2018-05-20 - HealthCare Quarterly (Vol. 20) - Spring 2018 by Greenspun Media Group

2018 | VOL. 20

PRESENTED BY:

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Weâ&#x20AC;&#x2122;re Top Doctors. Thereâ&#x20AC;&#x2122;s nothing quite like the recognition of your peers for a job well done. Congratulations to these oustanding individuals!

Dr. Chard Bubb Endocrinology

Dr. Foluke Adekunle Internal Medicine

Dr. Elron Mighty Geriatrics

Dr. Prashant Dani Pediatrics

HCPNV.com

Lana Dawood, MD Mother of two, Family Physician, HealthCare Partner

We’re moms. Dr. Lana Dawood understands the importance of family—that caring for one another from generation to generation is life’s most worthy calling. And because she sees her patients as a part of her HealthCare Partners family, that care comes full-circle with you.

Edward Clark, MD Biker, Skier, Diver, Physician, HealthCare Partner

Weâ&#x20AC;&#x2122;re free spirits. Dr. Edward Clark enjoys living his life to the fullest. That zest for living makes him an amazing HealthCare Partnerâ&#x20AC;&#x201D;because we believe providing the best possible care is our way to truly ensure our patients are able to experience the joy of a life well-lived.

Weâ&#x20AC;&#x2122;re Healthcare Partners. Get to know us at HCPNV.COM

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VEGAS Print | Digital | Social | Events Check us out at www.GreenspunMedia.com or 702.990.2550

FINANCING HELPS DOCTOR RELOCATE IN MEDICAL DISTRICT “Sonny has been ver y instrumental in moving the loan process forward. As s o o n a s th e re n ovati o n s are complete, I’ll be able to achieve my goal of moving into my own building in the Medical District.” – Dr. Teresita Lu Melocoton

While many medical practices turn away Medicaid patients, Dr. Teresita Lu Melocoton welcomes them to the two locations of Valley Pediatric and Specialty Center. “Our niche is serving underserved patients in southern Nevada, and we offer a sliding fee schedule so parents can afford the care their children need,” she said. Valley Pediatric operates two locations: one near Eastern and Bonanza, and the other on Charleston near UMC and Valley Hospital. While both facilities are currently leased, Dr. Melocoton wanted to purchase a building in the Las Vegas Medical District to build equity for her practice and qualify for tax benefits. When she found a location for sale, she approached Nevada State Bank about financing. Sonny Vinuya, VP and Professional Banking Relationship Manager at Nevada State Bank, helped her apply for an SBA 7(a) loan to purchase the building and remodel it to fit her needs. “Sonny has been very instrumental in moving the loan process forward,” said Dr. Melocoton. “As soon as the renovations are complete, I’ll be able to achieve my goal of moving into my own building in the Medical District.” Dr. Melocoton and her husband, Nestor, who serves as practice administrator, moved to Las Vegas 16 years ago from California, and their business has grown along with the city. In addition to operating clinics during regular office hours, Valley Pediatric offers urgent care on Saturdays at its Eastern location, so parents of children needing care on the weekend have a low-cost alternative to standard urgent care facilities. Dr. Melocoton will continue her mission of providing medical care for the underserved in the Las Vegas Valley when Valley Pediatric opens a third location in North Las Vegas. As a medical professional, whether your needs are personal or business banking, lines of credit* or equipment financing*—or possibly a new mortgage* for that dream home you’ve been waiting to purchase—Nevada State Bank is here to help you. If you’re looking for a true banking relationship where your banker is available when you need them, call us today at 702.706.9618. We’ll be happy to meet with you and discuss how Nevada State Bank’s Certified Medical Bankers can help you achieve your financial dreams. – Raine Shortridge

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FOREMOST IN THEIR FIELD. Forward-thinking cancer care. Dr. Russell Gollard and Dr. Courtney Vito are at the forefront of cancer treatment. And now they’re bringing their insight and innovation to patients in the Las Vegas Valley as part of OptumCare® Cancer Care. Dr. Gollard has practiced medicine in Las Vegas since 1996 and is the Medical Director at OptumCare Cancer Care. His career is marked by a focus on new technologies and therapies. He is also adept at integrating treatments and modalities for maximum efficacy. This focus on the multidisciplinary approach is something Dr. Gollard teaches his students at UNLV, where he helps create the next generation of practitioners.

About OptumCare Cancer Care OptumCare Cancer Care brings a new option to the Las Vegas Valley in the fight against cancer, offering personalized, integrated care. We provide a full range of cancer treatment services in the areas of medical oncology, surgical oncology, chemotherapy, hematology, immunotherapy, laboratory services and radiation oncology—all with a focus on you.

A lifelong Nevadan, Dr. Vito is our Director of Breast Care. She is a highly experienced breast surgeon with fellowship training in oncoplastic surgery, and leads a breast center certified by the National Quality Measures for Breast Centers. Dr. Vito is a graduate of Durango High School and UNR, and she has dedicated herself to teaching the next generation of physicians with her work as an instructor and mentor. Together, Drs. Gollard and Vito are part of a team that is leading the way in the fight against cancer—a battle defined not only by a tireless commitment to new innovation, but also by a compassion for patients that knows no limits.

Coming In 2018: The OptumCare Cancer Center Located in our city’s Medical District, the new OptumCare Cancer Center will total 55,000 square feet. Here, patients will find treatments and technologies at the forefront of medicine. It’s a place for advanced care.

OptumCare is a care delivery organization that improves patient health and helps make health care work better. OptumCare is a registered trademark of Optum, Inc. All other trademarks are the property of their respective owners. Because we are continuously improving our products and services, Optum reserves the right to change specifications without prior notice. Optum is an equal opportunity employer. ©2018 Optum, Inc. All rights reserved. The company does not discriminate in health programs and activities. For communication assistance, please call 702.724.8787.

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H E A LT H C A R E Q UA R T E R LY

SPRING 2018

FROM THE EDITOR

aking the correct decisions regarding health care isn’t easy. Even defining what “healthy” is can change depending on what study you read or which website you visit. That’s why it’s so important to have access to multiple sources; your family physician is a good start. If your doctor gave you a recommendation that would benefit your health, you’d trust his or her judgment, right? Now imagine if you could ask thousands of doctors for their opinions. That changes the game a bit, although perhaps the thought of sitting in all those waiting rooms doesn’t sound especially appealing. That’s why our eighth annual “Top Doctors” issue of Health Care Quarterly is so useful. Starting in December, we began the process of reaching out to a broad section of medical professionals in Southern Nevada, mailing them directly to ask them to tell us which doctors they recommend to their patients. Hundreds upon hundreds of names rolled in. What we have is a list of quality professionals from dozens of specialties. Nothing in this issue of Health Care Quarterly would be possible without help from our sponsors. We’d like to thank Comprehensive Cancer Centers, Nevada State Bank, Fusch Commercial Interiors & Design and P3 Health Partners for their support in helping us bring this important information to you. We hope you enjoy it! Craig Peterson Editor of Special Publications craig.peterson@gmgvegas.com

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H E A LT H C A R E Q U A R T E R LY

FROM THE SPONSOR

omprehensive Cancer Centers is a proud sponsor of Vegas Incâ&#x20AC;&#x2122;s 2018 Healthcare Quarterly Top Doctors, recognizing the physicians in our community who have made a lifelong commitment to providing high-quality care to each of their patients. Comprehensive would like to congratulate all of the honorees, including many of our very own doctors. Comprehensive is committed to developing and advancing cancer care through collaboration and innovation. Today, our team of providers offers medical oncology, hematology, radiation oncology, breast surgery, pulmonology, clinical research, and in March, we launched our newest line of service â&#x20AC;&#x201D; cancer genetic counseling. This new service provides patients with a hereditary predisposition of cancer and their family members with tests and options to reduce their risk of getting cancer. Over the years, Comprehensive has developed an extensive clinical research program and participates in more than 170 Phase I, Phase II and Phase III research studies annually. Our doctors have helped develop more than 70 FDA-approved cancer therapies, providing patients with access to worldclass treatment options right here in Nevada. We are proud to continue our efforts of bringing more services to patients so they never have to travel out of state for treatment. We are excited to witness and be a part of the growth of our medical community. With such a transformative time in healthcare, itâ&#x20AC;&#x2122;s great to see medical professionals, organizations and research institutions working together to offer patients access to groundbreaking research, state-of-the-art hospitals and innovative care. Our community has a lot to be proud of. We must continue to keep the positive momentum going by building upon the many assets that already exist in healthcare today and to make Nevada a destination for world-class care. Thank you to all of the Top Doctors for your contributions to the medical community and for your commitment to making our community an even better place to get quality care. Sincerely,

Jon Bilstein Executive Director Comprehensive Cancer Centers

H E A LT H C A R E Q UA R T E R LY

SPRING 2018

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CONTENTS

24 TOP DOCTORS 2018

Barbara Caldwell provides cancer genetic counseling at Comprehensive Cancer Centers.

As recommended by their peers

ANOTHER ALTERNATIVE Choosing between pain and addiction: where are the other options?

THE WRONG NUMBERS Collaborative effort needed to combat doctor shortage in Nevada

HEREDITARY HEAD START Genetic counseling can provide crucial clues in helping doctors battle certain types of cancer

COLUMNS 14

DEPARTMENTS

SUN SAFETY

Dr. Susan Reisinger, 21st Century Oncology

TECHNOLOGY

PHARMACY

SNEEZIN’ SEASON Dr. Jim Christensen, OptimCare Lung & Allergy Care

MEET THE EXECUTIVE

Dr. James Joslin, Southwest Medical Associates

MEET THE EXECUTIVE

Dr. Timothy Justice, Behavioral Healthcare Options

H E A LT H C A R E Q UA R T E R LY

SPRING 2018

THE NOTES Notes from the health care community

CALENDAR Upcoming events and classes

MENTAL HEALTH

Mark Price, HealthCare Partners Medical Group

Dr. Marwan Sabbagh, Cleveland Clinic Lou Ruvo Center for Brain Health

SUN SAFETY

MAKING THE ROUNDS Southern Nevada health care events in pictures

Dr. Derek Meeks, Touro University Nevada

Daniel W. Heller, Smith’s Food & Drug

Alma Rodriguez, Nevada Donor Network

Michael L. Gagnon, HealtHIE Nevada

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s u n s a f ety

PROTECT YOURSELF FROM SKIN CANCER BY KEEPING AN EYE ON bits and bumps By Dr. Susan Reisinger

L It’s not enough to protect your skin; remember to stay hydrated. See page 72.

as Vegas summers boast fun times at pools where residents can relax in the sun. However, the desert locale puts us at a higher risk of sunburns, which can lead to melanoma — the most dangerous type of skin cancer. More people are diagnosed with skin cancer each year in the U.S. than all other cancers combined. According to the Skin Cancer Foundation, 3.5 million cases of skin cancer are diagnosed each year across the country. Skin cancer is most often caused by exposure to ultraviolet radiation. It can appear as moles, raised bumps, scaly patches or open sores. There are three primary types of skin cancer: squamous cell carcinoma, basal cell carcinoma and melanoma. Squamous cell carcinoma may appear as a firm red nodule or a scaly, flat lesion. It occurs in the cells just below the skin’s outer surface. These cells function as the skin’s inner lining. Basal cell carcinoma may appear as a small, smooth, pearly or waxy bump. It may also appear as a pink, red, or brown-colored lesion. Basal cell carcinoma occurs just beneath the skin’s inner lining in the cells that work to produce new skin cells. Melanoma most often appears as a pigmented bump or patch. It may also look like a mole with an irregular appearance, asymmetric borders and uneven color, and it may change in size. Melanoma occurs in melanocytes, cells located in the lower part of the epidermis, which produce the skin’s pigment. The melanoma death rate among Nevada residents is higher than the national average. In 2009, the Environmental Protection Agency reported that 480 Nevada residents were diagnosed with melanoma. This form of skin cancer is responsible for roughly 75 percent of all skin cancer fatalities in the state and 68 residents die annually from the preventable disease. If melanoma is diagnosed and treated early, it can be curable, but the best form of action is to prevent the disease in the first place. The risk of melanoma doubles for those who have had more than five sunburns. Take care to avoid exposure to harsh UV rays, wear protective clothing and properly apply sunscreen.

Apply sunscreen of SPF 30 or higher before any outdoor activity, seek shade and limit exposure to the sun between the hours of 10 a.m. and 4 p.m., wear hats and protective clothing, and avoid tanning beds. Perform regular self-examinations to look for atypical moles, freckles or skin changes. The National Cancer Institute recommends that you apply at least an ounce of sunscreen 30 minutes before going outside and reapply every two hours for optimum protection. Be sure to read the expiration date on your sunscreen and replace it every 2-3 years. Consider using a lotion sunscreen instead of a spray to better assess the coverage, thus reducing your risk of burning. Treatment of skin cancer depends on the type and degree of the disease. The most common treatments for skin cancer are Mohs surgery and radiation therapy. Mohs surgery involves surgical removal of tumors and the layers of skin containing cancerous cells until they are cleared while leaving as much healthy tissue as possible. Radiation therapy is a nonsurgical alternative with comparable results to surgery. The benefit of radiation therapy is that it is minimally invasive. This treatment is delivered with highly sophisticated systems that pinpoint the cancerous cells while minimizing damage to the surrounding healthy cells. The radiation targets only the skin cancer, effectively destroying it. Treatments are fast and pain-free. There is no cutting, no anesthesia and a low recovery time. In many cases, patients can get back to their normal routine shortly after they walk out the door. Today’s high-precision targeting technology significantly reduces the risk of side effects, which typically go away over time anyway. With increased sophistication in planning and treatment techniques, radiation therapy allows for improved cosmetic and functional outcomes, especially for facial tumors. Depending on the type of skin cancer, its size, and its location, radiation may be used alone or in combination with surgery. If the cancer site is relatively large, in a surgically difficult location, or if the patient is not a good candidate for surgery, radiation is often the primary treatment. The summer sun is wonderful, but it is important to remember to protect yourself from harmful radiation and the possible risk of skin cancer associated with it.

Dr. Susan Reisinger is a board-certified radiation oncologist with 21st Century Oncology.

H E A LT H C A R E Q UA R T E R LY

SPRING 2018

Comprehensive Cancer Centers of Nevada is providing complimentary SPF 30 sunscreen and tips for locals to keep in mind when out in the sun. Locations include Wet ‘n’ Wild Las Vegas and at Las Vegas 51s games. Through a new collaboration with the Nevada Cancer Coalition, sunscreen is available at Springs Preserve, Downtown Summerlin and the Cadence master-planned community. CCCN also provides sunscreen for construction workers with Penta Building Group. According to the American Cancer Society, nearly 800 Nevadans will be diagnosed with melanoma of the skin this year — higher than 2017. Complimentary sunscreen is provided by Comprehensive Cancer Centers of Nevada to Las Vegas locals at various area locations.

Top Doctors in Weight Loss ...Once Again!

Dr. Dana Trippi and Dr. Erik Evensen of Premier Physicians Weight Loss and Wellness would like to thank their community and peers for their continued support. This practice thrives on a commitment to a personalized and supportive weight loss program. Patients along with the healthcare provider set realistic weight loss goals and learn how through small tailored changes in diet, exercise, behavioral modification and with the help of pharmacotherapy, how to achieve and maintain healthier weights for the rest of their lives. Their practice accepts insurances including MGM Direct Care, MGM PPO, PEBP PPO, One Health, employees of NV Hand and offers affordable cash rates as well. Dr. Dana Trippi, Dr. Erik Evensen

702.822.7400 Call for location information | WellnessLasVegas.com Photo by Christopher DeVargas.

SPRING 2018

H E A LT H C A R E Q U A R T E R LY

TECHNOLOGY

A UNIVERSAL RECORD-KEEPING system would help providers streamline electronic records By Michael L. Gagnon

he health information technology landscape has gone through major changes over the past eight years. Many of those changes have been driven by the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted under Title XIII of the American Recovery and Reinvestment Act of 2009. Under HITECH, the United States Department of Health and Human Services spent $25.9 billion to promote and expand the adoption of health information technology and established a set of guidelines (“Meaningful Use,” or MU) for the use of that technology. The nation needs an information system comprised of all clinical data for every patient. HITECH created incentives for hospitals and providers to adopt electronic health records. The act and its guidelines list the following goals regarding record systems: improve care coordination; reduce health care disparities; engage patients and their families; improve population and public health; and ensure adequate privacy and security. Whenever you build any information system, there are three major phases of evolution: Automating data collection and manual processes; networking the individual systems together; and collecting the data from all these systems into a repository for analysis. HITECH and its guidelines did an acceptable job of ensuring adequate privacy and security, but fall short in other regards, largely because HITECH and its guidelines did not envision a nationwide network. They focused on an organization-centric solution not a patient-centric solution. Proponents of the plan believed that if they incentivized providers to install electronic health records systems (Phase One) that Phases Two and Three would fall into place. The key flaw was in the way the guidelines envisioned how those systems would be networked together. It was assumed that any certified system would be able to “talk” to any other certified system. But, there are two major issues with this. First, the math doesn’t work and, secondly, this is not the way we have built networks for a very long time. First, the math. The American Hospital Association identifies approximately 5,500 hospitals in the U.S. If each of these hospitals

has electronic record systems and they all must talk to each other then how many connections would be required for all of them to connect to each other? The equation is (n * (n-1))/2 or (5,500 * 5,499)/2 or 15,122,250 connections! And, this is just to connect all of the hospitals! Imagine how many connections would be required to connect to all medical providers, nursing homes, home health agencies, physical therapists, etc. Second, let’s talk about how we build networks. Not since the original phone system with switchboard operators have we built networks without any intelligence at the network level. An example to highlight this point: How Google works on the Internet. Assume you are looking to buy shoes online, but there is no search engine functionality. You want a specific shoe style, size and color. So, you go to a specific web site and look for the shoes. If you do not type in the exact name, style, color and size you will not find them — there is no standard to say exactly how the name, style, color and size should be entered. Then you go to another web site and search for them, and then another. But, with Google how does it work? Google has spidered all the web sites that sell shoes in advance and knows how they describe them by name, style, color and size. You can search for the shoes and get a list of all the web sites and the pricing, availability and color options. You then go to the web site of the store you like and buy them. HealtHIE Nevada and other health information exchanges follow a similar model. Protected health information is not readily available on the Internet, but an exchange securely collects clinical data from providers’ electronic health records, aggregates the data, indexes it and catalogs it by type. It then makes this data available to treating providers, payers, public health and others based on state and federal laws or with patient consent. An exchange provides a secure state-wide network of patient-centric clinical data, encompassing lab results, radiology reports, medical images and more. Our core goal is simple: We provide the right data, to the right provider at the right time to reform the healthcare delivery system. This network is only as strong as its membership. The more organizations that contribute and use data the more effective it becomes for everyone.

