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From the editor
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ccording to the American Society of Plastic Surgeons, in 2020 Americans underwent more than 2.3 million cosmetic surgical procedures, with breast augmentation, eyelid surgery, facelift, liposuction and nose reshaping leading the way. For those choosing less-invasive options, such as Botox, chemical peels, laser skin resurfacing and soft tissue fillers, that number jumps to over 13.2 million procedures completed. It’s clear that we care about our appearance. While genetics may set the foundation, lifestyle and health status also play major roles in determining our appearance. Today, there are plenty of options available should you wish to make cosmetic changes to your physical appearance, and results vary dramatically depending on the level of invasiveness and commitment you are willing to make. This issue of Health Care Quarterly brings together local experts to share current research and innovations in aesthetics, and services available to patients in Southern Nevada. Dr. Joshua J. Goldman from the Kirk Kerkorian School of Medicine at UNLV shares how to navigate the field of plastic surgery—especially with so many outside sources influencing the way we feel about ourselves—and how to select the right surgeon for your needs. For those who aren’t quite ready to commit to plastic surgery, medical spas offer several less invasive treatments to complement your looks. Health Care Quarterly breaks down what med spas are, and the types of services typically offered. Additionally, Urology Specialists of Nevada discusses the role reconstructive surgeries can play in improving self-image. And Cenegenics offers advice on ways you can enhance your appearance without going under the knife or laser. With some strategic health-driven strategies, you can appear more youthful and vibrant.
As May is Skin Cancer Awareness Month, we have a timely reminder from Comprehensive Cancer Centers on the importance of keeping a watchful eye for any new or changing skin marks. Early detection is key to protecting our largest organ—our skin. We also take a look at the state of maternal health with Health Plan of Nevada, which reports that the U.S. has the highest maternal death rate among developed countries, and the risk is even higher for Black women. HPN explains how it is working to ensure access to comprehensive care programs that offer proper resources and support to all women. MountainView Hospital’s Las Vegas Heart Associates continues to demonstrate positive patient outcomes, as seen in the story it shares of a patient with a serious heart condition who was out of options in his home state of Arizona, and nearly out of time. Finally, read about the future of health care and medical education in the Valley. Councilman Brian Knudsen describes the growth and evolution of the Las Vegas Medical District, and what that means for health care in our community. And Dr. Pedro Greer Jr., the dean of the Roseman University College of Medicine, reinforces the need to advance medical education offerings in order to transform health care in Las Vegas. We’re incredibly thankful to the many health care professionals who contribute to this publication to keep our community in-the-know. I hope you enjoy this issue.
Jennifer Inaba Special Publications Manager & Editor jennifer.inaba@gmgvegas.com
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Medical News WORLD’S FIRST FULL 360 COVID-19 TESTING AND DIGITAL HEALTH PASSPORT LAUNCHES IN LAS VEGAS REVIV Global launched HELIIX Health Passport in Las Vegas to help restore normal and safe operations to the hospitality, convention, sports and live event industry. The world’s first 360 COVID-19 testing and digital passport technology solution, the HELIIX Health Passport, uses VCode technology to quickly, efficiently and securely demonstrate proof of a negative COVID-19 test result prior to entering an event.
LOCAL PHYSICIAN IDENTIFIES EXTREMELY RARE DISEASE IN PATIENT Dr. John Wojcik, a cardiovascular and pulmonary disease specialist at Southern Hills Hospital and Medical Center, recently took on the case of 28-year-old Hannah Fraser who was in and out of emergency rooms with fevers and chest pain for months. After working tirelessly to diagnose her, Dr. Wojcik discovered Hannah suffered from an extremely rare condition called congenital bronchial atresia. The first case was discovered in 1953 — since then there have only been approximately 100 known cases. Patients with congenital bronchial atresia often present with no past medical history. After diagnosis, Hannah’s care team, led by Dr. Wojcik, assembled a plan and removed nearly half of her lung. The infections caused by the congenital bronchia atresia could have been fatal to Hannah if left untreated.
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IMAGING TECHNOLOGY REDUCES RADIATION, PROVIDES PRECISE STENT PLACEMENT Interventional cardiologists at Centennial Hills Hospital now use ARTIS icono technology to reduce patients’ radiation doses and provide the precise placements of stents to reduce potential complications during heart procedures. Interventional cardiac procedures are used to treat heart attacks and heart disease using less invasive methods. To better protect patients, the ARTIS icono technology features an OPTIQ imaging chain which automatically selects the lowest radiation dose for the patient based on the physician’s preferred image quality during a cardiac interventional procedure.
NEW COVID CARE CLINIC ADMINISTERS DRUG FOR AT-RISK PATIENTS Southwest Medical, part of OptumCare, partnered with OptumRx to open a COVID Care Clinic at its Rancho Urgent Care location to administer Bamlanivimab intravenously for its most at-risk patients. Bamlanivimab is a state-of-the-art drug that has had great success against COVID-19 and is still not widely available to the public. Strict protocols are involved with selecting the patients. This infusion site streamlines COVID care while protecting immuno-compromised cancer patients and relieving overburdened hospitals. The clinic has five infusion chairs and requires a 3-hour outpatient visit to receive the medication. This clinic is currently the only one in Southern Nevada administering Bamlanivimab.
Inside this issue
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MEDICAL TECHNOLOGY INNOVATION ADVANCES BREAST CANCER TREATMENT With local roots, Theralink Technologies is poised to reshape global cancer testing. Theralink’s test measures the direct activation state for dozens of drug targets all at once, equipping oncologists with key information about a patient’s specific tumor and possible treatment paths. Currently, the company’s efforts focus on HER2+ breast cancer. In addition to its early principals residing in Las Vegas and several Southern Nevada investors, in January, the company announced the testing of its first patients in the world, with the help of Dr. Matthew Schwartz at Comprehensive Cancer Centers of Nevada. M AY 2 0 2 1
Skin safety with Comprehensive Cancer Centers Local experts on Las Vegas’ booming aesthetics industry The evolution of the Las Vegas Medical District Health Plan of Nevada on improving maternal health Q&A with Roseman University’s College of Medicine dean
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Helping seniors deal with physical and emotional pandemic stress BY ROBERT J. VADOVIC, RN, DNP, APN-C
L Robert J. Vadovic, RN, DNP, APN-c, is the medical director for advanced practice providers and high risk – Nevada as well as the program director APP fellowship – Nevada for Intermountain Healthcare.
