterial the flu based on symptoms alone or with a infection, they may choose to throat or nasal culture. The basic treatment prescribe an antibiotic. for the flu is rest, medication and a cup of warm chicken noodle soup. Preventing the flu altogether is the best practice. Most flu What do I do if I have the Flu? vaccines are available October The flu virus will pass on its own within one to seven days for the majority of individuals. through April at your primary care provider’s office or a local But, if diagnosis occurs within the first 72 pharmacy. It is recommended hours of when the symptoms begin, a that all individuals 6 months provider may choose to treat with an antiviral medication. or over, receive the flu vaccine
Stat by WebMD.com
each and every year. After receiving the vaccine, full protection from those strains of the flu virus can take up to two weeks. Because the vaccine is inactivated, it cannot cause the flu.
Side effects of flu vaccines • • • •
Aches/fatigue Headache Cough Fever
As you prepare for the festivities of the holiday season, take a few moments and get the flu vaccine to help protect yourself and your loved ones. It can help prevent days of feeling miserable, missed work and festivities. Winter 2018 WellHealthQC.com
19
Tips to Prevent Pediatric
Dental Problems A balanced diet, with plenty of calcium and vitamin D to increase calcium absorption, should provide all the nutrients necessary to build strong teeth and keep gums and mouth tissues healthy. Young people can get adequate calcium from three or four daily servings of dairy foods, as well as from many other sources (eg, calcium-processed tofu, calcium-fortified orange juice and green vegetables such as broccoli).
The Benefits of Fluoride
Fluoride reduces dental decay by making the enamel harder, reducing the ability of bacteria to produce acid that erodes enamel, and by replacing minerals in the teeth after they have been lost. In areas where the natural fluoride content of the water is low and water supplies are not fluoridated, or if your household uses bottled or reverse osmosis filtered water, pediatricians and dentists may advise fluoride supplements, fluoride toothpaste or fluoride treatments to strengthen tooth’s enamel against decay. Most bottled water does not contain adequate amounts of fluoride. Home water treatment systems like reverse osmosis and distillation units remove much of the fluoride from tap water. However, carbon or charcoal water filtration systems generally do not remove substantial amounts of fluoride.
Too Much Fluoride and Fluorosis
One of the complications of too much fluoride is dental fluorosis. Fluorosis ranges from minor white lines that run across the teeth to a chalky appearance of the teeth with brown staining. Fluorosis can be caused by prescribing fluoride supplements in communities with fluoridated water or young children swallowing fluoridated toothpaste. To avoid this latter problem, children should use no more than a smear of fluoridated toothpaste before age two if your child’s pediatrician or dentist suggests using fluoridated toothpaste. For children older than age 2, use only a small pea-sized amount of fluoridated toothpaste. Also, your pediatrician or pediatric dentist will know the fluoride content of your local water and can advise you if a supplement is necessary or excessive.
Damaging Sugars
All sugars promote the growth of mouth bacteria that produce acid and cause tooth decay. Unrefined sugars such as honey, maple syrup and molasses are just as damaging as refined white sugar in this respect. The worst offenders are the sugars in sticky foods that cling to teeth, such as dried fruit leathers and candies. Sodas and sweetened juice drinks leave the teeth awash in sugar. Cereals and other starchy foods, such as popcorn, leave a residue that bacteria rapidly convert to sugar. Source: healthychildren.org
WellHealth Quality Care Healthcare. The WellHealth Way.
What’s the deal with
HYPERTENSION Hypertension is the term describing elevated blood pressure. Blood pressure is the force that the blood exerts on the walls of the artery. Elevated blood pressure against the walls of the artery can cause damage and inflammation to the wall surface, resulting in formation of cholesterol plaques with blockages, as well as weakened walls and aneurysms. When these problems occur in the heart, it can result in a heart attack, and if in the brain, a stroke.