Michael L. Gagnon, CPHIMS, is executive director of HealtHIE Nevada and has over 35 years of experience in information technology. For more information on HealtHIE Nevada, visit www.healthienevada.org.

H E A LT H C A R E Q UA R T E R LY

SPRING 2018

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The SNWA is a not-for-profit public agency.

PHARMACY

Opioid abuse can result in red flags at the pharmacy By Daniel W. Heller

I If you or someone you know is struggling with an addiction, please contact the Substance Abuse and Mental Health Services Administration at www.SAMHSA.gov. The website has a treatment center locator, as well as many tips and advice for those struggling with addiction.

n a day and age where opioid abuse and overdose deaths are at epidemic levels, new measures must be taken by providers to prevent these issues. Pharmacists and doctors are creating steps to better understand patients and adequately explain how to avoid road blocks in your access to medication. During the 2017 Nevada Legislative Session, Nevada made arrangements to receive $5.6 million from the federal government to combat opioid addiction in the state, which is part of 21st Century Cures Act passed by Congress. The Drug Enforcement Administration publishes a handbook for prescribers and pharmacists to follow while working within the medication world. As always, pharmacists do not condone or support the abuse of opioids and if you or someone you know is struggling with an addiction, please contact the Substance Abuse and Mental Health Services Administration (SAMHSA) at www.SAMHSA.gov. The SAMHSA website has a treatment center locator, as well as many tips and advice for those struggling with addiction. To better serve patients who are in desperate need of pain medication, here are some of those red flags prescribers and pharmacists look for that you, as a patient, can avoid to legitimately receive the care you need.

Patient pays cash or uses a discount card for prescriptions. When a patient states they have no insurance, yet pays over $200 in cash for pain prescriptions each month, it may be an indicator they are trying to prevent a paper trail.

Patient has driven a long distance to a pharmacy or to see a doctor. If a pharmacist sees that the patient travels to a doctor and pharmacist who are far from each other, when closer options are available, it could be a red flag.

The patient receives Controlled Substances (CS) scripts from more than one prescriber. If a person is receiving one pain medication for a back injury, and then has dental work done and receives a second pain

medication for that procedure, it could be unnecessary. Pain medication for the back can easily help with any tooth pain.

The patient appears to be returning too frequently. A prescription which should have lasted for a month in legitimate use is being requested for filling on a biweekly, weekly, or even a daily basis. Do your best to use all medication only as it is prescribed. See your doctor if current therapy is not meeting your needs.

Patient requests a specific brand, shape, color, or size of a product. Although there are situations where patients may not be able to tolerate specific fillers in medications, if you ask for specific manufacturers or colors of controlled substances, it will draw scrutiny.

Prescribers write CS prescriptions outside the usual course of their specialty’s practice. As convenient as it may seem to have your neighbor, who may be a cardiologist, write prescriptions for your pain diagnosis, don’t do it. Go through the proper channels for your prescriptions; it is a safer approach to treatment for your condition.

Family members all receive the same CS prescriptions. When a pharmacist sees a situation like this, it is cause for concern because all the medication may be going towards one person’s dependence or used for purposes other than originally intended. Apart from the tips above, the No. 1 way to ensure you receive the legitimate pain medication you need, is to have a good relationship with your doctor and pharmacist. Be sure to communicate and ask questions.

Daniel W. Heller, Pharm D, is a patient care coordinator for Smith’s Food & Drug Stores, with several locations throughout Southern Nevada. Visit www.SmithsFoodAndDrug.com to learn more.

H E A LT H C A R E Q UA R T E R LY

SPRING 2 0 8 7

Know Your Cancer Risk. Get Tested Today. Cancer Genetic Counseling New at Comprehensive Your genes can predict your risk of certain cancers. Today, there are genetic tests that could help your doctors provide more effective treatment. If you have a history of cancer in your family, you may be at higher risk. And as Southern Nevadaâ&#x20AC;&#x2122;s only oncology practice to offer Cancer Genetic Counseling, Comprehensive can help you better understand how your genetic history might affect your future health. Learn more. 702.862.1111 cccnevada.com/cancer-genetic-counseling

m eet the e x ecut i v e

a multi-pronged approach to leadership improves health outcomes By Mark Price

I I’m frequently asked what my areas of focus are for HCP. Our organization’s focus areas include: (1) teammates, (2) patients, (3) quality, and (4) stewardship. Our goals at the group level, department level, and clinic level all fall into these categories.

t is a fascinating time to work in health care. It’s a time of unprecedented change and innovation and there is little doubt the delivery of health care will look very different in 10 years than today. During this time of rapid change, I consider myself fortunate to be able to lead the talented team of over 300 providers and over 1,600 total teammates at HealthCare Partners Medical Group. I moved into the role of market president of HCP on March 1 and have had the very good fortune of being able to spend the last year learning from my predecessor, Dr. Bard Coats, as I prepared for this role and he prepared to move towards retirement. Coats has been with HCP for six years, three of them as president. During that time, he helped the organization grow significantly and continue to innovate and improve the care that we provide. His work was recently acknowledged by VEGAS INC with the receipt of the Health Care Headliners Lifetime Achievement award. I chose to join HCP not only because of the achievements this team has already accomplished, but also because of the enormous potential for the group to continue growing, innovating and improving the lives of people in Nevada. I believe intensely in the “quadruple aim” of improving health outcomes, health care affordability, patient experience, and provider experience, simultaneously. I believe HCP is uniquely suited to continue pushing our community forward in each area of this framework. I’m frequently asked what my areas of focus are for HCP. Our organization’s focus areas include: (1) teammates, (2) patients, (3) quality, and (4) stewardship. Our goals at the group level, department level, and clinic level all fall into these categories.

Teammates: How we ensure this is a special place to work We want HCP to be the most desirable health care organization to join and work for in Nevada. I believe that a team full of talented people who are engaged, fulfilled and inspired by the work they are doing will accomplish great things. To nourish our provider-led culture, we are increasing provider leadership roles and accountabilities and offering training and tools to set our provider leaders up for success.

We are also improving our process for collecting feedback and getting our leadership out “where the work is done” as frequently as possible so we understand how things are going, experience the pain when things do not go as smoothly as they should, and drive a culture of continuous improvement.

Patients: Improving the Patient Experience Improving the experience of care for the 300,000-plus patients we care for is also a key area of focus. Our service standards cover all aspects of the patient interaction from welcoming patients at the beginning of a visit to ensuring all their needs are met with empathy and respect for the remainder of their visit. Executing on these service standards involves the shared commitment of everyone in the organization. We value transparency and accountability on how each of our teammates are doing and prioritize analyzing all our processes from how we onboard new patients to how referrals and transitions are managed.

Quality and Stewardship: Delivering High-Quality, Affordable Care We analyze our care using a variety of quality metrics as benchmarks, but one stands out to me. In our organization’s Medicare Advantage population, one in which we have the most comprehensive data for comparisons with local and national benchmarks, we look very closely at how often our patients end up getting sick and going to the hospital. When you compare our Medicare Advantage patients to national Medicare averages, our patients are admitted to the hospital 28 percent less often. Last year, for the population of Medicare Advantage patients we care for, this translated to over 4,800 hospital admissions avoided compared to national averages. HCP has achieved these results by delivering outstanding care that is coordinated throughout the entire continuum of care delivery and offered by outstanding providers and care teams at each step in the process. The future is bright for Healthcare Partners Medical Group and for healthcare in Southern Nevada. Thank you for this opportunity to serve you. I look forward to getting to know you and working together to improve health care in Nevada.

Mark Price is the market president for HealthCare Partners Medical Group.

H E A LT H C A R E Q UA R T E R LY

SPRING 2018

meet the e x ecut i v e

The Cleveland Clinic Lou Ruvo Center for Brain Health’s mission to find A cure serves as a beacon of hope By Dr. Marwan Sabbagh

here are more than 5 million Americans living with Alzheimer’s disease — 42,000 of them live right here in Nevada. As we continue to see a rapid increase in Alzheimer’s disease and skyrocketing costs for caregivers, there is no sugarcoating it: we are in a full-blown epidemic. And yet, while drug development has been disappointingly slow — currently marking 15 years since we’ve developed a new therapy — as the new director of Cleveland Clinic Lou Ruvo Center for Brain Health, I have never been more hopeful. I am hopeful that our generation will find a meaningful disease-modifying therapy to adequately treat this life-robbing disease. And I am hopeful that this discovery will happen, in part, as a result of the incredible work taking place in Las Vegas at the Lou Ruvo Center for Brain Health. When my colleague Dr. Jeffrey Cummings reached out to me last fall about the director position opening at the Lou Ruvo Center for Brain Health I nearly fell out of my chair. As the director of the Alzheimer’s disease and Memory Disorders Division at the Barrow Neurological Institute at Dignity Health St. Joseph’s Hospital and Medical Center in Phoenix, I was more than familiar with the incredible work being done by our neighbors over at the Lou Ruvo Center for Brain Health. How could I not? In just eight short years the center has become one of the largest and leading clinical trial sites in the country. Accepting the director position at the Lou Ruvo Center for Brain Health was a dream come true for me. There are very few institutes that rival the scope of the Lou Ruvo Center for Brain Health’s clinical trial program. Because of this, I truly believe that in this exceptional environment, I can accomplish in one year what would have taken me 10 at another facility. Succeeding Dr. Cummings is no easy feat, but I am excited for the opportunity to lead this rapidly growing center and to continue the mission of Keep Memory Alive Founders Camille and Larry Ruvo. In a way, joining the center is a coming home for me as I trained under the late Dr. Leon Thal, who delivered the AD diagnosis to Larry’s late father, Lou Ruvo, the center’s namesake. To now have the opportunity to serve Nevadans and all those who benefit from the Ruvo’s philanthropic vision brings my career full circle. In this new opportunity I am most looking forward to improving the lives of patients and caregivers. There are few cen-

ters in the U.S. where a real impact can be made on patients with Alzheimer’s, dementia and other neurodegenerative diseases as there can be at the Lou Ruvo Center for Brain Health. I like to say that I am “all dementia, all the time” and that’s because the work we do is all about making a difference and there are so many lives to touch. I see an incredible opportunity to do so here at the Lou Ruvo Center for Brain Health with our abundance of free educational and support services. Throughout the course of my career, I have been an advocate for AD prevention and am excited to amplify that message at the Lou Ruvo Center for Brain Health. Pairing the Cleveland Clinic’s novel patient-centered care model with our expertise in neurocognitive diseases allows us as physicians to address brain health at the same time as addressing brain disease. Utilizing resources such as our online HealthyBrains.org platform, Lunch & Learn seminars, support groups and more, we can direct the conversation about brain health rather than be a participant. Lastly, expanding the clinical trial program will always be a top priority in my new role. While I chose the center in part because of the capacity of the clinical trials program, specifically it’s resources, reach and scale, there is always room to grow. As a leading site in the most cutting edge clinical trials in AD, Parkinson’s disease and multiple sclerosis, we will continue to conduct innovative research exploring new drugs, new biomarkers and new technologies. As director, I will work closely with Dr. Cummings and the rest of the center’s staff to pursue transitional research aimed at identifying new treatment options. Every 66 seconds someone is diagnosed with AD, but it’s important to remember that during that time, researchers around the world are working to find a cure. As we continue to navigate our way through the AD epidemic, rest assured that the Lou Ruvo Center for Brain Health will be on the forefront of innovation and discovery, while practicing excellent patient care. I look forward to joining the Las Vegas community and showing that what happens in Las Vegas doesn’t stay in Las Vegas — it changes the world. To learn more about brain health or to schedule an appointment with Dr. Sabbagh call 855-LOU-RUVO or visit ClevelandClinic.org/BrainHealth.

In this new opportunity I am most looking forward to improving the lives of patients and caregivers. There are few centers in the U.S. where a real impact can be made on patients with Alzheimer’s, dementia and other neurodegenerative diseases as there can be at the Lou Ruvo Center for Brain Health.

Dr. Marwan Sabbagh is the director of Cleveland Clinic Lou Ruvo Center for Brain Health.

SPRING 2018

H E A LT H C A R E Q U A R T E R LY

Congratulations

JASON E. GARBER, M.D., F.A.C.S. 2018 TOP DOCTOR VEGAS INC HealthCare Quarterly

The Las Vegas Neurosurgical Institute (LVNI) congratulates Dr. Jason E. Garber for being recognized as a 2018 Top Doctor. Dr. Garber is a leader in spinal and neurological surgery in Southern Nevada, and provides patients with cutting edge technology and innovations in the fields of spine and brain surgery. We join VEGAS INC HealthCare Quarterly Top Doctors in applauding Dr. Garber for his commitment to providing superior patient care, and recognize his achievements in spinal and neurological surgery.

“Get back at it!” -Dr. Jason Garber

Jason E. Garber, M.D., F.A.C.S. Diplomat, American Board of Neurological Surgeons Spine Fellowship Trained Neurosurgeon

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SPRING 2018

THE EXPERTS YOU SHOULD KNOW

ny time you have the chance to make more educated decisions about you or your familyâ&#x20AC;&#x2122;s health, you should take advantage of it. Health Care Quarterly is proud to bring you its 2018 Top Doctors. Weâ&#x20AC;&#x2122;ve done the research and legwork, mailing surveys to approximately 6,000 doctors, dentists and medical professionals in Southern Nevada. What follows on these pages are the names of specialists who have been recommended by their peers.

SPRING 2018

H E A LT H C A R E Q U A R T E R LY

FAQ What was the survey? It wouldn’t be out of the ordinary for you to ask your general practitioner for a referral to another doctor. To compile this list, we did that thousands of times. We invited doctors to fill out a confidential survey, asking for their recommendations in the specialties we listed. Our logic: Local doctors are the most qualified to judge other medical professionals in Southern Nevada. It was not necessary for the respondents to offer a name in each specialty. Who got the survey? We got our list of names from state boards for doctors, osteopaths and dentists. Those who have a Southern Nevada mailing address on file with either of those agencies received a survey earlier this year.

H E A LT H C A R E Q UA R T E R LY

SPRING 2018

So, is this a list of every doctor who was nominated? This is a list of doctors who were nominated multiple times, checked against records with state medical boards, to ensure that all are in good standing. Why isn’t my doctor listed? This list is by no means a complete one; there are many excellent doctors in Southern Nevada, and there are many different ways to define a “top doctor.” If you like your doctors, you should probably continue seeing them — and remind them to keep an eye out for next year’s survey!

I’m a doctor but I didn’t get my survey in the mail. How come? We do the best we can on our end to ensure that the letters arrive at the proper addresses. Using the information we get from state medical boards, we cross reference that with postal records. After that process, however, a number of obstacles could prevent the letter from reaching your hands. For instance, the post office could deem the letter undeliverable (missing suite address or incomplete information). Does that mean this list is nothing but a popularity contest? We encourage the doctors to give some thought to their answers, but we have no way of enforcing it. Doctors will answer with the names of the colleagues they know and trust. Doctors

who have been in the community longer and who have more established practices may have received more nominations because they have better name recognition. That being said, we believe that the volume of respondents helps cancel out any politics that influenced their answers. Can doctors vote more than once? No. Participants are given a unique code that our system tracks. Duplicates are invalidated. Why are some medical specialties left off the list? This is our eighth annual list of “Top Doctors,” and it’s still evolving. We’re always happy to hear suggestions about how to refine the process. Still, we occasionally encounter specialties that don’t

work within the framework of our methodology. Take emergency room physicians, for instance. While we understand that you want the finest doctor possible, our survey is based on answering the question “Doctor, whom would you recommend I see?” It’s a question that makes sense for the majority of medical situations, but not when going to an emergency room. In no way should it be considered a slight against the people who have to move fast to save lives on a daily basis. Tell the truth: Did doctors pay to be included in the list? Nope. Doctors did not pay to be mentioned. After the list is compiled by the editorial team, sales begins its job. Doctors may choose to advertise, but that has no bearing on the list.