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et’s face it, the pandemic has been no picnic in regards to our mental health. Quarantine necessitates isolation from friends and family, which is hard for folks of all ages, but can be devastating for seniors. Prolonged isolation can lead to anxiety and depression, and in some cases thoughts of suicide. In addition, seniors with underlying physical conditions such as diabetes or heart disease often feel these mental effects much more profoundly because their health issues can contribute to their feelings of anxiety and helplessness. Most primary care clinics focus almost entirely on the physical well-being of patients—but if the pandemic has taught us anything, it’s that mental health is equally important, especially among seniors. This is a concept that Intermountain Healthcare was aware of long before COVID-19, which is why we have implemented the Mental Health Integration (MHI) program at our Nevada MyGeneration Clinics. Empowering caregivers to assess and refer at-risk senior patients to mental health specialists is important in many ways. One major reason is that senior patients are often less comfortable discussing mental health issues than patients in younger generations, and therefore they are not inclined to seek the help of a psychologist, psychiatrist or social worker on their own. By developing a relationship of trust, their primary care provider (PCP) can facilitate the behavioral health care the patient needs. According to the United Health Foundation, Nevada leads the nation in senior suicides, at a rate more than three times that of Massachusetts, New Jersey and New York. And for every reported suicide, it is estimated that there are 28 attempts. When the added mental stress of the pandemic came along, the MHI program be-
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came a great way to meet the behavioral health needs of senior patients assessed to be at risk for suicide or self-injury.
Comprehensive care with a team approach
Each individual patient’s MHI team begins with his or her PCP. We utilize a coordinated team approach—leveraging our vast network of specialists based on the patient’s unique needs, and may include: n Nurse or medical assistant: To coordinate communication between the patient, their PCP and other resources throughout treatment. n Psychiatrist or psychiatric nurse practitioner: Trained mental health specialist to consult on medication and other aspects of emotional illness. n Psychologist or licensed clinical social worker: To provide in-person counseling and therapy.
Here’s how you can help
Many seniors live alone and don’t have people checking in on them to monitor their mental state on a regular basis, which is why it’s important to assess that aspect of their health when they come to your clinic for an appointment. Some warning signs of depression to look for in senior patients include: n Withdrawing from activities that normally give them pleasure n Self-imposed isolation, which manifests as not wanting to get out and about like they did before quarantine n Not wanting to talk to people and generally being mopey n Loss of sleep and fatigue n Refusing food, medications or liquids Asking the right questions and referring patients to resources like the MHI program can literally save their lives.
Clinical Research at Comprehensive has led to
100 New FDA Approved Cancer Treatments
And the one thing I wanted most… the chance to just be mom. Comprehensive Cancer Centers has participated in the development of 100 new FDA approved cancer treatments. With 170 ongoing clinical research studies, right here in Southern Nevada, we are entering a new age in cancer treatment — where people are no longer entrenched in their battle against cancer, but instead living with cancer. These new cancer therapies are increasing the quality of life for our patients and their families, and most importantly, giving them the opportunity to live their lives to the fullest.
cccnevada.com • 702.952.3350
The financial and emotional burden of bleeding disorders BY BETSY VANDEUSEN
B Betsy VanDeusen is the executive director of the Nevada chapter of the National Hemophilia Foundation. Learn more at www.hfnv.org and by following @NevadaNHF on Instagram or Twitter and @NVNHF on Facebook.
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leeding disorders—a group of disorders that share the inability to form a proper blood clot—are life-threatening, debilitating and expensive to treat. A child with severe hemophilia will spend over $200,000 annually to prevent bleeding. Some children and adults build up inhibitors to the treatment and the costs can exceed $1 million per year. Failure to preventively treat the disorder can result in prolonged painful bleeds that cause permanent and severe damage. Characterized by extended bleeding after injury, surgery, trauma or menstruation, bleeding disorders can be spontaneous (without a known cause) or improper clotting can be caused by defects in blood components such as platelets and/or clotting proteins, also called clotting factors. The body produces 13 clotting factors and if any of them are defective or deficient, blood clotting is affected. Bleeding disorders such as von Willebrand disease or hemophilia are genetic and can be inherited, or can be caused by a spontaneous mutation of the gene. Currently, there are no cures for bleeding disorders, and treatments vary depending on their severity. For some bleeding disorders, there are clotting factor concentrates that can be infused on-demand at home to prevent or treat bleeds. For others, there are topical products, nasal sprays and fresh frozen plasma, which is administered in a hospital setting. The Nevada chapter of the National Hemophilia Foundation (NHFNV) is dedicated to
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finding cures for inheritable blood disorders and addressing and preventing the complications of these disorders through research, education and advocacy—enabling people and families to thrive. Our vision is a world without inheritable blood disorders. With more than 30 years of experience, NHFNV provides programs and services to people affected by bleeding disorders so they can better navigate living with a disorder and can become advocates for themselves and/or their family. NHFNV partners with the Hemostasis and Thrombosis Center of Nevada and other agencies to provide programs and services unique to those with bleeding disorders to best meet their needs. Some of our programs include peer support to help individuals get through the isolation that a bleeding disorder can cause, youth programs to help children develop a strong sense of self and gain the skills they will need to advocate for themselves throughout their lifetime, financial assistance for home needs, food or hospital stays, and counseling services for individualized support from qualified professionals. As a registered 501c3 nonprofit, all of NHFNV’s services are provided free of charge thanks to the generosity of our donors. Over 300 volunteers annually support more than 30 programs and events such as Camp Independent Firefly and the Unite for Bleeding Disorders Walks. Gifts made to NHFNV stay right here in Nevada, providing family services, youth development, counseling and emergency funds to help patients reach a productive, pain-free and independent future.
THE NEVADA CHAPTER OF THE NATIONAL HEMOPHILIA FOUNDATION (NHFNV) IS DEDICATED TO FINDING CURES FOR INHERITABLE BLOOD DISORDERS.
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Business travel considerations for a post-COVID world BY JONATHAN BAKTARI, MD
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t’s easy to get excited about some sense of normalcy returning in 2021. If you’re a business owner, face-to-face networking, along with business trips and conventions, may also be something you look forward to this year. But the road back to these events will still have its share of caution for the foreseeable future. Here’s what you can expect when it comes to business travel in a postCOVID world.
Evaluating need
The pandemic has taught many workers, teams and even entire companies to work remotely. This shift has also introduced certain advantages and efficiencies. Meetings can be called quickly and done with more people without space constraints. In the past, some gatherings were only reserved for team members at a conference. Remote work has also increased collaboration for some. Because of these changes, some companies may question whether travel is necessary for many situations. Some will still choose to go to events and in-person meetings. But many may gauge the sentiment of clients, workers and others before booking reservations. The trickle-down effect from all of this is that we may also see smaller attendance numbers at events and gatherings, at least for now.
The meeting experience itself
At events, I anticipate a continued focus on infection control and attention to how infectious agents are transmitted. This will continue to impact behavior in meetings and for venue set up. Expect to see some reservation from others about shaking hands, and venue owners and organizers will still try to minimize crowding
while supporting distancing, mask wearing and hygiene practices. We’re even seeing some venues promote high ceilings, good ventilation and outdoor spaces as selling points. At gatherings, you can expect to see fewer lines, too. You probably won’t pick up badges at a booth or station, and you can expect to continue ordering food through apps and having items delivered to you.