O
ne in every three American adults will develop hypertension in their lifetime, but a person over the age of 55 has a 90 percent risk of hypertension. Since a new guideline was introduced, hypertension is defined as a blood pressure of 130 over 80 which affects many individuals with no previous hypertension diagnosis. diagnosis. Here are some helpful thoughts to stay healthy as you move forward into 2018.
What factors affect my blood pressure? Blood pressure is not static and tends to vary depending on a number of factors. This includes anxiety, intense exercise, too much salt in the diet, caffeine intake and smoking. Therefore, a number of blood pressure measurements should be made before the diagnosis is confirmed. An average of two to three measurements taken on two to three separate occasions will usually minimize error and provide an accurate estimate.
What if I have high blood pressure? Your physician will establish what your risk is for developing heart disease in the next ten years. They will review the presence of other risk factors for heart disease such as age, race, gender, cholesterol level, the presence of diabetes and smoking. An echocardiogram can be helpful to ascertain whether your heart has developed significant hypertrophy due to chronic hypertension.
Written by: Keith Boman, MD, FACC
What do I do if I am hypertensive? If your physician establishes that you do have hypertension they should check if you have a low risk of developing heart disease, hen recommend healthy lifestyle changes and review them in the next three to six months. If hypertension persists, medication may be recommended. If you are at high risk for developing future heart disease or have known clinical cardiovascular disease, diabetes mellitus, or chronic kidney disease, then lifestyle modification and medication may be recommended.
Winter 2018 WellHealthQC.com
21
WellHealth Quality Care Healthcare. The WellHealth Way.
Dedicated Doctors YARINI QUEZADA, MD, provides patients with the kind of bedside manner they truly love, 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 finished her FPMRS boards, leading her to be double board certified. She is bilingual in both English and Spanish. 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 non-surgical treatments for these conditions.
JEFFREY WRIGHTSON, MD, 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 Governors 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.
KEITH G BOMAN, MD, F.A.C.C, is a graduate of Ed W. Clark High School in Las Vegas and served as the school’s first student body president. He received his Bachelor of Science degree from the University of California, Santa Barbara. He then graduated from the George Washington University School of Medicine, where he was inducted into the Alpha Omega Alpha Honorary Medical Society. Dr. Boman has served as assistant professor of clinical medicine for the University of Nevada School of Medicine. As a board-certified clinical cardiologist, Dr. Boman challenged the trend toward large medical groups when he founded his solo practice in January 1997. He did so with the belief that medicine is an art as much as it is a science. The art, he believes, lies in knowing and understanding his patients, as well as his craft. He is currently the head of cardiology for WellHealth and serves as that organization’s chief medical officer.
ASHLYN CALL, PA-C, Ashlyn Call is a board certified physician assistant. She has lived in the Las Vegas area for most of her life, completing her undergraduate studies at the University of Nevada Las Vegas in 2008. Following graduation, she chose to pursue her passion for medicine and received her master’s degree in physician assistant studies from Touro University Nevada in 2012. Ashlyn has been practicing internal medicine since and is committed to bringing quality healthcare to those in the Las Vegas Valley.
22
Winter 2018 WellHealthQC.com
LIVING WITH DIABETES The Education Series
Interactive Demos Join certified diabetes educator, Alissa Doughtery, during her monthly Living with Diabetes Education Series. This is a great resource to help you understand diabetes lifestyles. The classes include open discussions about diabetes basics, nutrition, physical activity, blood sugar monitoring, medication management and much more.
Open Discussions Professional Education Safe Enviornment
The Living With Diabetes Education Series requires a referral from your Primary Care Provider. Talk to your provider today to gain access to this specialized class.
American Diabetes Association Accredited Program
(702) 863-9663 WellHealthEndocrinology.com Southern Hills Hospital Medical Office Buildings
You and your family
deserve the very best
Call 702.870.2099 to schedule an appointment today When it comes to the health of your family, rely on the people you trust.
hcpnv.com/lasvegaspediatrics