SPRING 2018

H E A LT H C A R E Q U A R T E R LY

TOP DOCTORS ALLERGY/IMMMUNOLOGY James Christensen 7200 Cathedral Rock Drive, Suite 170 Las Vegas, NV 89128 702-724-8844

Dana Trippi

Anjum Ismail

2650 Lake Sahara Drive, Suite 100 Las Vegas, NV 89117 702-822-7400

2641 W. Horizon Ridge Parkway, Suite 120 Henderson, NV 89052 702- 616-0091

Thomas Umbach 7385 S. Pecos Road, Suite 101 Las Vegas, NV 89120 702- 463-3300

Joel Katz 2625 Box Canyon Drive Las Vegas, NV 89128 702-360-6100

CARDIOLOGY

Andrew McKnight 2485 W. Horizon Ridge Parkway, Suite 100 Henderson, NV 89052 702-212-5889

Tanvir Ahmad 7020 Smoke Ranch Road, Suite 150 Las Vegas, NV 89128 702- 366-9522

Bob Mikaye 2485 W. Horizon Ridge Parkway, Suite 100 Henderson, NV 89052 702-212-5889

Salman Akhtar 7020 Smoke Ranch Road, Suite 150 Las Vegas, NV 89128 702- 366-9522

David Tottori 4000 E. Charleston Blvd., Suite 100 Las Vegas, NV 89104 702-432-8250

Sean Ameli 400 S. Rampart Blvd., Suite 240 Las Vegas, NV 89145 702- 906-1100

BARIATRICS

Yogarajah Balarajan

James Atkinson

700 Shadow Lane, Suite 240 Las Vegas, NV 89106 702-384-0022

3802 Meadows Lane Las Vegas, NV 89107 702-313-8446

John Bedotto 9280 W. Sunset Road, Suite 320 Las Vegas, NV 89148 702-534-5464

Erik Evensen 2650 Lake Sahara Drive, Suite 100 Las Vegas, NV 89117 702-822-7400

Keshav Chander 8970 W. Tropicana Avenue, Suite 6 Las Vegas, NV 89147 702-473-5333

Bernadine Hanna 6140 S. Fort Apache Road, Suite 100 Las Vegas, NV 89148 702-384-1160

William Evans Allan MacIntyre 3277 E. Warm Springs Road, Suite 200 Las Vegas, NV 89120 702- 508-0732

3006 S. Maryland Parkway, Suite 690 Las Vegas, NV 89109 702- 732-1290

Darren Soong

Samuel Green

3802 Meadows Lane Las Vegas, NV 89107 702- 313-8446

3121 S. Maryland Parkway, Suite 512 Las Vegas, NV 89109 702-475-5115

Pamela Ivey 2865 Siena Heights Drive, Suite 331 Henderson, NV 89052 702-407-0110

Navid Kazemi 3150 N. Tenaya Way, Suite 460 Las Vegas, NV 89128 702-475-5115

Zia Khan 5785 S. Fort Apache Road, Suite A-100 Las Vegas, NV 89148 702-822-2273

John Lee 3150 N. Tenaya Way, Suite 320 Las Vegas, NV 89128 702-227-3422

Sanjay Malhotra 3150 N. Tenaya Way, Suite 320 Las Vegas, NV 89128 702-227-3422

Gary Mayman 3006 S. Maryland Parkway, Suite 690 Las Vegas, NV 89109 702-732-1290

Cres Jr. Miranda 3150 N. Tenaya Way, Suite 320 Las Vegas, NV 89183 702-227-3422

Cuong Nguyen 10105 Banburry Cross Drive, Suite 250 Las Vegas, NV 89144 702- 360-7600

Stephen Portz 9280 W. Sunset Road, Suite 320 Las Vegas, NV 89148 702-534-5464

Robert Rollins 3006 S. Maryland Parkway, Suite 690 Las Vegas, NV 89109 702-732-1290

Francis Teng

Patrick Hsu

Charles Ruggeroli

3150 N. Tenaya Way, Suite 680 Las Vegas, NV 89128 702-838-5888

3121 S. Maryland Parkway, Suite 512 Las Vegas, NV 89109 702-475-5115

700 Shadow Lane, Suite 166 Las Vegas, NV 89106 702-258-1601

H E A LT H C A R E Q UA R T E R LY

SPRING 2018

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TOP DOCTORS Nicholas Tselikis

Douglas Sandquist

Robert Strimling

3150 N. Tenaya Way, Suite 320 Las Vegas, NV 89128 702-227-3422

2650 Lake Sahara Drive, Suite 160 Las Vegas, NV 89117 702-734-0776

10105 Banburry Cross Drive, Suite 350 Las Vegas, NV 89144 702-243-6400

CARDIOVASCULAR SURGERY

Paul Schwarz

Alison Tam

55 S. Valle Verde Drive, Suite 250 Henderson, NV 89012 702-979-7541

8530 W. Sunset Road, Suite 130 Las Vegas, NV 702-822-2100

Michael Ciccolo 3006 S. Maryland Parkway, Suite 690 Las Vegas, NV 89109 702-732-1290

Neel Dhudshia 5320 S. Rainbow Blvd., Suite 282 Las Vegas, NV 89118 702-737-3808

Nauman Jahangir 6850 N. Durango Drive, Suite 214 Las Vegas, NV 89149 702-333-8465

Demetri Mavroidis 5320 S. Rainbow Blvd., Suite 282 Las Vegas, NV 89118 702-737-3808

Robert Jr. Wiencek 7190 S. Cimarron Road Las Vegas, NV 89113 702-675-3240

Michael Wood 3150 N. Tenaya Way, Suite 440 Las Vegas, NV 89128 702-962-5920

DENTISTRY Manisha Gupta 6127 S. Rainbow Blvd. Suite 100 Las Vegas, NV 89117 702-998-2237

Bradley Strong

Douglas Thomas

2931 N. Tenaya Way, Suite 200 Las Vegas, NV 89128 702-242-3800

9097 W. Post Road, Suite 100 Las Vegas, NV 89148 702-430-5333

Michael Tomita

Linda Woodson

9750 Covington Cross Drive, Suite 100 Las Vegas, NV 89144 702-341-7979

2800 N. Tenaya Way, Suite 203 Las Vegas, NV 89128 702-202-2700

DERMATOLOGY

EAR, NOSE, THROAT

Michael Bryan

David Foggia

4488 S. Pecos Road Las Vegas, NV 89121 702-436-1001

3195 St. Rose Parkway, Suite 210 Henderson, NV 89052 702-792-6700

Craig Davis

Frederick III Goll

8440 W. Lake Mead Blvd., Suite 104 Las Vegas, NV 89128 702-489-4838

3195 St. Rose Parkway, Suite 210 Henderson, NV 89052 702-792-6700

Douglas Fife

Scott Manthei

6460 Medical Center Street, Suite 350 Las Vegas, NV 702-255-6647

3692 E. Sunset Road Las Vegas, NV 89120 702-735-7668

Harry Greenberg

Sina Nasri-Chenijani

653 N. Town Center Drive, Suite 414 Las Vegas, NV 702-456-3120

3201 S. Maryland Parkway, Suite 300 Las Vegas, NV 89109 702-732-4491

Lionel Handler

Matthew Ng

10105 Banburry Cross Drive, Suite 350 Las Vegas, NV 89144 702-243-6400

5380 S. Rainbow Blvd., Suite 324 Las Vegas, NV 89118 702-992-6828

George Harouni 731 Mall Ring Circle, Suite 201 Henderson, NV 89014 702-434-9464

Robert Lieberman

Tsungju O-Lee

9097 W. Post Road, Suite 100 Las Vegas, NV 702-430-5333

3150 N. Tenaya Way, Suite 112 Las Vegas, NV 89128 702-562-1777

Frank Rueckl

Walter Schroeder

8861 W. Sahara Avenue, Suite 290 Las Vegas, NV 702-869-6667

3195 St. Rose Parkway, Suite 210 Henderson, NV 89052 702-792-6700

Gregg Hendrickson 2790 W. Horizon Ridge Pkwy. Suite 100 Henderson, NV 89052 702-735-3284

Toni Margio

Candace Spann

Susan Schwartz

1781 Village Center Circle, Suite 110 Las Vegas, NV 89134 702-445-7075

2615 Box Canyon Drive Las Vegas, NV 89128 702-998-9001

8985 S. Pecos Road, Suite 3B Henderson, NV 89074 702-647-2900

H E A LT H C A R E Q UA R T E R LY

SPRING 2018

Randall Weingarten

Dana Forte

Vishal Gandotra

10410 S. Eastern Ave., Suite 110 Henderson, NV 89052 702-617-9599

9010 W. Cheyenne Avenue Las Vegas, NV 89129 702-240-8646

5701 W. Charleston Blvd., Suite 207 Las Vegas, NV 89146 702- 750-0313

Larry Yu

Michael Gunter

Carmelo Herrero

3195 St. Rose Parkway, Suite 210 Henderson, NV 89052 702-792-6700

7455 W. Washington Avenue, Suite 445 Las Vegas, NV 89128 702-804-5138

2625 Wigwam Parkway, Suite 112 Henderson, NV 89074 702- 492-1162

ENDOCRINOLOGY Brian Berelowitz 653 N. Town Center Drive, Suite 315, Building 2 Las Vegas, NV 89144 702-804-9486

Chard Bubb 2285 E. Flamingo Road, Suite 105 Las Vegas, NV 89119 702-862-8226

William Litchfield

Travis Hailstone

Donald Kwok

6252 S. Rainbow Blvd., Suite 110 Las Vegas, NV 89118 702-253-5410

3820 S. Hualapai Way, Suite 200 Las Vegas, NV 89147 702-796-0231

William Jacks

Gregory Kwok

2031 N. McDaniel Street, Suite 250 North Las Vegas, NV 89030 702-649-9070

3820 S. Hualapai Way, Suite 200 Las Vegas, NV 89147 702-796-0231

Jeffrey Ng

Frank Nemec

1389 Galleria Drive, Suite 100 Henderson, NV 89014 725- 333-8400

3820 S. Hualapai Way, Suite 200 Las Vegas, NV 89147 702-796-0231

2415 W. Horizon Ridge Parkway, Suite 100 Henderson, NV 89052 702-434-8400

Kochy Tang

David Shih

12300 S. Las Vegas Blvd. Henderson, NV 89044 702- 837-1265

8530 W. Sunset Road, Suite 230 Las Vegas, NV 89113 702-483-4483

Samer Nakhle

Justin Terry

Christian Stone

2450 W. Horizon Ridge Parkway, Suite 150 Henderson, NV 89052 702- 990-0622

8530 W. Sunset Road, Suite 230 Las Vegas, NV 89113 702-483-4483

9280 W. Sunset Road, Suite 306 Las Vegas, NV 89148 702-696-7256

Quang Nguyen 2865 Siena Heights Drive, Suite 140 Henderson, NV 89052 702-431-7008

Claudia Vogel 10561 Jeffreys Street, Suite 211 Henderson, NV 89052 702-990-4530

FAMILY PRACTICE

Ed Victoria

Mickey Weisz

2701 N. Tenaya Way, Suite 230 Las Vegas, NV 89128 702-463-3008

7150 Smoke Ranch Road, Suite 110 Las Vegas, NV 702-948-9480

GASTROENTEROLOGY

GENERAL SURGERY

Howard Baron

Michael Benassi

3196 S. Maryland Parkway, Suite 309 Las Vegas, NV 89109 702-791-0477

1111 Shadow Lane Las Vegas, NV 89102 702-383-4040

Randy Butler

Eladio Carrera

Pankaj Bhatnagar

653 N. Town Center Drive, Suite 502 Las Vegas, NV 89144 702-242-4102

3150 N. Tenaya Way, Suite 525 Las Vegas, NV 89128 702-220-9865

6850 N. Durango Drive, Suite 204 Las Vegas, NV 89149 702-791-7855

Rita Chuang

Gilberto De La Torre

J. Dylan Curry

2629 W. Horizon Ridge Parkway, Suite 140 Henderson, NV 89052 702- 818-3207

2121 E. Flamingo Road, Suite 206 Las Vegas, NV 89119 702-369-9100

1111 Shadow Lane Las Vegas, NV 89102 702-383-4040

Mark Day

Noel Fajardo

Sean Dort

56 N. Pecos Road, Suite A Henderson, NV 89074 702-456-9100

3910 S. Maryland Parkway, Suite 9B Las Vegas, NV 89119 702- 982-7240

10001 S. Eastern Avenue, Suite 200 Henderson, NV 89052 702-914-2420

SPRING 2018

H E A LT H C A R E Q U A R T E R LY

TOP DOCTORS Souzan El-Eid

Josette Spotts

9280 W. Sunset Road, Suite 100 Las Vegas, NV 89148 702-952-1251

1485 W. Warm Springs Road, Suite 105 Henderson, NV 89014 702-990-6360

Nick Fiore 653 N. Town Center Drive, Suite 412 Las Vegas, NV 89144 702-233-8101

Margaret Terhar 1485 W. Warm Springs Road, Suite 105 Henderson, NV 89014 702-990-6360

Ronald Hofflander 3201 S. Maryland Parkway, Suite 601 Las Vegas, NV 89109 702-703-6836

Yogesh Patel 8930 W. Sunset Road, Suite 300 Las Vegas, NV 89148 702-258-7788

Kevin Rayls

GERIATRICS Mike Jeong

Alireza Farabi 6276 S. Rainbow Blvd., Suite 100 Las Vegas, NV 89118 702-383-2691

Alan Greenberg 1800 W. Charleston Blvd., Suite 409 Las Vegas, NV 89102 702-383-7815

Brian Lipman

9811 W. Charleston Blvd., Suite 2-304 Las Vegas, NV 89117 702-228-8520

10001 S. Eastern Avenue, Suite 307 Henderson, NV 89052 702-776-8300

Robert Kaplan

3121 S. Maryland Parkway, Suite 412 Las Vegas, NV 89109 702-309-2311

Ronald Shockley

9280 W. Sunset Road, Suite 242 Las Vegas, NV 89148 702-796-0022

2110 E. Flamingo Road, Suite 200 Las Vegas, NV 89119 702-462-9350

Barry Rives

Elron Mighty

8285 W. Arby Avenue, Suite 390 Las Vegas, NV 89113 702-263-9644

INFECTIOUS DISEASE

Eugene Speck

5230 Boulder Highway, Suite 110 Las Vegas, NV 89122 702-940-1560

3006 S. Maryland Parkway, Suite 780 Las Vegas, NV 89109 702-737-0740

Nicholas Tselikis M.D., F.A.C.C. F.S.C.A

Sanjay Malhotra M.D., F.A.C.C.

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H E A LT H C A R E Q UA R T E R LY

SPRING 2018

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TOP DOCTORS Chukwudum Uche

Eva Littman

Tony Alamo

6088 S. Durango Drive Las Vegas, NV 89113 702-380-4242

9120 W. Russell Road, Suite 200 Las Vegas, NV 89148 702-749-4614

56 N. Pecos Road, Suite A Henderson, NV 89074 702-456-4011

Kathleen Wairimu

Mark Severino

2810 W. Charleston Blvd., Suite E48 Las Vegas, NV 89102 702-343-7610

5320 S. Rainbow Blvd., Suite 300 Las Vegas, NV 89118 702-892-9696

Bruce Shapiro

INFERTILITY Carrie Bedient 8851 W. Sahara Avenue, Suite 100 Las Vegas, NV 89117 702-254-1777

Taghi Daneshmand

8851 W. Sahara Avenue, Suite 100 Las Vegas, NV 89117 702-254-1777

Geoffrey Sher 5320 S. Rainbow Blvd., Suite 302 Las Vegas, NV 89118 702-533-2691

Matthew Barton 653 Town Center Drive, Suite 306 Las Vegas, NV 89144 702-243-7483

Andrea Dempsey 7170 Smoke Ranch Road, Suite 110 Las Vegas, NV 89128 702-463-3333

Danilo Duenas

INTERNAL MEDICINE

3150 N. Tenaya Way, Suite 450 Las Vegas, NV 89128 702-796-0300

Cindy Duke

Foluke Adekunle

Constantine George

8530 W. Sunset Road, Suite 310 Las Vegas, NV 89113 702-936-8710

1000 S. Rainbow Blvd. Las Vegas, NV 89145 702-259-0088

8859 W. Flamingo Road Las Vegas, NV 89147 702-419-3482

8851 W. Sahara Avenue, Suite 100 Las Vegas, NV 89117 702-254-1777

“Congratulations Dr. Jeong on your 2018 Top Doctor Recognition! Thank you for all you do for the residents of Las Ventanas as well as the Las Vegas community. We are proud of you!”