The travel itself
People may still be concerned about traveling on planes. It’s important to remember that safety in these situations is largely linked to how often air is recirculated. As long as the plane is recirculating air and a person wears a mask, he or she is relatively safe. That ride to the hotel or convention hall, however, may be more dangerous with more people in a confined space with poor air recirculation. I expect to see a lot of drivers and passengers cracking windows.
Dr. Jonathan Baktari is the CEO of e7 Health, a preventive health and wellness center with offices in Las Vegas and Chicago.
How long?
People often ask me how long the vigilance associated with the COVID-19 pandemic will continue. That’s a difficult question to answer. There are two primary factors in play. First, as long as a variant or new strain doesn’t upend the progress made, we’re on the right path. The other question still lingers about how long our immunity lasts after natural or vaccine-related immunity occurs. We just don’t know yet. I think most of us do want to get back to those in-person meetings. And many business owners will follow that urge to go ahead and meet up with others this year. But they’ll do it cautiously for the foreseeable future. Even though it’s difficult to pin down an exact date for when the need to be cautious will end, by continuing to minimize spread, we know we’re on the right course, which is really what matters most.
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Cataract surgery: Understanding options for vision correction BY MAZEYAR SABOORI, MD
C Dr. Mazeyar Saboori is a cataract and glaucoma surgeon with Meadows Eye Physicians and Surgeons.
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ataract surgery is the most commonly performed surgery in the United States, with over 3 million performed annually. “Cataract” is the medical term for a natural aging change that occurs in the lens of the eye. As we age, our lens becomes darker and stiffer. At this point, the lens is called a cataract. Most people develop mild cataracts in their 50s and 60s, which leads to several problems with vision. First, the darkening of the lens causes symptoms including blurriness, fuzziness, loss of contrast, need for more light and difficulty with glare (especially with night driving). When the cataract first develops, some of these symptoms can be alleviated with glasses, but as the darkening progresses, glasses will not be able to overcome the symptoms of the cataract. Next, the stiffening of the lens leads to presbyopia. This is the aging condition that causes difficulty with seeing up close, and results in many patients over the age of 40 to require reading glasses, or “cheaters” to do near activities like reading. Fortunately, modern cataract surgery can often fix both of these problems. In cataract surgery, the surgeon will use fine microscopic tools to remove the cataract from the eye. Once the lens is removed, the surgeon will place an intraocular lens implant (IOL) into the capsule that previously held the cataract in place. This capsule will serve to hold your implanted lens in place. Patients now have many choices when selecting a lens implant. The standard lens implant is one that corrects the patient’s vision for distance. This means for distance activities, no glasses will be necessary. The lens implant, however, is unable to focus at near, therefore reading glasses are required. Additionally, standard IOLs do not correct for astigmatism, a condition where the front curvature of the eyeball is irregular. Patients with
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astigmatism would need glasses correction for both distance and near vision, even after cataract surgery. Improved intraocular lens technology has allowed for the development of “premium” IOLs. Premium multifocal IOLs are specialty lenses designed to allow patients to see at distance and near, without any glasses correction. These IOLs have multiple focal points within the lens itself, which allows the patients to bring both distance and near vision into focus. Your cataract surgeon will determine whether you are a good candidate for a multifocal IOL and discuss with you the risks and benefits. Patients who have ocular diseases such as macular degeneration or glaucoma typically are not good candidates for multifocal IOLs, as the quality of the vision can be degraded with these ocular diseases. Patients with astigmatism can have another type of premium IOL, called a toric IOL, to correct for the astigmatism. The toric IOL has intrinsic features of the IOL to “cancel out” the astigmatism. The new combined toric and multifocal IOL integrates the benefits of both types of premium lenses, allowing even patients with cataract and astigmatism to achieve sharp distance and near vision without glasses. To optimize the outcome of the vision, the cataract surgeon will often use a special laser called a femtosecond laser, which removes the cataract with more precision and allows more precise placement of the premium IOL, optimizing the final vision outcome. While premium IOLs are an outstanding option for optimal vision correction, they are not considered medically necessary, therefore the cost is not covered by insurance. It is important to remember that all surgery, including cataract surgery, has risks, benefits and side effects. Your surgeon will discuss these issues with you and will help you make the best decision for your situation and your personal visual needs.
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Risk and reward: Home health during a pandemic BY GENEVIEVE BARTER
I Genevieve Barter, right, pictured with vice president Patrick Benedicto, is the chief executive officer for Palmeira Home Health.
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remember the call that would change the course of my business. “Will we be accepting COVID-positive patients?” I had been to Asia not a month before and I remember the checkpoints at airports, the masks on the airplanes, the fear of flying back to the U.S. There was a virus out of China that had been spreading rapidly. “Will this come to the States?” I remember thinking. I jumped on the phone with the leadership to discuss the virus’s imminent impact. The staff were unified. This is what we do. We take care of those who need it. Our mission statement is “we are part of the solution” and this was going to be a big problem, needing a bigger solution. The main challenge would be protecting our staff and patients. I have never seen people answer a call to action so quickly. Our team contacted every single medical supply store within driving distance in three states. No price was too high. We would buy every gown, glove, goggle and bootie we could, and if we didn’t need them, we would donate them. We had staff members whose family members sewed and offered to make us masks. We had donations from patients who had old stock and offered to let our clinicians use them. It felt like all of Las Vegas was coming together to make sure we wouldn’t fail. I am happy to say Palmeira never had to turn down a COVID-positive patient. I can’t say it
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was easy. All of the horror stories playing out around the globe were happening at a micro level within our company. Staff were getting sick, loved ones and patients were dying. We had patients who were scared to let us into their home for fear we would infect them. But they had cancer, wounds and intravenous medications that needed to be tended to or administered. Our team comforted them and reinforced we were there to help and would protect them. Perhaps the good to come out of such a dark time was our greater understanding and realization of just how essential health care workers are in this world. Many have joked about working from home and Zoom meetings, but these nurses and therapists didn’t have that choice. The definition of home health lies in its name. At Palmeira, when we think about home health care and what that means, we envision a place where we take care and comfort people, like family, and return you or your loved one to an optimum functional level of health. We do this through a variety of services including skilled nursing, physical therapy, occupational therapy, medical social work, after-care programs, and diet and nutritional services. Amid the pandemic, the men and women that receive our care were just as confused, just as scared and just as susceptible to sickness as anyone else. And when the call to help came, our answer was YES.
PERHAPS THE GOOD TO COME OUT OF SUCH A DARK TIME WAS OUR GREATER UNDERSTANDING AND REALIZATION OF JUST HOW ESSENTIAL HEALTH CARE WORKERS ARE IN THIS WORLD.
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Equal to the moment. Looking to the future.