10401 W. Charleston Blvd. Las Vegas, NV 89135

H E A LT H C A R E Q UA R T E R LY

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SPRING 2018

TOURO UNIVERSITY NEVADA HAS BEEN LEADING THE WAY SINCE 2004

MORE THAN

Teaching future doctors, nurses, physician assistants, physical therapists, occupational therapists, and educators

caring for our community.

GRADUATES SINCE 2004

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for Nevada at no cost to taxpayers while

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ECONOMIC IMPACT

MILLION

COST TO TAXPAYERS

For more information about supporting Touro University Nevada or if you are interested in a campus tour, please call 702.777.3100 or

visit www.tun.touro.edu

874 American Pacific Drive, Henderson NV 89014 Touro University Nevada is accredited by the Western Association of Schools and Colleges and licensed in Nevada by the Commission on Post-Secondary Education. Touro University Nevada does not discriminate on the basis of race, ethnicity, age, sex, gender, color, creed, national origin, religion, sexual orientation, or disability in its employment, programs, or activities.

TOP DOCTORS Robert Gong

Chidi Okafor

2789 Sunridge Heights Parkway, Suite 100 Henderson, NV 89052 702-614-0850

2065 N. Las Vegas Blvd. North Las Vegas, NV 89030 702-877-1887

Lindsay Hansen

Neville Pokroy

653 N. Town Center Drive, Suite 506 Las Vegas, NV 89144 702-240-8111

653 Town Center Drive Las Vegas, NV 89144 702-877-1887

Renu Mahajan

Zvi Sela

8970 W. Tropicana Avenue, Suite 6 Las Vegas, NV 89147 702-473-5333

653 Town Center Drive Las Vegas, NV 89144 702-877-1887

Angela Miller 5155 S. Durango Drive, Suite 101 Las Vegas, NV 89113 702-478-2424

1389 Galleria Drive, Suite 100 Henderson, NV 89014 725-333-8400

Gobinder Chopra

3650 S. Eastern Avenue, Suite 300 Las Vegas, NV 89169 702-796-8036

Luis Diaz 3150 N. Tenaya Way, Suite 520 Las Vegas, NV 89128 702-233-0755

Candice Tung 7395 S. Pecos Road, Suite 102 Las Vegas, NV 89120 702-737-8657

Leo Germin 1691 W. Horizon Ridge Parkway, Suite 120 Henderson, NV 89012 702-804-4949

Robert White 8463 W. Lake Mead Blvd. Las Vegas, NV 89128 702-304-0854

Sri Halthore

NEPHROLOGY

2020 E. Desert Inn Road Las Vegas, NV 89169 702-796-5505

Adin Boldur

Jay Mahajan

8775 Deer Springs Way Las Vegas, NV 89149 702-877-1887

2010 Wellness Way, Suite 306 Las Vegas, NV 89106 702-432-2233

Radhika Janga

Roshan Raja

6970 W. Patrick Lane, Suite 140 Las Vegas, NV 89113 702-732-2438

2821 W. Horizon Ridge Parkway, Suite 100 Henderson, NV 89052 702-920-0290

William King

Scott Selco

2850 W. Horizon Ridge Parkway, Suite 100 Henderson, NV 89052 702-726-6344

4616 W. Sahara Avenue Las Vegas, NV 89102 702-757-6608

H E A LT H C A R E Q UA R T E R LY

3035 W. Horizon Ridge Parkway, Suite 120 Las Vegas, NV 89052 877-335-5661

Derek Duke

James Forage

6410 Medical Center Street, Suite A-100 Las Vegas, NV 89148 702-796-8500

Bradley Thompson

A. Lee Dellon

Azin Azma

Bess Chang

1707 W. Charleston Blvd., Suite 230 Las Vegas, NV 89102 702-671-5060

8530 W. Sunset Road, Suite 250 Las Vegas, NV 89113 702-851-0792

NEUROLOGY

8530 W. Sunset Road, Suite 350 Las Vegas, NV 89113 702-851-1065

Misti Song

John Anson

861 Coronado Center Drive, Suite 200 Henderson, NV 89052 702-896-0940

3150 N. Tenaya Way, Suite 140 Las Vegas, NV 89128 702-962-9550

William Shoemaker

NEUROSURGERY

SPRING 2018

861 Coronado Center Drive, Suite 200 Henderson, NV 89052 702-896-0940

Jason Garber 2471 Professional Court Las Vegas, NV 89128 702-835-0088

Yevgeniy Khavkin 653 N. Town Center Drive, Suite 602 Las Vegas, NV 89144 702-242-3223

Aury Nagy 2471 Professional Court Las Vegas, NV 89128 702-901-4233

Randal Peoples 2865 Siena Heights Drive, Suite 131 Henderson, NV 89052 702-616-6580

Michael Seiff 8530 W. Sunset Road, Suite 250 Las Vegas, NV 89113 702-851-0792

OB/GYN Joseph Adashek 5761 S. Fort Apache Road Las Vegas, NV 89148 702-341-6610

George Chambers 7220 S. Cimarron Road, Suite 200 Las Vegas, NV 89113 702-463-0800

Reveal a More Beautiful You

Smith Plastic Surgery Dr. Smith offers advanced techniques for Breast Augmentations, Tummy Tucks, Brazilian Butt lifts, and an artistic approach to Rhinoplasty. Awarded Best of Las Vegas and a Top Doctor for many years running, Dr. Smith is ranked as one of the leading plastic surgeons in the U.S. He can help you achieve your goals for a sexy, more beautiful you. All surgeries are performed in the comfort of our onsite, fully accredited surgery center.

www.smithsurgery.com 702-838-2455

TOP DOCTORS Jerry Jones

Paul Wilkes

Hamidreza Sanatinia

400 Shadow Lane, Suite 103 Las Vegas, NV 89106 702-384-5400

5761 S. Fort Apache Road Las Vegas, NV 89148 702-341-6610

9280 W. Sunset Road, Suite 100 Las Vegas, NV 89148 702-952-1251

ONCOLOGY

7445 Peak Drive Las Vegas, NV 89128 702-952-2140

Tammy Kelly 9260 W. Sunset Road, Suite 200 Las Vegas, NV 89148 702-255-3547

Henry Luh 7160 Smoke Ranch Road Las Vegas, NV 89128 702-254-8900

R. Garn Mabey 2881 N. Tenaya Way Las Vegas, NV 89128 702-242-8800

John Martin 2050 Mariner Drive, Suite 120 Las Vegas, NV 89128 702-255-2022

Staci McHale 8850 W. Sunset Road, Suite 110 Las Vegas, NV 89148 702-740-0500

Nicole Moss 2931 N. Tenaya Way, Suite 204 Las Vegas, NV 89128 702-233-2123

Edmond Pack 2821 W. Horizon Ridge Parkway, Suite 130 Henderson, NV 89052 702-862-8862

Kirsten Rojas 9120 W. Post Road, Suite 200 Las Vegas, NV 89148 702-870-2229

Edward Jr. Spoon 401 N. Buffalo Drive, Suite 110 Las Vegas, NV 89144 702-778-4000

Darin Swainston 2050 Mariner Drive, Suite 120 Las Vegas, NV 89128 702-551-3102

Rebecca Tyre 100 N. Green Valley Parkway, Suite 345 Henderson, NV 89074 702-260-0600

H E A LT H C A R E Q UA R T E R LY

Fadi Braiteh 3730 S. Eastern Avenue Las Vegas, NV 89169 702-952-3400

Khoi Dao 3730 S. Eastern Avenue Las Vegas, NV 89169 702-952-3400

Oscar Jr. Goodman 9280 W. Sunset Road, Suite 100 Las Vegas, NV 89148 702-952-1251

Anu Thummala

Nicholas Vogelzang 3730 S. Eastern Avenue Las Vegas, NV 89169 702-952-3400

Ann Wierman 3150 N. Tenaya Way, Suite 200 Las Vegas, NV 89128 702-749-3700

OPHTHALMOLOGY

Regan Holdridge

Peter DeBry

1505 Wigwam Parkway, Suite 130 Henderson, NV 89074 702-856-1400

2390 W. Horizon Ridge Parkway, Suite 100 Henderson, NV 89052 702-825-2085

Karen Jacks

Mark Doubrava

9280 W. Sunset Road, Suite 100 Las Vegas, NV 89148 702-952-1251

9011 W. Sahara Avenue, Suite 101 Las Vegas, NV 89117 702-794-2020

Edwin Kingsley

Gregory Hsu

3730 S. Eastern Avenue Las Vegas, NV 89169 702-952-3400

299 N. Pecos Road Henderson, NV 89074 702-450-6000

Raja Mehdi

Russell Jayne

6827 W. Tropicana Avenue Las Vegas, NV 89103 702-508-9128

6839 W. Charleston Blvd. Las Vegas, NV 702-737-7258

Paul Michael

Thomas Kelly

9280 W. Sunset Road, Suite 100 Las Vegas, NV 89148 702-952-1251

6080 S. Fort Apache Road, Suite 100 Las Vegas, NV 89148 702-309-2015

Anthony Nguyen

George McMickle

1505 Wigwam Parkway, Suite 130 Henderson, NV 89074 702-856-1400

653 N. Town Center Drive, Suite 318 Las Vegas, NV 89144 702-215-6950

Rupesh Parikh

Marietta Nelson

10001 S. Eastern Avenue, Suite 108 Henderson, NV 89052 702-952-3444

3100 W. Charleston Blvd., Suite 204 Las Vegas, NV 89102 702-384-2020

Wolfram Samlowski

Helga Pizio

9280 W. Sunset Road, Suite 100 Las Vegas, NV 89148 702-952-1251

2020 Goldring Avenue, Suite 402 Las Vegas, NV 89106 702-485-5000

SPRING 2018

Medical space available FOR lease on these hosp ita l campus es :

Henderson Centennial Hills desert sPrings sPring valley suMMerlin valley Henderson Medical Plaza

Centennial Hills Medical Plaza

spring valley Medical Plaza ii

For leasing information:

Melissa Horta, CPM 702 / 216-2363 mhorta@ensemble.net

ensemble.net

TOP DOCTORS Tapan Shah

Jason Nielson

Michael McKenna

6450 Medical Center Street, Suite 100 Las Vegas, NV 89148 702-304-9494

1525 W. Windmill Lane, Suite 201 Las Vegas, NV 89123 702-434-6920

6070 S. Fort Apache Road, Suite 100 Las Vegas, NV 89148 702-307-7700

Bernard Ong

851 S. Rampart Blvd., Suite 100 Las Vegas, NV 89145 702-357-8004

Grace Shin 6028 S. Fort Apache Road, Suite 101 Las Vegas, NV 89148 702-896-2020

8551 W. Lake Mead Blvd., Suite 251 Las Vegas, NV 89128 702-796-7979

Bruce Snyder 2779 W. Horizon Ridge Parkway, Suite 220 Henderson, NV 89052 702-485-2020

Irene Voo

3196 S. Maryland Parkway, Suite 112 Las Vegas, NV 89109 702-216-2670

Kent Wellish 2110 E. Flamingo Road, Suite 210 Las Vegas, NV 89119 702-733-2020

Todd Swanson 2800 E. Desert Inn Road, Suite 100 Las Vegas, NV 89121 702-731-1616

Jon Siems 8230 W. Sahara Avenue, Suite 111 Las Vegas, NV 89117 702-948-2010

Robert Tait 10561 Jeffreys Street, Suite 230 Las Vegas, NV 89052 702-565-6565

ORTHOPEDICS Gregory Bigler

Randall Yee

9499 W. Charleston Blvd., Suite 200 Las Vegas, NV 89117 702-933-9393

8420 W. Warm Springs Road, Suite 100 Las Vegas, NV 89113 702-740-5327

Michael Daubs 4750 W. Oakey Blvd., Suite 401 Las Vegas, NV 89102 702-724-8877

PAIN Daniel Burkhead 9920 W. Cheyenne Avenue, Suite 110 Las Vegas, NV 89129 702-316-2281

Chad Hanson 2800 E. Desert Inn Road, Suite 100 Las Vegas, NV 89121 702-263-9082

Neville Campbell 311 N. Buffalo Drive, Suite A Las Vegas, NV 89145 702-476-9700

Steven Hoer 10561 Jeffreys Street, Suite 230 Henderson, NV 89052 702-565-6565

Ho Dzung

Ronald Koe 1710 W. Horizon Ridge Parkway, Suite 120 Henderson, NV 89012 702-990-4555

Xin Liu 8420 W. Warm Springs Road, Suite 100 Las Vegas, NV 89113 702-740-5327

H E A LT H C A R E Q UA R T E R LY

2020 Palomino Lane, Suite 220 Las Vegas, NV 89106 702-474-7200

David Silverberg

6970 S. Cimarron Road, Suite 200 Las Vegas, NV 89113 702-583-3300

Steven Sanders

9920 W. Cheyenne Avenue, Suite 110 Las Vegas, NV 89129 702-316-2281

Andrew Kim 2800 E. Desert Inn Road, Suite 100 Las Vegas, NV 89121 702-731-4088

SPRING 2018

Hans-Jorg Rosler

Rainer Vogel 10561 Jeffreys Street, Suite 211 Henderson, NV 89052 702-990-4530

PALLIATIVE Diana Lee 10624 S. Eastern Avenue, Suite A955 Henderson, NV 89052 702-800-5393

Warren Wheeler 4141 Swenson Street Las Vegas, NV 89119 702-733-0320

PEDIATRICS Prashant Dani 5575 S. Durango Drive, Suite 103 Las Vegas, NV 89113 702-435-5437

William Jr. Downey 10105 Banburry Cross Drive, Suite 370 Las Vegas, NV 89144 702-260-4525

Blair Duddy 2704 N. Tenaya Way Las Vegas, NV 89128 702-877-5199

Atousa Ghaneian 3196 S. Maryland Parkway, Suite 400 Las Vegas, NV 89109 702-902-4060

Rosemary Hyun 2350 W. Horizon Ridge Parkway Henderson, NV 89052 702-564-8556

Shazia Kirmani 2050 Mariner Drive, Suite 150 Las Vegas, NV 89128 702-228-9066

Congratulations, NUDRAT R. NAUMAN M.D. TOP DOCTOR, 2018 Dr. Nudrat R. Nauman of Advanced Pediatrics, located in Las Vegas, Nevada, is a top-rated, board certified pediatrician with over 13 years of experience in caring for newborns, children, and adolescents up to the age of 18. Dr. Nauman has been recognized with awards, including MyVegas TOP 100 DOCS (2014-2016), Patients Choice Award (2010-2013), Compassionate Doctor Recognition (2010-2013), and Top Ten Doctor (2012) for Desert Shores. She is affiliated with both Summerlin Hospital & Medical Center and Mountain View Hospital. Dr. Nauman is a certified member of OMA (Obesity Medicine Association). Dr. Nauman is passionate about her patients. She performs regular wellness checks, immunizations, nutritional, developmental and growth assessments, and has an amazing ability to put her young patients at ease. Denise Ogletree McGuinn APRN works with Dr. Nauman at Advanced Pediatrics. She has 20+ years of pediatric experience and holds a doctorate. The two providers make a strong team at this small office with big ideas. Advanced Pediatrics thrives because of Dr. Nauman’s professional philosophy with a quote by Fyodor Dostoyevsky:

“The soul is healed by being with children.” Again, Congratulations Dr. Nauman on your well deserved award! ADVANCED PEDIATRICS 8551 W. Lake Mead Blvd. Suite 180 Las Vegas, NV 89128 (702) 750-1230 www.advancedpediatricslv.com

TOP DOCTORS Kim Lamotte-Malone

Michael Edwards

10001 S. Eastern Avenue, Suite 310 Henderson, NV 89052 702-566-2400

8530 W. Sunset Road, Suite 130 Las Vegas, NV 89113 702-822-2100

Jon Lepore

Christopher Khorsandi

10105 Banburry Cross Drive Las Vegas, NV 89144 702-765-5437

2779 Sunridge Heights Parkway, Suite 100 Henderson, NV 89052 702-508-6116

Tai Minuskin

John Menezes

851 S. Rampart Blvd., Suite 130 Las Vegas, NV 89145 702-823-1333

1707 W. Charleston Blvd., Suite 190 Las Vegas, NV 89102 702-671-5110

Nudrat Nauman 8551 W. Lake Mead Blvd., Suite 180 Las Vegas, NV 89128 702-936-6700

Stephen Miller 8435 S. Eastern Avenue Las Vegas, NV 89123 702-369-1001

Ryan Nishihara 9030 W. Cheyenne Avenue, Suite 120 Las Vegas, NV 89129 702-436-7337

Wesley Robertson 7455 W. Washington Avenue, Suite 300 Las Vegas, NV 89128 702-363-3000

Jeffrey Roth 9280 W. Sunset Road, Suite 236 Las Vegas, NV 89148 702-450-0777

Lane Smith

Laura Weidenfeld

8871 W. Sahara Avenue Las Vegas, NV 89117 702-838-3755

7455 W. Washington Avenue, Suite 300 Las Vegas, NV 89128 702-363-3000

PODIATRY Randy Gubler

Carrie Wijesinghe

3320 N. Buffalo Drive, Suite 107 Las Vegas, NV 89129 702-256-8454

2847 St. Rose Parkway, Suite 150 Henderson, NV 89052 702-248-7337

Helen Yang

Thomman Kuruvilla

653 N. Town Center Drive, Suite 106 Las Vegas, NV 89144 702-363-3000

8420 W. Warm Springs Road, Suite 100 Las Vegas, NV 89113 702-740-5327

PLASTIC SURGERY

Jodi Politz 653 N. Town Center Drive, Suite 118 Las Vegas, NV 89144 702-240-8038

Goesel Anson 8530 W. Sunset Road, Suite 130 Las Vegas, NV 89113 702-822-2100

Douglas Stacey

Arthur Cambeiro 2370 W. Horizon Ridge Parkway, Suite 130 Henderson, NV 89052 702-566-8300

Cameron Earl 653 N. Town Center Drive, Suite 108 Las Vegas, NV 89144 702-939-3436

H E A LT H C A R E Q UA R T E R LY

10561 Jeffreys Street, Suite 110 Henderson, NV 89052 702-456-3668

John Utley 8551 W. Lake Mead Blvd., Suite 230 Las Vegas, NV 89128 702-243-7333

SPRING 2018

PSYCHIATRY Sean Duffy 1885 Village Center Circle, Suite 150 Las Vegas, NV 89134 702-360-2800

Shaily Jain 3615 W. Charleston Blvd. Las Vegas, NV 89102 702-508-9461

Norton Roitman 2340 Paseo del Prado, D307 Las Vegas, NV 89102 702-222-1812

Jonathan Still 8685 S. Eastern Avenue Las Vegas, NV 89123 702-338-8818

PULMONARY Nisarg Changawala 9280 W. Sunset Road, Suite 312 Las Vegas, NV 89148 702-737-5864

John Collier 3150 N. Tenaya Way, Suite 125 Las Vegas, NV 89128 702-869-0855

James Hsu 9280 W. Sunset Road, Suite 312 Las Vegas, NV 89148 702-737-5864

Craig Nakamura 3820 Meadows Lane Las Vegas, NV 89107 702-598-4411

Rachakonda Prabhu 5701 W. Charleston Blvd., Suite 100 Las Vegas, NV 89146 702-877-9514

George Tu 3150 N. Tenaya Way, Suite 125 Las Vegas, NV 89128 702-869-0855

John Wojcik 9280 W. Sunset Road, Suite 312 Las Vegas, NV 89148 702-737-5864

Calm, personable, genuine and conﬁdent, Dr. Kent Wellish has an impeccable quality of care, a passionate love of his work and a commitment that endears him to his patients. His skills as a surgeon and level of experience have gained him wide recognition among his peers as one of the leading vision correction surgeons in the country.

Experience the Wellish Difference Dr. Kent Wellish was Nevada’s first laser vision surgeon, starting his practice in 1994. He has been voted a “top doctor” for LASIK by his peer physicians on multiple occasions. In a recent survey, local eye doctors’ offices were asked to whom they would send their patients, families and friends for LASIK eye surgery, and their number one choice was Dr. Kent Wellish!

Our Services

• All-Laser LASIK • Laser-Assisted Cataract Surgery with Premium IOLs & Astigmatism Correction • Advanced Dry-Eye Treatments with LipiFlow® & IPL • Dry-Eye Treatment Center of Excellence • Glaucoma Treatment & Management • Diabetic Ocular Screening Exams & Management • Pterygium Removal • Cross-Linking • ICL Implants for High Levels of Nearsightedness • Ocular Screening for People Taking Plaquenil

Call us now at

702-733-2020

to schedule your next eye care appointment! WellishVision.com

East Location

2110 East Flamingo Road, Suites 210 & 211 Las Vegas, NV 89119

West Location

2555 Box Canyon Drive, Las Vegas, NV 89128

Henderson Location

10424 S. Eastern Ave., Henderson, NV 89052

TOP DOCTORS RADIATION ONCOLOGY Andrew Cohen 7445 Peak Drive Las Vegas, NV 89128 702-952-2140

Travis Snyder

Clare Close

3560 E. Flamingo Road, Suite 100 Las Vegas, NV 89121 702-433-6944

2653 W. Horizon Ridge Parkway, Suite 100 Henderson, NV 89052 702-220-4006

Steve Topham

Victor Grigoryev-Grigg

624 S. Tonopah Drive Las Vegas, NV 89106 702-463-9100

2020 Palomino Lane, Suite 100 Las Vegas, NV 89106 702-598-8600

7500 Smoke Ranch Road, Suite 200 Las Vegas, NV 89128 702-233-0727

Dan Curtis

Alan Weissman

Beau Toy

655 N. Town Center Drive Las Vegas, NV 89144 702-822-2000

2020 Palomino Lane, Suite 100 Las Vegas, NV 89106 702-598-8600

Farzaneh Farzin 3730 S. Eastern Avenue Las Vegas, NV 89169 702-952-3400

Matthew Schwartz 10001 S. Eastern Avenue, Suite 108 Las Vegas, NV 89052 702-952-3444

Michael Anderson 10001 S. Eastern Avenue, Suite 108 Las Vegas, NV 89052 702-952-3444

Richie Stevens

RHEUMATOLOGY Michael Clifford 7151 Cascade Valley Court, Suite 103 Las Vegas, NV 89128 702-944-5444

Mitchell Forman 874 American Pacific Drive Henderson, NV 89014 702-777-4809

Kenneth Grant

624 S. Tonopah Drive Las Vegas, NV 89106 702-463-9100

874 American Pacific Drive Henderson, NV 89014 702-777-4809

RADIOLOGY

874 American Pacific Drive Henderson, NV 89014 702-777-4809

Scott Harris

Rajneesh Agrawal 2020 Palomino Lane, Suite 100 Las Vegas, NV 89106 702-598-8600

Paul Bandt 2020 Palomino Lane, Suite 100 Las Vegas, NV 89106 702-598-8600

Ashkok Gupta 2020 Palomino Lane, Suite 100 Las Vegas, NV 89106 702-598-8600

Stan Liu 8551 W. Lake Mead Blvd., Suite 150 Las Vegas, NV 89128 702-228-0031

H E A LT H C A R E Q UA R T E R LY

Ewa Olech 8440 W. Lake Mead Blvd., Suite 104 Las Vegas, NV 89128 702-489-4838

Christianne Yung 2482 W. Horizon Ridge Parkway, Suite 130 Henderson, NV 89052 702-614-6868

UROLOGY Andrew Hwang 653 N. Town Center Drive, Suite 407 Las Vegas, NV 89144 702-728-5686

SPRING 2018

Jason Zommick 58 N. Pecos Road Henderson, NV 89074 702-877-0814

Joseph Candela 7500 Smoke Ranch Road, Suite 200 Las Vegas, NV 89128 702-233-0727

Michael Verni 653 N. Town Center Drive, Suite 302 Las Vegas, NV 89144 702-212-3428

Sheldon Freedman 653 N. Town Center Drive, Suite 308 Las Vegas, NV 89144 702-732-0282

Steven Kurtz 7500 Smoke Ranch Road, Suite 200 Las Vegas, NV 89128 702-233-0727

R. David Larsen 7500 Smoke Ranch Road, Suite 200 Las Vegas, NV 89128 702-233-0727

VASCULAR SURGERY Bruce Hirschfeld 7200 Cathedral Rock Drive, Suite 130 Las Vegas, NV 89128 702-228-8600

Eddy Luh 9811 W. Charleston Blvd., Suite 2640 Las Vegas, NV 89117 702-258-7788

Peter Vajtai 5745 S. Fort Apache Road, Suite 100 Las Vegas, NV 89148 702-240-3198

26 Top Doctor Honorees. All Sharing a Comprehensive Approach. ONCOLOGY HONOREES Fadi Braiteh, MD Khoi Dao, MD Oscar B. Goodman, Jr., MD, PhD Regan Holdridge, MD Karen S. Jacks, MD

Edwin C. Kingsley, MD Paul E. Michael, MD Anthony V. Nguyen, MD Rupesh J. Parikh, MD Wolfram Samlowski, MD, FACP

Hamidreza Sanatinia, MD Anu Thummala, MD Nicholas J. Vogelzang, MD, FASCO, FACP

RADIATION ONCOLOGY HONOREES Michael J. Anderson, MD Andrew M. Cohen, MD Dan L. Curtis, MD Farzaneh Farzin, MD Matthew Schwartz, MD

PULMONARY HONOREES Nisarg Changawala, MD, MPH John (Jack) Collier, MD, FCCP, DABSM James S. J. Hsu, MD, FCCP, DABSM George S. Tu, MD, FCCP, DABSM John J. Wojcik, MD, FCCP, DABSM

BREAST SURGERY HONOREES Souzan El-Eid, MD, FACS Josette E. Spotts, MD, FACS Margaret A. Terhar, MD, FACS

Comprehensive Cancer Centers is honored to have 26 of our physicians recognized as VEGAS INC Health Care Quarterly Top Doctors. The common mission that all of our physicians share—to provide the most progressive, compassionate, multi-disciplinary cancer care—is making a difference in the lives of patients and families across Southern Nevada. Thank you all for your dedication. Comprehensive would also like to take this moment to congratulate all of the physicians in our community who have been recognized as Top Doctors.

cccnevada.com | 702.952.3350

reevaluate S

In healthcare education programs around the country, the old saying has been “C’s get degrees”. Roseman uses frequent evaluation within its Six-Point Mastery Learning Model to insure all students are not only grasping but mastering the complex content they are learning. Students are assessed every two weeks and must achieve a 90% or better on every evaluation to move on. It’s not just a number, it’s about training students in a different way so they can maximize classroom time and learn by doing. Roseman University of Health Sciences has been reevaluating the meaning of success since our inception in 1999. Using the Six-Point Mastery Learning Model we train a different kind of student to thrive and practice in today’s complex world of medicine and patient care.

Congratulations

Warren Wheeler, MD on your 2018 Top Doctor recognition We appreciate you! Nathan Adelson Hospice Board of Trustees, Staff and Volunteers “Those who are happiest are those who do the most for others.” - Booker T. Washington

Challenge. Reevaluate. Roseman. Learn more at roseman.edu

702.733.0320

nah.org

We believe no one should end the journey of life alone, afraid or in pain.

COLLEGE OF DENTAL MEDICINE COLLEGE OF NURSING

COLLEGE OF MEDICINE COLLEGE OF PHARMACY

MASTER OF BUSINESS ADMINISTRATION

roseman.edu | @rosemanuhs

H E A LT H C A R E Q UA R T E R LY

SPRING 2018

Dr. Richard Orr Joined in 2004

COMMIT TO SOMETHING GREATER. NOW HIRING

Southwest Medical, part of OptumCare®, is looking for qualified Primary Care Physicians, OB/GYNs, Gastroenterologists and Hospitalist Physicians.

It’s time to lead. To innovate. To practice medicine the way it was meant to be practiced. Southwest Medical has created a place to make that happen. By emphasizing work/life balance. Providing the tools and technology to shape the future of medicine. Putting emphasis on outcomes. And focusing on patients. For 46 years, we’ve empowered physicians to do their best work. Because with the right commitment, we can do wonders.

Find out more at SMALV.COM/EN/CAREERS

SMALV.COM Southwest Medical Associates is part of OptumCare, a leading healthcare delivery organization that is reinventing healthcare to help keep people healthier and feeling their best. Southwest Medical is a trademark of Southwest Medical Associates, Inc. Optum and OptumCare are registered trademarks of Optum, Inc. All other trademarks are the property of their respective owners. ©2018 Southwest Medical Associates, Inc. All rights reserved.

NOW OPEN

BRYCE HARPER @STITCHEDLIFE

Thank you to the entire medical community of Southern Nevada for again honoring Irene Voo, M.D. as one of the ophthalmologists you most trust to take care of you and your loved ones!

IRENE VOO, M.D. • Board Certified Ophthalmologist specializing in medical and surgical treatment for diseases of the retina and vitreous • Graduate of the University of California, Los Angeles (UCLA) School of Medicine • Residency at UCLA’s Jules Stein Eye Institute, consistently ranked as “Best in the West” and a top 5 Eye Hospital by U.S. News and World Report • Fellowship-trained at the Bascom Palmer Eye Institute, ranked #1 Eye Hospital 16 times by U.S. News and World Report

www.IreneVoo.com (702) 583-3300 6970 S Cimarron Rd, Suite 200 Las Vegas, NV 89113

Imagine walking into a business where you are the owner. Just think how well you’d be treated. They’d say ‘hey’ and offer to help and then when there’s a profit, you get a share of it. This year, Clark County Credit Union account holders shared

a $3 million dollar bonus dividend.*

Open an account today, be a member/owner! (702) 228-2228 • OpenCCCU.com

*Not-For-Profit. CCCU shares excess earnings with member/owners in the form of better rates, more free services, and bonus dividends. Bonus dividends, declared by the board of directors, total $59 million since 2001 although there is no annual guarantee.

MEDICAL ADVERTISING SECTION SP O N S O R ED BY:

Helga F. Pizio, M.D., F.A.C.S.

Lane Smith, M.D.

Linda Woodson, M.D.

OPHTHALMOLOGY

PLASTIC SURGERY

D E R M AT O LO G Y

MEDICAL ADVERTISING SECTION

Dr. Helga F. Pizio graduated with top honors from University of Miami School of Medicine in 1992. Following her medical degree, Dr. Pizio completed her ophthalmology residency at the Dean McGee Eye Institute in Oklahoma where she studied under Dr. David W. Parke and Dr. Gregory L. Skuta. Dr. Pizio is certified by the American Board of Ophthalmology and is one of the most experienced ophthalmic surgeons in Southern Nevada. A Fellow of the American College of Surgeons since 1998, Dr. Pizio has been offering her services to Las Vegas and the surrounding area since 1996. Specializing in the latest and most advanced techniques, Dr. Pizio is experienced with laser-assisted cataract surgery, various intraocular lens implants and treatment options to help patients affected by cataracts improve their eyesight. Performing more than 2,000 surgeries each year, Dr. Pizio is the trusted eye surgeon for thousands of patients in Southern Nevada, including many of her fellow doctors. Under the direction of Dr. Pizio, New Eyes is a comprehensive ophthalmology practice that provides quality medical and surgical eye care at office locations in Las Vegas, Green Valley, Summerlin and Centennial.

New Eyes 2020 Wellness Way, Suite 402 Las Vegas, NV 89106

(702) 485-5000

H E A LT H C A R E Q UA R T E R LY

SPRING 2018

Dr. Linda Woodson is a Board Certified Dermatologist who has been serving her patients in the Valley since 1994. She is a member of the American Academy of Dermatology, the American Board of Dermatology and the American Medical Association. Dr. Woodson provides the finest in quality care to her patients treating all skin conditions. Tattoo removal is a growing area of her practice and she has the ability to remove all colors of tattoos. Dr. Woodson’s practice has been recognized by the Better Business Bureau and Angie’s List and is a three-time winner of the Best of Las Vegas and a three-time winner of the Best of Henderson. Dr. Woodson has been recognized by MyVegas Magazine as a Top Doctor, an American Registry Award for Most Honored Professionals, she is a two time Consumer Research Council Award winner for Top Dermatologist and a Worldwide Who’s Who Award as a top expert in her field. She is also a professional singer and performs at venues in the Las Vegas area and is a mother to three wonderful children.

Linda Woodson Dermatology Smith Plastic Surgery

2800 N. Tenaya Way, Suite 203 Las Vegas, NV 89128

8871 W. Sahara Avenue Las Vegas, NV 89117

305 N. Pecos Road, Suite F Henderson, NV 89074

(702) 838-2455

(702) 202-2700

SmithSurgery.com

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Dr. Lane Smith is board certified by the American Board of Plastic Surgery. He has trained at some of the finest medical centers including Stanford University and the world-famous Mayo Clinic. As a scientist and leader in his field, Dr. Smith has received several awards for his advances in the field in cosmetic surgery including awards for his research in rhinoplasty, abdominoplasty and breast augmentation. Academically, he obtained the highest score in the entire nation on the Federal Licensure Exam and on the Facial Plastic Board examinations. The combination of a keen scientific mind, extensive training at top universities, and an artistic eye for beauty has helped Dr. Smith reach the peak of his field and his practice is one of the busiest in the United States. This is reflected in his commitment to excellence and is evident by the numerous Top Doctor awards he receives every year. Dr. Smith and his staff’s goal is to treat every patient as if they were family members, and to deliver care in a safe, thorough and compassionate manner while striving for the most optimal results possible.

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Barbara Caldwell, MSN, APRN

Vikas Gupta, M.D.

Adit Shetty, M.D.