UMC takes pride in offering the resources and expertise needed to help our community safely reopen and recover from the COVID-19 pandemic. We’ve developed the state’s largest COVID-19 testing lab and supported local businesses and events by collaborating to develop detailed reopening protocols. Our team has administered 60,000 doses of the COVID-19 vaccine, supporting our mission to safeguard the health of community members. As we move toward emerging from the pandemic, we’ll continue to do all we can to answer the challenge—and secure a brighter future.
Highest Level of Care in Nevada
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Avoid sunburns
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DETECT (EARLY!) A number of skin marks can be present on normal skin, including freckles and moles. When an abnormal area develops, early detection remains vital. The COVID-19 pandemic led some folks to pause their regular screenings and proactive measures, and now it’s important to get back on track. Keep an eye on your moles and other skin lesions monthly to identify any new or changing lesions. Most skin cancers develop over many months or even years. For early identification, the ABCDE method is useful in distinguishing between what may be a benign abnormality and melanoma:
A
B
ASYMMETRY
BORDER IRREGULARITY
One half of the mole does not match the other half
The edges of the mole are ragged or notched
C
D
E
COLOR
DIAMETER
EVOLUTION
The color of the mole is not the same all over
The mole is wider than a quarter-inch
Changes in a mole over time (the most important characteristic)
BY WOLFRAM SAMLOWSKI, MD, FACP Skin is the largest organ of the human body, so when it comes to skin cancer, we all literally have our skin in the game. According to the American Cancer Society’s 2021 Facts & Figures report, 1,000 Nevadans will be diagnosed with melanoma of the skin this year. This figure is up from 840 in 2020. May is Skin Cancer Awareness Month, providing a perfect opportunity to check in on the latest advancements and insights pertaining to skin cancer and what we all can be doing to protect one of our most vital organs.
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CONTINUED ADVANCEMENTS
Wolfram Samlowski, MD, FACP is a medical oncologist at Comprehensive Cancer Centers.
Comprehensive Cancer Centers participates in several skin cancer research studies and trials, including SGN35-033 which is a Phase II study of brentuximab vedotin in combination with pembrolizumab for patients with metastatic solid malignancies after progression on prior PD-1 inhibitor treatment. I participated in the earliest testing of the initial antibody-based immunotherapy drug, now known as Yervoy, as well as in testing this agent in combination with Opdivo (another more potent immunotherapy drug). These agents have markedly improved the survivability of advanced melanoma. Additionally, the practice was one of the first sites in the United States to administer the anti-PD-1 antibody, now known as Keytruda, for metastatic melanoma. With emerging research and treatments, the fight against skin cancer is strengthening by the day. Most patients who develop melanoma in 2021 can be cured. If and when a diagnosis emerges, just know that there is an arsenal of hope and proven therapies right here in Southern Nevada.
PREVENT
When it comes to avoiding developing skin cancers, preventive measures are important, especially for people with fair skin that burns easily with sun exposure. Wear sun-smart clothing such as long-sleeve shirts, sunglasses and wide-brimmed hats when out at mid-day.
Use sunscreen and reapply (SPF 30 or higher).
Childhood sunburns increase the risk of skin cancer development later in life, so protect your kids, too. Remember: Burning is bad.
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TREAT
Treatments for skin cancer can vary depending on its severity and type. If there is a chance that cancer is present, a physician may opt to perform a skin biopsy. Generally, after a biopsy is performed there is a more complete surgical removal. Nine out of 10 melanomas and an even higher percentage of other skin cancers (e.g., basal cell, squamous cell cancer) are cured these days with the initial surgery. A modern understanding of cancer treatment considers that cancers must evade the immune system to grow and spread. This has led to the development of antibodybased medicines, referred to as immunotherapy, that reactivate the immune system and allow it to again recognize the cancer. Also, research has shown that cancers develop a pattern of genetic changes or mutations as they develop. Because of this, oral medications called “targeted therapy” were developed to block growth caused by selective individual mutations in melanoma. Occasionally, chemotherapy or radiation therapy are employed.
SKIN CANCER SURVIVOR TURNED ACTIVIST BY STACEY ESCALANTE On a hot summer day in June 2005, I was working on a crime story as a reporter for News 3 when I received a phone call that changed my life. I had malignant melanoma, a very serious cancer, and I needed surgery immediately. As the mother of a 2-year-old and 6-month-old, the news was paralyzing. Diagnosed with Stage III melanoma, I spent the next two years in and out of hospitals. I had two major surgeries, one to remove the tumor in my lower back, the other to remove lymph nodes in my groin, and then I had to self-administer injections of leukine to boost my immune system. Sixteen years later, I’m still cancer free and my two babies are now teenagers. They both get regular lectures about sun safety and to never use tanning beds. After my bout with cancer, I became a volunteer advocate for the American Cancer Society Cancer Action Network and a board member on the Nevada CanStacey Escalante is a board cer Coalition. member of the Nevada Cancer Our teams passed two very important Coalition. bills. In 2013, Nevada enacted protections to restrict minors from using commercial tanning beds and improve health safety for adults who choose to use tanning beds. Nevada was 4th in the nation to prohibit underage tanning device use. That’s a good thing, but the law has no enforcement requirements. We need advocates to help ensure that at least the minimum requirements of the tanning bill are enforced; even better, ensure stronger provisions are put in place. In 2019, Senate Bill 159 passed which required schools to implement sun safety policies and authorized the use of sunscreen and wearing of sun protective clothing during the school day and at school activities such as sports. The Nevada Cancer Coalition also established the Sun Smart Schools program which provides access to evidence-based curriculum for students in pre-K through 12th grade and other resources for teachers and students, and free automatic, touchless sunscreen dispensers and sunscreen. As a fabulous community partner, Comprehensive Cancer Centers has made sunscreen readily available in public parks and pools in Southern Nevada. We would love every pool, park and youth program to provide free sunscreen—just like soap is available in public bathrooms. In the meantime, we’ll continue education and awareness, with the hope that one day my kids won’t have to give their kids the same lecture.
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Unlocking our self-image desires Exploring Las Vegas’ booming industry of aesthetics and its balance between health and beauty
Cosmetic refers to any treatment 0r product that is intended to restore or improve a person’s appearance. From a medical perspective, aesthetic treatments are ubiquitous across many specialties — from dermatology and plastic surgery to orthodontics and age management. ¶ They’re so prevalent that Americans spent more than $16.5 billion on cosmetic plastic surgeries alone in 2018 and $4 billion on orthodontics, according to the American Society of Plastic Surgeons and Fortune Business Insights. ¶ The industry is even expanding into hybrid models — the 2019 Medical Spa State of the Industry Report declared med spas as one of the fastest-growing sectors in the U.S., quickly approaching a value of $10 billion. ¶ Health Care Quarterly reached out to local experts, asking them to share their thoughts on these wide-ranging specialties. Here’s what they had to say.
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“Aesthetic ideals are inextricably tied to attraction and biologic imperative, which has, for centuries, driven the zeal for enhancing appearance through fashion, makeup, body modification, diet and exercise, and, of course, surgery.” — Dr. Joshua J. Goldman
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SURGICAL METHODS
Body positivity in a modern perfectionist world BY JOSHUA J. GOLDMAN, MD When asked why he does such ridiculous things, Don Quixote responds, “I come in a world of iron…to make a world of gold.” Chasing perfection among ever-changing ideals of beauty may superficially appear as futile as tilting at windmills. As a plastic surgeon, I deal in the art and mathematics of beauty, trade in form and function, and success is largely measured in positive psychosocial outcomes and quality-of-life improvements. In other words, the magic is just as much in the alchemy as it is in making the dull shine. The desire for youth and beauty are nearly as old as humanity itself. Aesthetic ideals are inextricably tied to attraction and biologic imperative, which has, for centuries, driven the zeal for enhancing appearance through fashion, makeup, body modification, diet and exercise, and, of
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course, surgery. The aspiration for beauty has even bred unhealthy practices for attaining unnatural standards (e.g., corseting, foot binding). The norms of beauty, or what society deems striking, are only slightly less fickle than trends in style, and are subject to the whims of both time and culture. Consider the differences, not just in garb, but physical characteristics of Rubenesque women hanging in art museums, Marilyn Monroe, the ‘80s super model and the waifish standards of the ‘90s. While these changes apply to women and men, the perception of ideal has had much narrower swings for the masculine, exposing gender disparity in expectations and psychosocial impact. With age tied to beauty, the reverence for wrinkles as a sign of wisdom has dissipated and been replaced with strict skincare regimens and a bevy of non-invasive upkeep. As with body-type, trends in anti-aging are reflective of how societal values change temporally. The effect of social media on the public perception of modern plastic surgery is palpable. In the same way that the scope of plastic surgery has been distorted through this lens (heavily weighted toward the aesthetic realm), patients’ own self-image has been blurred by unattainable standards produced via photo editing, painstakingly planned portraits held out to be candid, applications that algorithmically mimic aes-
thetic surgery and an overall reinforcement of the need for visual approval already innate to most people. The imprint of cosmetic surgery on the post-modern era of beauty is fairly obvious as well. The mixture of a constantly improving safety profile, availability of non-invasive procedures and disappearing taboo, have made these treatments a more ubiquitous means of achieving new ideals. The current standard—flat stomach, ample breast and buttocks, thigh gap and immaculate skin—rarely occurs naturally and even seemingly involves contradictory components. But with the help of liposuction and fat transfer, laser treatments and breast implants, the look becomes more achievable. Not everyone views the phenomenon as a positive one, and many, like me, are weary of surgical fads. As we transition from the postmodern era, this sentiment is echoed in the promotion of body positivity. Marketing campaigns for brands (e.g., Dove, Aerie and Athleta) have embraced real bodies complete with stretch marks, cellulite, wrinkles and, most importantly, are increasingly diverse in body type, size and ethnicity. The movement aims to improve self-image and, with it, mental health and well-being. Though the far end of the body positive spectrum recommends ignoring beauty standards and urges complete self-acceptance, many subscribe to a more neutral approach, leaving room for self-improvement through self-care. An aesthetic approach that enhances a
Cover Story
person’s natural beauty can provide a refreshed appearance that allows patients to look as good as they feel without departing from their original appearance. In my practice, surgery is not one-size-fits-all, and individualized plans to match patient goals are essential to success. The development of ethnicity-specific anatomic knowledge has enriched our ability to provide natural, balanced results to all patients, particularly in facial aesthetics. The paradigm shift from the augmented to the natural look has made breast and body contouring far more accessible to a wider population. I regularly say to patients, “your plastic surgery should be for you.” This applies to the pre-operative intent of self-care, the operative plan being unique to individual goals and the post-operative ambition of self-love. As a plastic surgeon, my obligation is to my patients’ present well-being, but, as a father, I must reconcile its impact on future generations. That means using surgical expertise to elevate esteem while encouraging a healthy lifestyle, for physical and mental well-being. It means, capitalizing on the strength and quality of iron, to make a world of gold.
+
+ “The norms of beauty, or what society deems striking, are only slightly less fickle than trends in style, and are subject to the whims of both time and culture.”
Dr. Joshua J. Goldman is an assistant professor of surgery at the Kirk Kerkorian School of Medicine at UNLV.
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How to choose the right plastic surgeon for your needs +
When you hear “plastic surgery,” what first comes to mind? Do you think of breast augmentation or breast reconstruction, cleft lips or pouty lips, facelifts or facial reanimation? For plastic surgeons, the term is all-encompassing and conjures thoughts of all of the above. The most glaring thread between common portrayals of plastic surgery is their focus on aesthetics. In actuality, the field’s beginnings are firmly rooted in the reconstructive realm, dating back as far as ancient Egypt and India. Plastic surgery’s modern underpinnings emanate from surgeons, after World War I, engaging complex cases that belonged to no specific specialty, which is why the field includes care of traumatic wounds, oncologic defects, and congenital differences, burns, hands and peripheral nerves, microsurgery, and the front-facing, aesthetics. The principle is that all reconstructive cases are met with the science and beauty learned in aesthetics, and all cosmetic cases are met with the technical skill and anatomic mastery required of reconstruction. The synergistic components highlight the importance of understanding your surgeon’s training. — Dr. Joshua J. Goldman
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Relationship You should develop trust and respect (and hopefully like) your physician. The physicianpatient relationship is of extreme importance. Your physician should provide you with informed consent complete with treatment risks, benefits and alternatives (including no treatment) and have frank discussions of what to expect at each phase of care.
Experience and Results Ask your surgeon how often they do the procedures they recommend. Ask if you can see photographs of results. Ultimately, their approach will affect your results and there should be synchrony between your goals and their methodology.
Training and Education When choosing a plastic surgeon, the most important thing to realize is that the terms plastic, cosmetic and aesthetic, though often used interchangeably, do not necessarily confer the same training. The saying goes all painters are artists, but not all artists are painters. In the same way, all plastic surgeons are qualified cosmetic surgeons, but not all cosmetic surgeons are qualified plastic surgeons. To be board certified in plastic and reconstructive surgery requires passing a rigorous written and oral board examination process by the American Board of Plastic Surgeons. Still, many other physicians perform cosmetic procedures. Experience and results can confer expertise, but training and board certification can narrow your search and provide a reliable bottleneck. If you are having trouble finding or understanding your surgeon’s training, it is a red flag.