CANCER GENE TIC COUNSELOR

ONCOLOGY

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Barbara Caldwell, MSN, APRN, is a cancer genetic counselor and nurse practitioner at Comprehensive Cancer Centers. Prior to joining Comprehensive, Caldwell was director of chemotherapy at Women’s Cancer Center of Nevada in Las Vegas. Locally, she was also managing partner/owner of Genomicare, which provided cancer genetic counseling to patients at risk. In 2012, she completed coursework in genetic risk counseling at City of Hope Comprehensive Cancer Center in Duarte, Calif. Genetic risk assessments and counseling are vital in early detection efforts as well as customizing treatment plans. Not everyone with a mutation in a cancer gene will develop cancer, but their risk is greatly increased. Genetic testing for those who are at high risk is now recommended and a standard of care in oncology today. As for Caldwell’s patient philosophy: “Treating patients is my true calling in life. I believe in treating the mind, body and soul. They are all important for healing and a person’s overall health. I am honored to be a part of my patients’ journey, no matter where it leads. My job is to make that journey safe, beneficial and as comfortable as possible.”

Vikas Gupta, MD, is a medical oncologist and hematologist at Comprehensive Cancer Centers, where he treats patients with cancer and serious blood disorders. He joined Comprehensive in 2018 after serving as an oncologist and hematologist at HealthCare Partners and Nevada Cancer Center. Dr. Gupta graduated from Government Medical College in Patiala, India, with a Bachelor of Medicine and Bachelor of Surgery. He later completed residencies in internal medicine at Government Medical College, the Post Graduate Institute of Medical Education and Research in Chandigarh, India as well as the State University of New York’s Buffalo Medical and Dental Education Consortium. Dr. Gupta completed fellowships in medical oncology at the All India Institute of Medical Services and hematology/ oncology at the University of Pittsburgh Medical Center. As for Dr. Gupta’s patient philosophy: “Cancer does not just affect the patient, but the entire family. My goal is not only to provide quality cancer care and treatment to the patient, but also involve the whole family in the treatment decisions of their loved one as well as offer support.”

Adit Shetty, MD is a medical oncologist and hematologist at Comprehensive Cancer Centers who has a special interest in treating patients with prostate, kidney, bladder and testicular cancers as well as hematologic malignancies. After earning his medical degree from University of Illinois, Dr. Shetty completed a three-year residency in internal medicine at the University of Texas Health Science Center. His career has already taken him to such well-respected institutions as the MD Anderson Cancer Center and UCLA Division of Hematology and Medical Oncology. Dr. Shetty has also contributed to more than 25 professional publications and abstracts. The cutting-edge research efforts at Comprehensive were among one of the reasons why he wanted to join the practice. Being able to participate in research has given him the opportunity to offer his patients an abundance of treatment options that go beyond just the standard of care. As for Dr. Shetty’s patient philosophy: “The diagnosis of cancer can be a challenging time in a patient’s life. As a physician and oncologist, I strive to do everything possible to help my patients in their time of need.”

Comprehensive Cancer Centers

2460 W. Horizon Ridge Parkway Henderson, NV 89052

9280 W. Sunset Road, Suite 100 Las Vegas, NV 89148

3730 S. Eastern Avenue Las Vegas, NV 89169

(702) 862-1111

(702) 952-1251

(702) 952-3400

Comprehensive Cancer Centers

CCCNevada.com

Dr. Shetty photo by Wade Vandervort.

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“

We will care for

YOUR CHILDREN as if they were part of OUR FAMILY…”

1 Amazing Experience + 2 Locations = 3 Sunshine Valley Pediatric Top Docs! ★ ★ Thank You for your Votes! ★ ★

WESLEY ROBERTSON M.D., F.A.A.P., J.D. Dr. Robertson founded Sunshine Valley Pediatrics (SVP) over 22 years ago. A native of California, he attended medical school at the University of Minnesota and then returned to the University of California (Irvine) to complete his medical residency. His interests include tennis, real estate, fitness, and law. He became a member of the Nevada State Bar in 2003. He is the father of three beautiful children. Dr. Robertson speaks some Spanish. “AMERICA’S TOP PEDIATRICIAN” • TOP DOCS VEGAS INC 2017 & 2018 • LETTER OF COMMENDATION FOR EXCELLENCE UCI RESIDENCY COMMUNITY SERVICE FOR ST. JUDE AND DOWN SYNDROME ORGANIZATION OF SOUTHERN NEVADA

LAURA WEIDENFELD M.D., F.A.A.P. Originally from Brooklyn, New York, Dr. Laura graduated from Tufts University Medical School in Boston. She completed her internship at Columbia Presbyterian in New York City and her medical residency at Children’s Hospital in Los Angeles, California where she received several awards for patient care. After practicing pediatrics in Los Angeles, she relocated to Las Vegas joining SVP where she has practiced for over 10 years. Dr. Laura is married and is the mother of two children. “AMERICA’S TOP PEDIATRICIAN” • TOP DOCS VEGAS INC 2017 & 2018 • WORTH F. BLOOM MEMORIAL AWARD FOR EXCELLENCE IN MEDICINE & SURGERY • VINCENT STORK RESIDENCY AWARD

HELEN YANG M.D., F.A.A.P. Dr. Yang joined Sunshine Valley Pediatrics September 2012. Originally from Chicago, she received her Undergraduate Degree at Northwestern University and obtained her Medical Degree at the University of Illinois College Of Medicine. Dr. Yang completed her Residency at Advocate Lutheran General Children’s Hospital. She is married with 2 children and has another 1 on the way. She speaks medical Spanish and some Korean. TOP DOCS VEGAS INC 2017 & 2018

WWW.LASVEGAS PE DI AT RI C DOC TORS .COM P: 702-3 63 -3 000 • P: 702-3 63 -3 161 SUMMERLIN 7455 W. Washington Ave., STE 300 • Las Vegas, NV 89128 SOUTHWEST 9091 W. Post Road • Las Vegas, NV 89148

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OptumCare is a care delivery organization that improves patient health and helps make health care work better. OptumCare is a registered trademark of Optum, Inc. All other trademarks are the property of their respective owners. Because we are continuously improving our products and services, Optum reserves the right to change speciﬁcations without prior notice. Optum is an equal opportunity employer. ©2018 Optum, Inc. All rights reserved. The company does not discriminate in health programs and activities. For communication assistance, please call 702.242.4357.

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Another

Alternative CHOOSING BETWEEN PAIN AND ADDICTION: WHERE ARE THE OTHER OPTIONS?

By Jessica Kantor

pioids have been on the front end of major discussions over the past few years. From legislators to health care professionals to educators to our own family members,

opioids and overdoses are steering discussions and policy all around us. Approximately 64,000 individuals died from drug

overdoses in 2016, with opioids driving that number. According to a National Survey on Drug Use and Health from Substance Abuse and Mental Health Services Administration, 75 percent of all opioid misuse starts with individuals using medication that was prescribed to a friend or family member, not to them. This, and other things, paints a picture that people have been running around for years, stealing prescriptions out of medicine cabinets, then switching to heroin and fentanyl on the street when their suppliers could not provide them with pills any longer. This is true for many individuals, but it isnâ&#x20AC;&#x2122;t the only path. Continued on page 62

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Continued from page 61

According to the Center for Disease Control’s 2017 Drug Surveillance Report, 214,881,622 opioid prescriptions were dispensed by retail pharmacies in 2016. The total opioid prescribing rate was 66.5 per 100 persons. The average number of opioid prescriptions was 3.5 per patient in 2016 and the average days’ supply per prescription was 18.1 days in 2016. This means that, on average, 66.5 per 100 Americans were prescribed and dispensed over 60 days worth of opioids in 2016. Now, if you take a closer look into data you can see that some of these prescriptions were for surgeries, some were from minor/major injuries, some were for chronic pain. Many of these prescriptions are most likely for completely legitimate reasons. However, with the information coming out about addiction and overdose deaths, and legislation needing to be enacted to curb them, it is a wonder that people are not talking about other ways to deal with the issues that are causing all of these prescriptions to be written. “Opioid” has become synonymous with words like “addiction,” overdose,” and “death.” So, why aren’t lawmakers, and other professionals in high power, starting to shift the conver75 percent of all sation to alternatives to opioids? Some doctors and addiction exopioid misuse perts are having that conversation. Hospitals in Colorado, Utah, starts with New York and New Jersey have individuals using pledged to lower opioid use, some already implementing pilot medication that programs that use a number of was prescribed other pain-relieving strategies like patches of lidocaine, laughing gas, to a friend or nerve blocks, and prescriptionstrength Tylenol and ibuprofen. family member, St. Joseph’s Health in New Jersey not to them. claims that “up to 75 percent of their patients have achieved adequate pain relief with alternative therapies and there has been a decrease in opioid use by almost 50 percent since the inception of the program” in January 2016. With promising results like this, why aren’t more hospitals enacting these programs, or policy makers considering legislation that utilizes these findings?

What’s Happening in Las Vegas Several chronic pain experts in Las Vegas have created specialty programs for individuals that have been using opioids for long-term pain management, something that David Marlon of Solutions Recovery & American Addiction Centers says is not what opioids were made for. “Narcotics are FDA approved for acute pain, short-term use after injury or surgery. They are not appropriate for chronic pain or long-term use. If you are taking them for more than 6 months, you should be looking at other options.” Several legitimate reasons that people deal with chronic pain include: arthritis, surgeries (multiples and failed), spinal disc disease, complex regional pain syndrome, reflex sympathetic dystrophy syndrome, neuropathy, fibromyalgia, migraines and other headaches. Whatever the cause, people are dealing with

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very real pain for very long time spans. If the choice is between constant or near constant pain and possibility of addiction, how many would not choose the latter? Dr. Joseph Bradley, addictionologist, licensed chiropractic physician, doctor of naturopathic science, founded the Chronic Pain Program at Solutions Recovery Treatment Center in 2007. He works with clients who have been using opioids for their chronic pain. He treats the behavioral and addiction side of things but also helps their chronically pained body to heal using a variety of other methods. “Major methods used are adjustments of spinal and joint articulations, auricular therapy, physiotherapy, electric stimulation, ultrasound, cold laser, etc.,” describes Bradley. “We also use physical exercise, massage, stretching, proper ergonomics, and progressive relaxation techniques. We provide clients with psychoeducation as to understand their condition and counseling to assist with how the individual deals with the emotional component of their pain.” Both Bradley and Marlon press the understanding that chronic pain can be dealt with and individuals who have been suffering for many years, on and off opioids, can find relief through alternatives. “100 percent of our chronic pain clients report improved range of motion, a reduction of self-reported pain, and a dramatic increase in quality of life,” says Marlon. Dr. Mel Pohl at Las Vegas Recovery Center has been treating opioid-addicted chronic pain patients for over 10 years. “The goals of the program are: eliminating the use of opioids, sedatives, and other habit-forming medications and reducing the need for medical services. Restoring functional capacity so healthcare professionals can return to work. Improving self-management of pain and related problems. Moving patients toward stability and maximum function.” ••• What about individuals that deal with chronic pain but have not crossed over into a physical dependency on pain pills? The Center for Wellness and Pain Care of Las Vegas promotes similar nonpharmacological pain treatment for clients as Solutions and LVRC. They include acupuncture, aromatherapy, dietary counseling, and guided imagery therapy. Their website highlights pharmacological methods as well, but addiction experts warn that if not prescribed and taken correctly that they can have a negative effect on your situation. Doctors and professionals all over the U.S. are researching and implementing alternatives to addictive substances for acute and chronic pain. Whether people are dealing with pain now, or in the future, highlighting other treatment methods can only increase the safety of those who think they have no other option than to choose between pain and addiction (with the possibility of overdose).

Jessica Kantor is a Las Vegas freelance writer.

We here at Healthy Kids Pediatrics know what it means to be parents; as parents ourselves we treat every child like our own. Your family is our family! Dr. Ghaneian and her partner Dr. Brookes look forward to serving your family and the community of Southern Nevada!

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Dr. Jon Siems graduated in the top five percent of his class from University of Iowa, College of Medicine, in 1991. He completed an Internal Medicine internship and an Ophthalmology Residency at the University of Michigan. He then completed a Refractive Surgery mini fellowship with Robert Maloney, MD, at UCLA in 1996. Dr. Siems was one of five surgeons in the United States chosen to first use the Intralase femtosecond laser to create corneal flaps during LASIK surgery. He was one of the first in Nevada to have this advanced technology on-site. He has performed over 70,000 LASIK surgeries as of 2017. Dr. Siems is certified on several lasers, and as one of the first 24 certified Nidek trainers in the United States, he has certified over 60 ophthalmic surgeons in excimer laser surgery. He has been invited to speak at many national and international meetings. Dr. Siems is heavily involved in refractive and cataract surgery. He offers implantable lenses, as well as Intacs for keratoconus, cosmetic eyelid surgery, corneal transplantation and ocular trauma treatment.

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NEVADA RANKS 48TH IN THE COUNTRY FOR PHYSICIANS PER CAPITA. NATIONALLY THERE ARE ABOUT 251 PHYSICIANS FOR EVERY 100,000 PEOPLE, WHEREAS THE STATE OF NEVADA HAS JUST UNDER 200.

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The wrong

Numbers COLLABORATIVE EFFORT NEEDED TO COMBAT DOCTOR SHORTAGE IN NEVADA By Lauren Silverstein

evada’s economy is growing at a healthy pace, especially when

looking at where the Silver State was a decade ago. More than

250,000 new jobs have been created in the state since the recession, a number that will be increasing with the dozens of

new projects across the state, including the $1.9 billion Las Vegas Stadium

and the $4 million Apple shipping and receiving warehouse in downtown Reno. But despite these promising job growth numbers coming to the state, there is still work to be done. The need for doctors in the state of Nevada is a very real problem, and because of the state’s low reimbursement rates, it’s an issue that won’t be going away anytime soon. Continued on page 66

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Continued from page 65

This real problem has dismal numbers, with the state ranking 48th in the country for physicians per capita. Nationally there are about 251 physicians for every 100,000 people, whereas the state of Nevada has just under 200. Las Vegas ranks poorly in the number of specialists and subspecialists, ranging from endocrinologists to oncologists, pediatrics to geriatrics. This problem in Nevada is due to several factors, including population growth, an increase of people with insurance since the Affordable Care Act took effect, a lack of graduate medical education (GME), and poor doctor reimbursement rates.

Graduate Medical Education Having the opportunities for graduate medical education as well as seats in the classroom is key in fixing the doctor shortage problem in Nevada. According to Doug Geinzer, chief executive officer of Las Vegas HEALS, a nonprofit, membership-

in almost every valley hospital, the state is lacking in graduate medical education opportunities, so that poses the question: Where will all these medical students go once they graduate? “The challenge we have in the state is not the number of medical schools or medical students, it’s the lack of residency programs which are commonly known as graduate medical education,” said Shelley Berkley, Touro University chief executive officer and senor provost. “Our students who graduate from medical school have to leave the state in order to satisfy their 3-year residency requirements.” A residency is a stage of graduate medical training for new doctors in which they practice medicine under the supervision of a hospital or clinic. The average residency lasts three years, and the students practice in their chosen specialty, such as emergency medicine or pediatrics. States typically have 40 residents per 100,000

A residency is a stage of graduate medical training for new doctors in which they practice medicine under the supervision of a hospital or clinic. The average residency lasts three years, and the students practice in their chosen specialty, such as emergency medicine or pediatrics. States typically have 40 residents per 100,000 people, but Nevada has somewhere between 12 and 14 residencies per 100,000.

based association whose mission is to foster strategic alliances in the health care community, “we have doctor shortages across all areas, it’s not just in one particular specialty. An area that compounds the problem is that, as a region, we didn’t have significant academic medicine present until recently, but it’s growing now and will create more doctors for our future.” Touro University, Nevada’s largest medical school, recently expanded its medical school from 135 students to 181 students due to its large number of applications; and UNLV’s medical school will be welcoming its second class of 60 students in July. Even with the graduate medical education expansion, including having residencies

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people, but Nevada has somewhere between 12 and 14 residencies per 100,000. Funding for graduate medical education comes out of the Medicare fund from the federal government. A number of years ago, Congress put a cap on graduate medical education in order to attempt to balance the federal budget. For growth states such as Nevada, this action proved to be devastating, as there was no funding to create additional residency spots and no place to obtain additional funds. Fast forward to two legislative sessions ago, Governor Brian Sandoval announced that $10 million will be distributed throughout the state to expand graduate medical education opportunities.

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“The legislature and Governor Sandoval have been helpful in providing resources to help create residency programs in the state, but it is just the tip of the iceberg,” said Berkley. “If we want to actually keep young future doctors from leaving town and leaving the state, we have to provide a dramatic increase in residency programs to keep them here. What is so troubling is that national statistics demonstrate that 70 percent of doctors end up practicing where they do their residency, so unless the student has strong ties to Nevada, if they are forced to leave in order to satisfy their residency requirement, 70 percent are not coming back. So right now, we are educating a whole lot of future doctors to practice someplace else.”