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SURGICAL METHODS
Addressing the sensitive topic of reconstructive urology BY CRAIG HUNTER, DO Mishaps of the genital area are uncomfortable to discuss. Self-inflicted or accidental trauma to the penis, testicle, urethra, bladder and urinary system may seem like a bad punchline to a bad joke. The mere thought of trauma to this area will cause many reading this article to cross their legs and cringe. Fortunately, your local urologist has the skillset to repair most damage. There are very few stories or sexual performance afflictions that we haven’t heard—no judgment here. I’ve heard most of it before. Believe it or not, someone you know has likely needed the service of a urologist. Most urologists
are often called upon to cure a life-threatening infection or cancer. However, invasive surgery to cure a life-threatening condition can occasionally leave a negative impact on the quality of life of the recipient. The collateral damage of life-saving treatment can distort a person’s self-image and perceived value. Prostate cancer treatment can affect a man’s ability to achieve or maintain an erection that’s firm enough for sexual intercourse. “At least they cured my cancer” somehow implies that their intimate life is less important than their quality of life. I get an opportunity to help men feel “like a man again.” As another example, consider the simple act of urination — you likely don’t appreciate it until you’re not able to do so. A urethral
“Your local urologist has the skillset to repair most damage. There are very few stories or sexual performance afflictions that we haven’t heard. ... Believe it or not, someone you know has likely needed the service of a urologist.”
stricture is a scar in the urine tube (urethra) that blocks the flow of urine. I can help patients with this issue by harvesting the lining on the inside of the mouth (buccal mucosa) and using this tissue to reconstruct the urethra. The result? An amazing life-changing response that helps some men urinate as though they “were 20 again.” This same tissue is ideal for grafts and can also be used to reconstruct other parts of the urinary tract—the substance of this tissue is always moist and tolerates urine, and the rich blood supply of the tissue increases the life of the graft site within the urethra. The harvest site (the mouth) also heals well. There are also some skin conditions that will bury the penis beneath the skin. Several times per year, I perform a procedure that provides men the ability to externalize a penis they haven’t seen in years. One gentleman had not seen his penis in more than five years. Married two years prior to his procedure, the bond of emotional love had joined him to his wife but without the benefit of physical intimacy. I am honored to provide an avenue for this couple, and many others, to strengthen their already great relationship. Reconstructive urology is a very specialized field. Yes, these topics can be uncomfortable, but I’m grateful for the knowledge and experience I bring to my patients. And while it’s not always a perfect solution, it is an honor I take seriously for our community. Craig Hunter, DO, is a urologist with Urology Specialists of Nevada.
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The growth of nonsurgical cosmetic offerings BY HEALTH CARE QUARTERLY STAFF As the demand for nonsurgical cosmetic procedures continues to grow, so does the market for medical spas—businesses that offer clinical-grade aesthetic services. The treatment options you’ll find at med spas typically include injectables, facials and peels, laser resurfacing treatments and body sculpting/nonsurgical fat reduction. Many of these treatments may also be found at a dermatologist’s or plastic surgeon’s office, and some med spas work closely with these specialists to ensure quality results.
What types of procedures are offered?
+ Dermal filler
Different dermal fillers use different formulations and active ingredients. Hyaluronic acid is one of the most common types of facial filler, used by brand names such as Juvéderm and Restylane. HA fillers restore and increase volume to the areas injected and last six to 12 months before the body naturally metabolizes the particles.
+ Neurotoxins Botox, Dysport and Xeomin are FDA-approved neurotoxic injectable solutions that temporarily block nerve communication to the muscles, limiting facial movement and preventing, or relaxing, wrinkles. The effects typically last up to four months.
Every med spa provides different options but here are some commonly found treatments. To find a treatment that is right for you, discuss your goals with the practitioner beforehand.
+ Laser resurfacing
treatments
Lasers do it all. Laser facial treatments, such as Clear and Brilliant or Fraxel, resurface and renew skin. Laser hair removal is a permanent or semi-permanent hair reduction option. And laser tattoo removal can help clean up any past mistakes. Many med spas offer an entire suite of laser treatments but depending on the treatment or the patient’s goals, a plastic surgery clinic or dermatologist may be better suited for major laser therapy.
sculpting + Body There are several types of noninvasive body sculpting options to help people lose small pockets of stubborn fat, such as CoolSculpting, SculpSure and UltraShape. They all work differently—CoolSculpting uses cold to destroy fat cells, SculpSure uses heat and UltraShape uses ultrasound technology. There are several others as well, and each may have different benefits depending on the patient.
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How are med spas different than day spas? Think of a med spa as the hybrid between a day spa and a plastic surgery clinic. If you’re looking for a relaxing, eucalyptus-scented massage and amenities such as steam rooms and saunas, a day spa is more likely the right option. If you’re looking for a clinical-grade facial and a touch of Botox, head to the med spa. That said, some classic day spas may offer the same facial technology as some med spas do—such as the HydraFacial—and many med spas cultivate the peaceful atmosphere found in day spas. Both play an important role in pampering, so be sure to review the services menu prior to your visit to ensure your needs will be met.
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NONSURGICAL METHODS
Medical spas and compliance: Understand the legal risks BY AYESHA MEHDI As the medical spa industry recovers from the COVID-19 pandemic, many operators are assessing their position and wondering how to move forward with business. For many med spas, this is a great opportunity to take a fresh look at the relationship with their physician leader, who is often designated as the “medical director.” If this relationship is not structured properly, both the med spa and medical director could be at risk of violating laws that regulate the practice of medicine. MEDICAL DIRECTOR AGREEMENT PITFALLS Some med spa entrepreneurs believe having a medical director is all that’s needed to ensure compliance. And for the physician, a medical directorship can be a potentially lucrative opportunity to venture into aesthetic medicine. Although a medical directorship can seem like a win-win proposition for both the med spa and physician, the arrangement presents legal risks. Medical establishments are not simple businesses that can be started by
anyone. Only licensed physicians can lawfully practice medicine, and only certain types of legal entities, such as professional corporations, can be formed to run a medical practice. If a med spa conducts activities that constitute the practice of medicine—for example, hiring non-physician personnel to perform medical services or representing in its marketing materials that it renders medical treatment—then the med spa could be accused of engaging in unlicensed medical practice. Simply contracting with a physician to monitor the med spa’s operations isn’t sufficient to defend against such an accusation. To the contrary, the medical director may be accused of facilitating the unlicensed practice of medicine by a med spa. In fact, the Nevada State Board of Medical Examiners has taken disciplinary action on this very basis against physicians serving as medical directors.
turn, contracts with another entity— the MSO—to provide comprehensive business management services to the medical practice. The MSO model can be more complex and require more involvement from the affiliated physician than the medical director model, but it allows for the division between the medical and non-medical business aspects of the med spa’s operations—minimizing the risk that the business arm of the med spa is unlawfully practicing medicine. Ultimately, a med spa’s legal and operational structure should be tailored to its specific circumstances. Key factors to consider include: the scope of services, the personnel who will provide the services and integration with non-medical spa services, such as cosmetology treatments. While the appointment of a medical director may be appropriate for some med spas, it is not a guarantee that a med spa is appropriately established in compliance with the laws governing the provision of medical services. Ayesha Mehdi, Esq. is a partner in the Las Vegas office of Spencer Fance LLP, where she represents heath care providers as a member of the firm’s health care group.
THE MSO MODEL To manage these risks, some med spas follow a management services organization (MSO) model. Under the MSO model, a legal entity authorized to operate a medical practice provides the medical services available at the med spa. This entity, in
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grade facials + Clinical Clinical or medical grade facials are performed by licensed professionals and are designed to be highly effective with minimal downtime. Some examples include chemical peels, microdermabrasion, dermaplaning, micro needling and more. These powerful facials are created to address a variety of skin conditions such as anti-aging, hyperpigmentation and acne.
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NONSURGICAL METHODS
Orthodontics offer confident smile with added health benefits BY GLEN ROBERSON, DMD When many of us think of orthodontic treatment, we think of teenagers and pre-teens with traditional metal braces. It’s a rite of passage for many as they enter adolescence. In the United States, there are an estimated 3.9 million children receiving orthodontic treatment, according to the American Association of Orthodontists. While the age at which most people get their braces ranges between 9 to 14 years old, an increasing number of adults have sought orthodontic treatment to achieve their ideal smile in recent years. Nearly one-in-three orthodontic patients is an adult. Many adult orthodontic patients are motivated by the aesthetics of straight teeth. A beautiful smile promotes confidence in social, romantic and professional settings. But there are also health benefits. Misaligned teeth can lead to other dental problems such as tooth decay and gum disease. Straight, orderly teeth expose more surface area for easier cleaning, ensuring that proper brushing and flossing cleans as it should. This leads to better breath and reduces the risk of cavities. Further, oral health is a vital part of overall health. The lack of good oral health can lead to various diseases such as endocarditis and cardiovascular disease, and pregnancy and birth complications, or pneumonia. Recent studies have indicated that maintaining good oral hygiene can limit the severity of COVID-19-related illnesses.
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Historically, the thought of having metal braces was a barrier to receiving treatment for many. Advances in treatment options are meeting the aesthetic demands of adults as well as image-conscious teens. Many of today’s treatment options are designed to minimize the appearance of orthodontic appliances to better fit any lifestyle. These include clear, plastic aligners to gradually shift teeth into the ideal position or clear traditional braces. Because individuals are different physiologically, they should undergo an orthodontic screening prior to treatment. This involves a trained orthodontist evaluating malocclusions (or misalignment) and determining if the patient is a candidate for treatment. Radiographic scans, such as cone beam computed tomography (CT) imaging, provide 3-D images, which offer a more accurate diagnosis and an optimal treatment plan based on individual orthodontic needs. When it comes to establishing a treatment plan, the process of orthodontic treatment is the same, re-
gardless of age. Teeth move in response to forces being placed on them over time. The primary difference in treating adults versus teens or children is that adults are no longer growing. Adult treatment may take slightly longer than treatment for younger individuals with a similar orthodontic problem because of adult bone maturity and density. Some medications and habits such as smoking, clenching or grinding teeth, or tongue thrust, can also affect the outcome of treatment. Orthodontic treatment at any age decreases the risk of future dental problems and reduces jaw pain, headaches and difficulty chewing by creating a better bite and creating space for the teeth to fit properly. With orthodontic treatment, a beautiful, healthy smile is possible for everyone. Glen Roberson, DMD, is the program director of the AEODO/MBA residency program and an associate professor of dental medicine at Roseman University of Health Sciences.
+ Exercise In addition to weight management, all forms of exercise enhance circulation and improve the body’s ability to deliver nutrients to its tissues. Resistance training and forms of cardiovascular exercise can positively affect hormones that support longevity and youthful appearance.
Cover Story
Daily self care can have positive cosmetic effects BY RUDY INABA Whether driven by health or vanity, how we present ourselves to the world matters. With various industries influencing our health and appearance, deciding what to incorporate into your daily routine can be paralyzing. Women and men often seek to slow the visual signs of aging — more than 60% of U.S. consumers use daily anti-aging products. While some products can be beneficial, there are many impactful, and oftentimes overlooked health-driven strategies that can directly and indirectly improve your appearance if practiced daily.
+ Nutrition Phytonutrient deficiencies (and chronic insufficiencies) can do more than affect your appearance — it can increase risks of heart disease, osteoporosis, diabetes, cancer and more. To build (or sustain) a vibrant appearance, fruits, vegetables, protein and foods high in healthy fats are important. Dark leafy greens, citrus and berries, sweet potatoes and some grains can deliver vitamins A and C, biotin, iron and antioxidants — all power players in reaching your image goals. Protein and other food sources rich in essential fatty acids, such as fish, whole eggs, nuts, seeds and avocado provide energy and transport oxygen, even supporting cell wall integrity. By regularly consuming protein, you not only supply nutrients that aid bodily processes, you provide an ingredient needed for your body to create collagen. Collagen is responsible for healthy joints and skin elasticity.
+ Water Outward appearance starts
+ Nutraceuticals An effort to include healthful
+ Sleep Insufficient sleep can lead to poor
with what you put into your body. Not only is water an essential part of most metabolic processes, it also provides direct benefits to skin and hair. Water flushes toxins, which will encourage a glowing, enhanced complexion. Proper hydration will also help strengthen hair and increase growth.
foods will pay dividends short and long term. However, there are times when nutraceuticals or over-thecounter supplements are beneficial. Vitamin D3 offers skin protection and rejuvenation, as does omega-3 fatty acids: EPA and DHA. Probiotics improve gastrointestinal health and can enhance your appearance by improving nutrient absorption.
recovery from stressors, exacerbate symptoms related to depression and anxiety, and may affect facial features, including eyes, mouth and skin, according to some studies. Encourage beneficial sleep with regular bedtime rituals — avoid electronic devices 30-60 minutes before sleep, keep your bedroom dark and cool, have a comfortable bed, etc.
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Rudy Inaba is the vice president of health performance for Cenegenics.
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ONLINE SCHEDULING NOW AVAILABLE
Dr. Ronald Hillock Osseointegration Expert VISIT
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What is Osseointegration? Osseointegration (also known as OI) is a process of anchoring an implant into bone and coupling through the skin to an external device. OI was first developed in dentistry as a way to anchor a prosthetic tooth to the bones of the jaws. OI has been used in extremity amputations for the last 30 years in Europe. I have been working with an expert team of surgeons and engineers toward the development of an OI system for US amputees for the last 10 years.
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The first years of my career were as a surgeon in the US Army. I participated in several combat deployments and treated many battle casualties. The battle amputee is near to my heart. They have given a limb for their service to our freedom and we owe them whatever can be done to improve their quality of life. I saw OI and its many advantages while stationed in Europe and have been working to bring this technology to the US since.
Are there problems with conventional suction socket systems for amputees? Amputees almost universally share the problem of skin irritation in the area where the socket is in contact. They develop calluses and blisters on the amputated residual limb due to friction from the socket against the skin routinely. If the amputee’s weight changes by as little as 5 pounds up the socket will be too tight, or 5 pounds lost the socket will be too loose and slip or fall off the limb.