Population growth and low reinbursement Low reimbursement rates are another reason that Nevada can’t seem to retain doctors. “Doctors are in high demand wherever you go in the country — there are shortages, it’s not just in Nevada. However, when these students get out of medical school, most are saddled with somewhere between $175,000-$225,000 of student loan debt,” said Geinzer. “Medical school garners the highest level of school loans, so these doctors have to earn a good living, therefore they need to be reimbursed at adequate levels or they can’t pay their student loans. Doctors can earn 20 percent more in the neighboring Southwest states, which will allow them to service their student debts a lot quicker.” There is a common myth that all doctors’ wages come easily to them, and they spend their days on the golf course. However, doctors’ salaries are based on how much they get reimbursed from the insurance companies for services they perform, and those reimbursement rates vary by state. A doctor’s compensation is directly tied to reimbursement, and Nevada is one of the worst reimbursed states in the country, with Medicaid being the provider with the lowest reimbursement rates. In 2013, Gov. Brian Sandoval expanded Medicaid, and the number of enrollers in the state doubled from 320,000 Medicaid utiliz-

ers to 650,000. As supportive as The Future of Health Care the medical community has been in Nevada What is so troubling is about this expansion, the state’s Although health care has faced reimbursement rates did not go challenges in Nevada for years, that national statistics up, so doctors are seeing triple significant efforts are being made the number of patients using the to fix the problem including bringdemonstrate that payer that reimburses the least in ing top-of-the-line medical entities the state, Geinzer noted. to the state, such as the new VA 70 percent of doctors Todd Sklamberg, chief execuhospital, Roseman University and tive officer of Sunrise Hospital the Cleveland Clinic Lou Ruvo end up practicing where and Medical Center, said, “within Center for Brain Health. Medithe state of Nevada, Medicaid cal professionals also believe that they do their residency, reimburses acute care hospitals just by starting the discussion on across the state at 57 percent of this topic, changes can be made. “I so unless the student has our cost, not our charges, but the think having the conversation is cost to provide care. Since 2001, a huge start, putting it out there strong ties to Nevada, there has been one increase in really helps,” said Cleveland Clinic 2015, so over the last 17 years Administrative Director Erick if they are forced to leave there has only been one rate inVidmar. “Bringing players in the crease. If you assume an inflation market, like the Cleveland Clinic in order to satisfy their rate of 3 percent annually, our and others, have improved the costs in this timeframe have gone quality of care provided in Nevada. residency requirement, up by almost 50 percent with no As we improve quality, people will increase in the reimbursement. recognize that quality costs addi70 percent are not Sunrise Hospital specifically gets tional money so that will help drive coming back. So right reimbursed half our cost — it’s a reimbursements up and attract challenge.” new providers.” now, we are educating On the private practice end of The doctor shortage is not just a the spectrum, the low reimburseNevada problem. By 2030, studies a whole lot of future ment rates affect the level of care predict a shortage of more than that patients receive due to the 100,000 doctors in the United doctors to practice lack of doctors in primary care. States. Nevada needs to be commit“One of the things that happens ted to fix this problem by continusomeplace else. with low reimbursement rates ing to fund additional graduate is physicians in primary care medical education opportunities so tend to see more patients per the state can produce more homehour than they can easily acgrown doctors. The reimbursement commodate,” said Dr. Howard rates also need to be improved as a Baron, president-elect of the Nevada State Medical Association. way to recruit and retain doctors to the state. “What ends up happening is when physicians are overbooked “It has to be a collaborative effort to find a solution to improve in their primary care clinic, they end up making referrals to reimbursement rates,” said Las Vegas HEALS Chairman of Board specialists for things that may have been able to stay in primary of Directors Bob Cooper. “It is a complex, challenging issue, but care in other states. Primary care doctors don’t have enough it’s one that needs to be addressed in order to improve health time per patient to do extended visits to take care of things that care for the future. Our organization’s goal is to start this seriare more medically complex. With the influx of patients, the ous conversation as soon as possible with our members and key specialists get overwhelmed with problems that don’t always stakeholders.” require specialty care, and then that drives up the cost and time for the patients, and also decreases the satisfaction of the service, so it’s a whole vicious cycle.” Medical professionals agree that something has got to give in Lauren Silverstein is a senior Nevada when it comes to reimbursement rates. “If we don’t get account executive with the reimbursement part of the equation right, we’re going to The Ferraro Group. find ourselves in a place where our taxpayer dollars are going to be supplementing training doctors to go to other states to work, which is not what we want to happen,” said Geinzer.

Photo by Peter Harasty Photography.

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Hereditary

Head Start

At right, Barbara Caldwell, nurse practitioner and cancer genetics counselor, explains some data.

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pproximately five to ten percent of all cancers have a hereditary component. What does that mean and how can that information be leveraged to make better decisions? Genetic risk assessments and counseling are vital in early detection efforts as well as customizing treatment plans. In recent years, a few public figures have made headlines for discovering a hereditary mutation and taking proactive action. Stories such as theirs show the benefits of such testing. Angelina Jolie had a double mastectomy in February 2013 after learning she carried the BRCA1 gene. If she were to take no action, a breast-cancer diagnosis was a near certainty (90 percent) in her future. Nearly two years after the double mastectomy, Jolie had her ovaries and Fallopian tubes removed to stay one step ahead of an ovarian cancer diagnosis. At the core of Jolie’s decisions? Cancer genetic counseling. The counseling doesn’t expose certainties — not everyone with a mutation in a cancer gene will develop cancer, but the mutation greatly increases the risk. Some of the common genes that may contribute to a cancer diagnosis include TP53, BRCA1, BRCA2 and PTEN. According to the American Cancer Society, mutations in specific genes are attributed to more than 50 heredi-

GENETIC COUNSELING CAN PROVIDE CRUCIAL CLUES IN HELPING DOCTORS BATTLE CERTAIN TYPES OF CANCER tary cancer syndromes. Many people with the aforementioned mutated genes develop cancer at younger ages than the rest of the population. Genetic testing for those who are at high risk is now recommended and a standard of care in oncology today. It is important to know if you or your family members have a hereditary predisposition to cancer, as there are now options to reduce the risk of getting cancer. Management care plans can include specific cancer screening exams, medications and/or preventative surgery. Treatment options are tailored to an individual’s risks and lifestyle. If possible, the best person in the family to test is the person who already has cancer.

The Risk Assessment and Test Initial cancer genetic counseling sessions typically take less than an hour. A clinician will gather your personal medical history, family history, provide education and collect your DNA via a simple saliva or blood DNA test. After one’s medical history, family history is the foundation for a risk assessment and the basis for identifying those people who are at an increased risk for developing certain cancers.

Both your mother’s and father’s history will be obtained as well as histories for your aunts, uncles, grandparents, siblings and your children. A cancer genetic counselor wants to know who has had cancer, what type of cancer they were diagnosed with and how old they were when they were diagnosed. These histories will determine whether further discussion or genetic testing for a hereditary cancer syndrome is needed. If it is determined that testingw is recommended, educational materials on cancer genetics and hereditary syndromes will be provided. Meeting with a cancer genetic counselor is another necessary step. During the session, you will be provided with information on the specific test being performed, what the results mean, psychological implications of test results, confidentiality issues and the options for risk estimation without genetic testing. Additionally, you will learn about the risk of passing a gene mutation to a child, fees involved in testing, options and limitations of medical surveillance and strategies for prevention after testing and the importance of sharing your genetic test results with at-risk relatives. The actual cancer genetic testing requires a saliva (buccal) sample. It is a

By Barbara Caldwell, MSN, APRN simple procedure and takes a matter of minutes. The saliva is collected in a tube and obtains the DNA from the lining of your mouth, which is then processed in a laboratory for analysis. There is also the option of a blood draw if indicated. Results are typically available two to three weeks after testing. These confidential results are disclosed in a way soz that you can understand the implications of a positive, negative or inconclusive result. Patients can expect guidance on how to share the results with family members and how test results may affect them. There are many medical management options available to those who test positive and you will be referred to the appropriate medical provider for follow up. Comprehensive Cancer Centers is dedicated to providing the best care to its patients. Launching the cancer genetic screening program helps ensure that we are able to provide to our patients the most current and recommended services in oncology care. This program is the first to Southern Nevada in an oncology practice. We welcome all patients in our community and look forward to helping survivors and to identify “previvors,” those who have mutations but are not affected by cancer.

Barbara Caldwell, MSN, APRN is a cancer genetic counselor at Comprehensive Cancer Centers. With more than 40 years of experience in medicine, Caldwell sees patients at four Comprehensive treatment centers throughout Southern Nevada. For more information visit www.cccnevada.com /cancer-genetic-counseling/.

Barbara Caldwell photos by Christopher DeVargas.

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o r g a n d o n at i o n

don’t let misinformation prevent you from potentially saving a life By Alma Rodriguez

ecoming an organ, eye and tissue donor can be one of the most compassionate life decisions you can make. However, registering as a donor is not a practice everyone is onboard with. It’s understandable that many people would have reservations when it comes to giving something away that is such an important part of yourself — both literally and figuratively. There are many myths surrounding organ, eye and tissue donation that can potentially scare someone away from the process entirely. It’s easy to get your information on registering as a donor from rumors and unaccredited sources. By disproving some of these commonly held beliefs, Nevada Donor Network hopes to inspire more people to potentially save a life through becoming a donor.

➧ Myth

Registering as an organ, eye and tissue donor means doctors will not work as hard to save your life.

Your religion prevents you from taking part in organ, eye and tissue donation.

The belief that doctors or nurses will not take proper care of registered donors is one of the most widely spread rumors regarding organ, eye and tissue donation. However, it simply isn’t true. All medical professionals are dedicated to caring for their patients and will prioritize saving lives above all else. This includes emergency personnel, hospital staff and anyone else who is tasked with caring for you during your time of need. Organ, eye and tissue donation follows a very specific process which begins after death has been declared. Only at this point will donation be considered.

Although religion is an important part of many peoples’ lives, it is hard to be sure where your religion stands on organ, eye and tissue donation. Specific beliefs always differ, yet all major organized religions in the United States acknowledge donation as one of the highest forms of altruism and kindness. Ultimately, the choice to become a donor is personal, and Nevada Donor Network respects everyone’s right to make that choice. However, we encourage you to find out more about your religion’s stance on donation and if possible, help us save lives while serving your faith by registering as an organ, eye and tissue donor.

Myth ➧Your organs will be taken by someone who has paid for them.

Potential donation recipients who are wealthy have no advantage over others when it comes to receiving an organ, eye or tissue transplant. The National Organ Transplant Act (Public Law 98507) makes it illegal to sell human organs and tissues in the United States. Furthermore, violators of this law are subject to fines and imprisonment. When you are on the waiting list for a transplant, what really matters are medical factors such as blood type and how sick you are. Because of legislation such as the National Organ Transplant Act, no one is given an unfair opportunity while waiting for an organ, eye or tissue donation.

➧ Myth Registering as an organ, eye and tissue donor can only be done during your next trip to the DMV. Registering as a donor does not need to wait until the next time you’re standing in that dreaded DMV line. By visiting registerme.org you can find a link to the Donor Registry Portal. Within a matter of minutes, you can add your name to the list of people willing to become someone’s hero. On average, 18 people die in the U.S. each day because an organ is not found in time to save them. By taking the time to go online and register as an organ, eye and tissue donor you can help bring hope, strength and life to those we serve.

Alma Rodriguez is the multicultural outreach coordinator for Nevada Donor Network.

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Overheating is an ever-present threat in our desert climate know the symptoms to stay out of the red zone By Dr. Derek Meeks

e’ve read how the scenario can play out: One warm summer afternoon, a busy young mother is running errands. Feeling overwhelmed, she rushes into the grocery store. Twenty minutes later she returns to her car ... and to her horror, discovers her 1-year-old child in the back seat of the car ... unconscious. As she frantically opens the door, she feels the waves of heat pouring out of the vehicle. With trepidation, she feels for the child’s pulse … present! Then she checks for respiration … also present! With a broken heart but renewed hope, she calls the paramedics to take the child to the emergency room where the child is treated for heat stroke. Fortunately, this child makes a full recovery, but others are not so lucky. Many suffer permanent brain damage and others die. In the US, about 650 people die each year due to heat stroke. Many thousands more suffer from milder, yet serious, heat-related illnesses every year. One of the most susceptible populations of heat stroke are elderly people who live in hot apartments without air conditioning.

Signs and Symptoms There are many types of “overheating” injuries. Most of us have experienced heat cramps which are at the mild end of the severity spectrum. Heat cramps are muscle spasms that occur as a result of fluid and electrolyte loss when participating in sports and activities. Heat exhaustion is more serious and consists of minor neurologic symptoms such as generalized weakness, headaches, etc. Heat exhaustion, like heat cramps, occurs from fluid and electrolyte losses from over exertion or exertion in a hot environment. Both of these conditions are usually mild and easily treated with rest, fluids, and moving to a cool environment. The main message for these two conditions is that if you are outside in the heat and you develop muscle cramps, headaches, dizziness, or any combination of these three, it’s time to get to a cool place, rest and drink plenty of fluids. At the serious end of the spectrum is heat stroke. This is a severe and potentially life-threatening condition that leads to elevated temperatures and altered mentation. Heat stroke can occur during prolonged strenuous activity or simply by remaining in a hot location for too long. Patients with heat stroke have lost the ability to release heat from their bodies because they are unable to sweat sufficiently. This leads to their body temperature rising to unsafe levels. Sweating is one of the ways our bodies cool down. If you are dehydrated, you may lack the fluid needed to produce sweat in order to

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cool off. One underlying complicating factor — frequently seen in the elderly — is the taking of medications that can interfere with the body’s ability to sweat. Medicines like antihistamines, certain blood pressure medications, and others can impair normal sweat production. Since these patients are unable to cool themselves properly, either through sweating or other means, their temperatures elevate. And elevate. And elevate. Many times these temperatures rise over 104 F. Such high temperatures actually cause damage to brain cells. This is why so many neurologic symptoms develop due to heat stroke.

What to do When heat stroke is suspected (high fever, lack of sweat and altered mentation), call 9-1-1 because the treatment needs to be intensive and emergent. These patients should be sent immediately to the nearest emergency department. If you are waiting for the paramedics to arrive, start treatment with cooling mists or ice packs to the armpit and groin. One word of caution, avoid measures that will cause shivering. Shivering will lead to further temperature elevations. In the desert climate in which we live, dehydration easily occurs unless we make an effort to hydrate, and hydrate well, when temperatures rise. This is especially crucial when performing outdoor activities in elevated temperatures. One of the best ways to avoid these problems is to ensure proper hydration (as well as replenishing our electrolytes) while outdoors. Another important key is simply recognizing when it is too hot to do certain activities and then doing something safer. We often forget to respect the dangers of exposure to excessive heat. I hope you will respect the elevated temperatures and be more careful of your activities when the temperatures soar so you can avoid the dangers of overheating and continue to enjoy the wonderful place in which we live.

Dr. Derek Meeks is the assistant professor and chairman of the Department of Specialty Medicine at Touro University Nevada.

Dr. Meeds photos by John Morris Photography.

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here we go ‘round the mulberry bush: allergies stuffing up sinuses across southern nevada By Dr. Jim Christensen

sk anyone who suffers from allergies in Southern Nevada — or the doctors who treat them — and they’ll tell you Southern Nevada has developed a reputation for having one of the most severe allergy seasons in the country.

What are some of the most common allergies in Southern Nevada, and when do people usually get these allergies? Spring brings a host of unpleasant symptoms for people suffering from allergies. The Las Vegas Valley is full of native and non-native plants and trees that can inflame allergies with their pollen. The primary culprits for some of the most pesky allergy symptoms are mulberry trees and olive trees — both of which are banned from being planted and sold across the valley, but still can be found in many areas. Mulberry trees pollinate around March, and olive trees in April, when the weather begins to warm up and wind can pick up, causing pollen to spread. Due to the warmer winter we had, patients started coming in earlier than usual this year to be treated. Besides the common bad actors like mulberry and olive trees, other leading sources of allergies include ragweed, Bermuda grass, mesquite trees, tamarisk trees, oak trees, palo verde trees, sagebrush and tumbleweeds.

What are the symptoms and how severe can they be? Nobody likes dealing with the annoying and lingering symptoms allergies can cause. Common symptoms include sneezing, runny nose, nasal congestion, sore throat, watery and itchy eyes, headache, sinus pressure and difficulty breathing. Symptoms vary from person to person and occur as a result of the immune system’s response to certain irritants in the air. The response can dictate how severe allergy symptoms can be. Allergies can be especially problematic for people who suffer from asthma. That’s why it’s important for asthma patients to be aggressive in their allergy prevention to avoid serious asthma attacks.

How can you tell the difference between an allergy and a cold? Although allergy symptoms can be closely related to cold symptoms, it’s important not to confuse the two. Common colds are caused by viruses and can include symptoms that aren’t associated with allergies. While symptoms like nasal congestion and sneezing mimic allergies, a low-grade fever and general body aches mean you are likely dealing with a cold instead of seasonal allergies.

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Making the distinction between the two is vital to finding the appropriate treatment. It’s also important to understand your symptoms in case you have something more serious, like the flu. If you develop sudden symptoms at the same time every year, it may be time to see an allergist for treatment.

What’s the best way to treat allergy symptoms? There are plenty of options. Common treatments include antihistamines, steroid shots, inhalers, nasal sprays, allergy immunotherapy shots, and decongestants. For many patients, nasal steroids are the single most effective thing you can do to treat allergies. Many of these treatment options can be found over the counter, making it easier to get ahead of your symptoms and stay active. A lot of patients need the right combination of treatments to effectively treat allergies. Patients should schedule a visit with their allergist-immunologist to develop a treatment plan, get a seasonal steroid shot, or to address more serious symptoms like chronic sinus pain.

Can you prevent allergies? It can be difficult to totally prevent allergies for people who get them. But with medications and treatment plans, there are some basic steps people can take to ease their allergy symptoms. Checking the daily pollen count and following these preventative measures can go a long way to helping you get through the allergy season: Highest pollen counts usually happen between 5-6 a.m. Avoid exercising or being outside during those early morning hours. • Take your medicine. • Keep your windows and doors shut. • Change your clothes and shower regularly to get pollen off of you. • Change your air filters more often, at least three or four times a year. • Regularly wash your bedding.

Dr. Jim Christensen with OptumCare Lung & Allergy Care in Las Vegas has more than 25 years of experience in Southern Nevada helping patients deal with allergies.

M E N T A L H E A LT H

MEDICINE’S GOAL IN THE FIGHT AGAINST DEPRESSION IS ‘FULL REMISSION’ BUT STIGMA MAY KEEP PEOPLE FROM SEEKING TREATMENT By Dr. James Joslin and Dr. Timothy Justice

“I

t’s important for people to understand that depression is common,” said Dr. Timothy Justice, medical director at Behavioral Healthcare Options in Las Vegas. “Up to 30 percent of people can expect to have a bout of what physiatrists call ‘major depression’ during their lifetime.” Despite how common it is, even today some people still view symptoms of mental health problems as uncomfortable and perhaps even threatening. This attitude frequently creates and continues negative stereotypes of people with mental health problems. As a result, people in need of mental health professionals will often ignore symptoms, or avoid seeking help when they need it the most. Sometimes the patients themselves may not be aware of potential mental health issues. “When a patient expresses how they are feeling, that often provides clues regarding their emotional or mental health status when describing their physical pain or other issues they are dealing with,” said Dr. James Joslin, associate medical director for adult medicine at Southwest Medical Associates. “Sometimes the information they provide doesn’t add up to a physical issue. It is helpful if patients share with their doctor how a symptom is affecting thwem mentally and emotionally. We can explore treatment on that side if needed.” About two-thirds of people treated for depression by a primary care doctor schedule their visit to address a complaint about physical symptoms. “One thing I have found when people go to a primary care physician regarding depression, of those, two-thirds first showed up with a complaint having to do with their body,” said Justice. “Rather than ‘mental health’ complaints, they will express concern about appetite, fatigue, aches and pains. Patients tend to normalize these complaints.” Some of the most common things Justice hears from such patients are, “I can’t sleep. But I have workplace demands. I have aches and pains, but I’m getting older.”

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Continued from page 75

Joslin notes that depression or anxiety can often accompany chronic pain or chronic health issues. For example, conditions such as Parkinson’s disease and stroke cause changes in the brain. In some cases, these changes may have a direct role in depression. Illness-related anxiety and stress can also trigger symptoms of depression. Sometimes, symptoms of depression may follow a recent medical diagnosis and then ease as the patient adjusts or as treatment begins. Mental health care is typically provided through two general categories: professionals

Up to 30 percent of people can expect to have a bout of what physiatrists call ‘major depression’ during their lifetime.

who provide what is called “talk therapy,” and prescription medication. According to Justice, mild cases of mental illness typically benefit more from talk therapy as opposed to medication. Meanwhile, moderate cases benefit from medication, often in combination with talk therapy, as do severe cases. “Patients need to know that days to weeks are sometimes required for medications to begin working,” Justice said. “Then there is often an adjustment of the dose, or the use of different medications or combinations of medications. And the effect is not instant — a baseline level of medication in the body needs to be reached.”

If there is an inadequate dose of something If you think you may need help: Temporary feelings of sadness are expected that does help, a patient may get better, but in life, but if these and other symptoms last lonsome symptoms will persist. The goal is to have ger than a few weeks, you may have depression all of the symptoms to go away. “If your symptoms haven’t all gone away, keep — and depression is a real illness. Treatment can asking,” Justice said. “Whenever you treat de- help you live to the fullest extent possible. pression, especially a new case, the aim should Some symptoms of depression are: be for full remission of the case.” • Feeling sad, irritable, or anxious. Joslin said that if it is an ongoing issue or if it has significant effects on a patient’s daily life, • Feeling empty, hopeless, guilty, or worthless. medication is usually warranted. For what are • Loss of pleasure in usually enjoyed hobbies or activities, including sex. called major life changes (job changes, death of a friend or family member, difficult social is- • Fatigue and decreased energy, feeling listless. sues), physicians may lean more toward talk therapy or even observe and wait. • Trouble concentrating, remembering details, “The doctor really needs to dig deep into the and making decisions. patient’s history,” Joslin said. “Has this been go- • Not being able to sleep, or sleeping too much. ing on for years, or is this specific to a particular Waking too early. event in their life?” • Eating too much or not wanting to eat at all, There are signs people can watch for in their possibly with unplanned weight gain or loss. own lives to support their own emotional and mental well-being. Joslin explains that signs • Thoughts of death, suicide or suicide attempts. can include things like withdrawing from activities one used to enjoy; sleep issues (too much • Aches or pains, headaches, cramps, or digestive problems without a clear or too little); or eating more or less food than physical cause and/or that do not ease even normal. Chronic fatigue is a symptom of dewith treatment. pression and anxiety as well. ••• “Even if someone can’t admit it,” Joslin said, “It’s important that patients know that they “those are the common symptoms. It’s good for are ‘not the only one’,” said Joslin. “Patients patients to bring it up with their doctor.” Justice notes that it can often be helpful for often feel like they are somehow being a drag people who are experiencing some of those vague on us. We are there to help them through, help physical complaints to talk to the people around support them, help them with their mental them and ask about what they think is happening. health, as well as their physical health. “There is a stigma, and the public needs to He said, “They are typically more likely to spot deknow that experiencing mental health issues pression than the patient themselves.” is normal and much more common than they While there can be various and sometimes think. As a primary care physician, it’s commultiple causes of mental illness, both doctors mon for us to initiate treatment for a lot of agree that there are common and simple steps that people can take to optimize both their physi- mental health issues such as anxiety and depression.” cal and mental health — steps they likely have “We will start medication treatment first, and already heard before: eat properly, get exercise, if things are not getting better, or if a patient rest when needed and strive to manage the stress in their life. Beyond the obvious, seek treatment, wishes to pursue therapy, we can make that and seek it when you notice something happen- determination. We can refer to a psychiatrist if ing. In general, the longer a mental health condi- we see that a patient’s condition is not getting better or gets worse.” tion goes untreated, the more potential damage For issues such as bipolar disorder or schizoa person may experience in their life. Being open with your doctor about feeling phrenia, the doctor will work to get the patient sad, anxious or even angry is beneficial, as it al- into psychiatric care from the outset, so they can get the right care at the right time. lows them to help you.

James Joslin, D.O., is the associate medical director, adult medicine for Southwest Medical Associates. Timothy Justice, M.D., is the medical director for Behavioral Healthcare Options.

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Justice said that the disease burden of depression (i.e., the negative impact to the person and society) is greater than diseases such as arthritis or kidney disease. “A change in the culture is needed,” he said. “People need to understand that mental health conditions are largely no different than medical health conditions and genetic predispositions — all of them present in all societies and have for thousands of years. No one said that you should ‘get it together’ or ‘show some self-control’ when you have pulmonary or cardiac trouble. No one should say the same for mental illness.” Recovery from depression takes time, but treatment can improve the quality of life even if you have a medical illness. Treatments for depression include talk therapy that helps people change negative thinking styles and behaviors that may contribute to their depression. Interpersonal and other types of psychotherapy have also been proven effective in some cases when combined with antidepressant medication. When determined appropriate by a physician, antidepressant medications can also provide substantial relief of symptoms of depression and other mental illnesses.

RESOURCES

FOR DOCTORS AND PATIENTS

ental health training for and concerns. Doctors can then arrange an appointment for their padoctors can vary from specialty to specialty, ac- tient with a mental health care provider, according to the patient’s level cording to Joslin. “People often seek help from their of need. And while rare, if the need primary doctor first, so it’s important is immediate, the care is immediate.” they be well trained,” said Joslin. “In Behavioral Health Options family medicine, doctors, during bhoptions.com their residency training, tend to get a lot of in-clinic training over that National Alliance on Mental Illness three-year period, experiencing al- — Nevada most daily interaction with persons namisouthernnevada.org coping with mental health concerns.” Behavioral Healthcare Options Girls & Boys Town National Hotline provides support to primary care (800) 448-3000 doctors through its health plan, by ofNational Hopeline Network fering training and encouraging “best (800) SUICIDE practices” — procedures that are accepted as being the most effective. National Suicide Prevention Lifeline “It’s a ‘stat line’ for doctors,” Jus- (800) 273-TALK (8255) tice said. “A human being answers the call — no automation — and doc- National Youth Crisis Hotline tors can discuss their patient’s issues (800) 442-HOPE (4673)

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M a k i n g the r o u n d s To include your photos in the next issue, contact Craig Peterson at craig.peterson@gmgvegas.com

Nevada Blind Childrenâ&#x20AC;&#x2122;s Foundation hosted a free adapted Easter egg hunt and picnic at Sunset Park on Saturday, March 24. The foundation is the only nonprofit organization solely dedicated to improving the lives of Southern Nevada children, ages 0-22, who are visually impaired. For more information, visit nvblindchildren.org.

The Blind Center of Nevadaâ&#x20AC;&#x2122;s electronics recycling program employs 18 blind center members and processes millions of pounds of electronics. Individuals wishing to donate to the program are asked to bring any and all computers, cell phones, laptops, tablets, printers, LCD monitors, stereo equipment, wires, or other electronics directly to the Blind Center of Nevada at 1001 N. Bruce St. Donations are tax deductible. Visit blindcenter.org.

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Easter egg photo by Joseph Donato.

THE NOTES

SilverSummit Healthplan and the Vegas Golden Knights collected 2,275 pounds of food for Three Square Food Bank. The amount equals 1,896 meals for families in need.

MountainView Hospital opened its fifth-floor oncology unit. The 32-bed unit brings MountainView’s bed count to 370. MountainView Hospital’s Las Vegas Institute for Robotic Surgery acquired its third Xi da Vinci robot, MountainView’s fifth surgical robotic system. Smith’s donated $30,000 to Dignity Health-St. Rose Dominican to benefit the St. Rose Dominican Health Foundation Charity Care Program and its Children’s Miracle Network Hospitals pediatric unit at the Siena campus. The money brought Smith’s 2017 donation total to more than $630,000 to support pediatric services at the hospital.

The 7th Annual Give Kids A Smile Event.

Dental Care International’s 7th Annual Give Kids A Smile Event brought together 44 dentists, hygienists and dental assistants to provide free dental care to 59 uninsured children. The amount donated in free dental services was $45,506. Nevada State Bank sponsored the event.

The Trauma Intervention Program of Southern Nevada received $60,000 from the Consumer Technology Association — owner and producer of CES. TIP works with Clark County’s police and fire agencies and hospitals to provide on-scene emotional and practical support to those affected by crises. Hard Rock Cafe Las Vegas Strip donated $5,000 grant to the Cleveland Clinic Lou Ruvo Center for Brain Health to support its music therapy program. Nancy Yu is a doctor with Southwest Medical. Her title was incorrect in the previous issue of Health Care Quarterly. Amie Duford’s name was misspelled in the previous issue of Health Care Quarterly. We regret the errors.

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cale n d ar To include your calendar items in the next issue, contact Craig Peterson at craig.peterson@gmgvegas.com

Cleveland Clinic Lou RUvo Center for Brain Health For more information, please contact 702-483-6055 or louruvosocialsrv@ccf.org ART THERAPY Therapeutic art making experiences designed to empower those with memory and movement disorders. Call Ruth, 702.483.6054 or email almenr2@ccf.org. genematch research event If you’re between the ages of 55 and 75 and haven’t been diagnosed with cognitive impairment, we invite you to join GeneMatch — an event that will connect you with Alzheimer’s research studies based on your unique genetic profile. May 25, 9–10:30 a.m.; 11 a.m.–12:30 p.m.; 1:30–3 p.m. For more information, call 702-331-7042.

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Frontotemporal Disorders Support Group A support group for FTD and Primary Progressive Aphasia (PPA) care partners. Meets the first and third Wednesday of each month in the evening Register at almenr@ccf.org Feinberg Education Center 888 W. Bonneville Ave. Huntington’s Disease Support Group Meets the third Thursday of each month, noon–1 p.m. Register at 702-483-6035 or email municd@ccf.org 2nd Floor Conference Room 888 W. Bonneville Ave. Memory Loss For Caregivers Support Group* Meets each Wednesday, 1:15–2:45 p.m. *First time attendees call 702-483-6035

SPRING 2018

email muncd@ccf.org 2nd Floor Conference Room 888 W. Bonneville Ave. Parkinson’s Support Group Separate groups for early-stage Parkinson’s Disease & adult family members/ care partners. Meets the second Tuesday of each month, 11:30 a.m.–12: 30 p.m. Register at 702-483-6006 or email hicksos@ccf.org 2nd Floor Conference Room 888 W. Bonneville Ave. Music Therapy Caregivers participate in music therapy with your loved one or allow them to enjoy this program while you attend the Memory Loss for Caregivers Support Group. Free. Meets each Wednesday 1:15–2:45 p.m.

cale n d ar

Reservations requested. Contact louruvosocialserv@ccf.org Feinberg Education Center 888 W. Bonneville Ave.

centennial hills Hospital For more, visit CentennialHillsHospital.com Stroke Support Group Meets the second Tuesday of the month, 3–4 p.m. Conference Room 1 and 2 6900 N. Durango Drive

Cardiac Support Group Meets the third Wednesday of the month, 10 a.m. Classroom 1A 657 N. Town Center Drive breast cancer Support Group Meets the second Tuesday of the month. 6–7:30 p.m. Breast Care Center 657 N. Town Center Drive

Better Breathers Meets the second Tuesday of the month, noon–1 p.m. 6900 N. Durango Drive

gynecological cancer support group Meets the third Thursday of the month, 5:30–6:30 p.m. Room 1B 657 N. Town Center Drive

Desert Springs Hospital

MOUNTAINVIEW HOSPITAL

For more, visit DesertSpringsHospital.com Stroke Support Group Meets the first Saturday of the month, 10 a.m.–noon. Lunch provided. South Magna Conference Center 2075 E. Flamingo Road.

Call 702-233-5300 to register at least 48 hours in advance. For more information, visit MountainView-Hospital.com Alzheimer’s Support Group Provides an opportunity for emotional support and to exchange coping skills. May 15, June 19, July 17, 10–11 a.m. H2U MountainView Office 3150 N. Tenaya Way

spring valley Hospital For more, visit SpringValleyHospital.com Stroke Support Group Meets the third Friday of each month, 11 a.m.–12:30 p.m. Lunch provided. Conference Room B 5400 S. Rainbow Blvd. Cardiac Support Group Meets the fourth Tuesday of the month, 11 a.m.–12:30 p.m. Conference Room B 5400 S. Rainbow Blvd.

Summerlin Hospital For more, visit SummerlinHospital.com Stroke Support Group Meets the fourth Thursday of the month, 3–4 p.m. Conference Room B 657 N. Town Center Drive

Southern Hills Hospital For more, visit SouthernHillsHospital.com Joint Replacement Education Class Orthopedic team experts guide you through the process so you know what to expect before, during and after surgery. Fridays, 9–10:30 a.m. Multipurpose Room, Fifth Floor 9300 W. Sunset Road

Valley Hospital For more, visit ValleyHospital.net Stroke Support Group Meets the fourth Thursday of the month, 10–11 a.m. Call 702-388-8441 or 702-388-4619. Fourth floor, Acute Rehabilitation Unit 620 Shadow Lane

Sunrise HOSPITAL Registration is required for all events. Call 702-233-5454 at least 48 hours in advance. For more, visit SunriseHospital.com LUNCH AND LEARN: Effective nutrition and WellnesS for silver citizens Paul Watts provides tools to obtain and maintain effective nutrition and overall health and wellness. June 19, 11:30 a.m.–1 p.m. 3131 La Canada St., Suite 107

University Medical Center Register at 702-383-7353 or umcsn.com Diabetes Self-Management Program Take control of your diabetes with this six-week program from Stanford Medical School. Topics include: healthy eating, exercise, communication skills and a step-by-step plan to improve your health and your life. Call 702-383-7353 for summer dates. The Healthy Living Institute at UMC 901 Rancho Lane, Suite 180

St. Rose Dominican Hospitals

For information, visit www.StRoseHospitals.org, or call 702-616-4900 for class reservations and to learn about other programs. communication through sign language Learn basic signs to increase communication in this three-week workshop for adults. June 1-15, 3:30–5 p.m. WomensCare/Outreach Center-West 7220 S. Cimarron Road, Suite 195 Fall prevention program Learn to prevent serous injuries, like hip fractures, in this free seven-week class. June 7-July 19, 2:30–4:30 p.m. Call 888-662-3541 for information. Rose Regatta Dragon Boat Festival For information about the ninth annual Rose Regatta, visit roseregatta.org. Oct. 14, 7 a.m.–4 p.m. Lake Las Vegas

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