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Who qualifies for treatment with an OI system? • Transfemoral level amputees (above the knee) • Transtibial level amputees (below the knee) • Transhumeral level amputees (above the elbow arm amputees) The patient must be an adult, over 18 years of age and otherwise healthy. The cause of amputation must be due to one of the following reasons: 1. Traumatic amputation 2. Tumor related amputation 3. Congenital malformation/birth defect
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Growth and evolution of the Las Vegas Medical District BY COUNCILMAN BRIAN KNUDSEN
T Brian Knudsen is a councilman with the city of Las Vegas, Ward 1.
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he vision for Southern Nevada’s center of medicine is continuing to evolve and grow. The Las Vegas Medical District, its partner members and the city of Las Vegas are making strides to bolster Southern Nevada’s medical community and the quality of the region’s health care. In fact, the Medical District is on track to become the first true center of academic medicine in Southern Nevada thanks to the UNLV School of Medicine and the District’s ongoing evolution. Still in its relative infancy despite origins that date back more than 20 years, the Las Vegas Medical District was established by the Las Vegas City Council in 1997 to physically bring together a variety of medical services and providers near and around University Medical Center, Valley Hospital and other ancillary medical providers in the area. The Medical District spans 684 acres with its core of 214 acres bounded by Charleston Boulevard on the south, Alta Drive on the north, Rancho Drive on the west and Martin Luther King Boulevard on the east. Today, the Kirk Kerkorian School of Medicine at UNLV, with its first graduating class in May 2021, is celebrating real progress. The Nevada Health & Bioscience Corp. recently broke ground on the school’s Medical Education Building, its first permanent structure, and an important foundational anchor to the District. The School of Medicine is central to our emerging Academic Health Center,
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something that exists in most major metropolitan areas but has long been missing in Las Vegas. It will also include the university’s health science schools, including nursing and dentistry; an affiliation with UMC that will serve as the primary teaching hospital; and an integrated network of regional health care delivery institutions throughout the District and the valley. Reflective of a comprehensive master plan for Las Vegas Medical District completed in 2015, several significant and exciting infrastructure projects are now planned to improve access and the ability to move easily and safely around the District for both
The Medical District is on track to become the first true center of academic medicine in Southern Nevada thanks to the UNLV School of Medicine and the District’s ongoing evolution.
pedestrians and automobiles. The plan recognizes the importance of connecting to the surrounding neighborhoods and the greater Southern Nevada community. The District’s development strategy includes improvements along Martin Luther King Boulevard that were a part of Project Neon with enhancements to sidewalks, streetscape amenities and facilities; expanding transit service to strengthen linkages to Downtown and surrounding areas; creating a mixed-use hub that
expands amenities such as open spaces and neighborhood retail for those who work at the District; developing a drought-tolerant greenway to create an appealing and walkable environment; and expanding the bike network to enhance the cycling experience and encourage public health. Roadway infrastructure improvements are planned to improve pedestrian safety, traffic capacity and utility reliability. Each
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By 2030 the District is expected to have an economic impact of $3.6 billion, generate more than 24,000 jobs and create state general fund revenues of more than $181 million, according to Tripp Umbach, a national economic consulting firm.
project will include new sidewalks, streetlights, traffic signals, pavement, landscaping, utility improvements and a variety of other roadway upgrades. The current Las Vegas Medical District Area Infrastructure Upgrade Program includes three areas and phases. Funding was secured from the Regional Transportation Commission of Southern Nevada for the Shadow Lane project. The remaining projects are part of the RTC’s adopted 10-Year Capital Improvement Plan. Phase one centers on Shadow Lane from Charleston Boulevard to Alta Drive and Pinto Lane, as well as Shadow Lane to Martin Luther King Boulevard. Phase one kicked off in first quarter 2021 and is expected to be complete by first quarter 2022. Phase two revolves around Pinto Lane from Rancho Drive to Shadow Lane and Charleston Boulevard, and Rancho Drive to Martin Luther King Boulevard. It begins fourth quarter 2021 and is expected to be complete fourth quarter 2022. Phase three centers on Rancho Drive from Mesquite Avenue to Sahara Avenue and Rancho Lane, and on
Renderings of the pedestrian upgrades planned in the Las Vegas Medical District at Charleston Boulevard and Rancho Drive. (Courtesy/City of Las Vegas)
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Rancho Drive to Tonopah Drive. It is planned to begin third quarter 2022 with completion scheduled for fourth quarter 2023. Representatives from each of the District facilities comprise the Las Vegas Medical District Advisory Council, a group that is actively participating in the District’s evolution, weighing in on such topics as land use, new medical businesses, expansions, safety and the development of initiatives to further District goals. A second group, the Planning Committee, is charged with management of the District’s long-range planning, including but not limited to infrastructure, parking, signage and zoning. The Medical District is considered one of the most important economic development projects in Southern Nevada. By 2030 the District is expected to have an economic impact of $3.6 billion, generate more than 24,000 jobs and create state general fund revenues of more than $181 million, according to Tripp Umbach, a national economic consulting firm. Additionally, I’m proud to have worked with UMC Infectious Disease Physician Dr. Luis Medina-Garcia to establish the Southern Nevada Infectious Disease Society within the Las Vegas Medical District to bring together local infectious disease experts to better prepare our community to fight infectious diseases in the future. This group is now meeting quarterly, and it’s exciting and gratifying to see such strong collaboration and information and best practices sharing amongst local health care industries for the benefit of Southern Nevada. There is a no more noble goal than to create a global center of medicine in Southern Nevada to improve the quality of health care in our community, enhance access to medical care and serve as a catalyst for economic development. The Las Vegas Medical District is positioned to do all of this and more.
A view of the Las Vegas Medical District. (Courtesy/City of Las Vegas)
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Heart program exceeds patient and hospital expectations BY JENNIFER MCDONNELL AND SARA SIBLEY
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Jennifer McDonnell, top, is the director of PR and communications at MountainView Hospital. Sara Sibley, above, is the director of physician strategic communications with HCA Healthcare–Far West Division.
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hen Frank A. of Arizona began feeling unwell, he visited a cardiologist in his hometown and was given a diagnosis of aortic stenosis. He also was told he’d have to wait for a needed procedure. Frank waited nearly a year for treatment, until he felt that he couldn’t wait any longer and he began searching for a second opinion and a medical center that could care for him more quickly. “I had an option to go to Phoenix, Flagstaff and Prescott but decided against it as it was just too far,” said Frank. “I have family in Las Vegas that helped me navigate my care and that’s ultimately how I found MountainView Hospital’s Las Vegas Heart Associates.” Frank was right to be concerned. Aortic valve stenosis is a serious medical condition that if left untreated can be fatal. The disease causes symptoms such as chest pain, shortness of breath, fatigue and dizziness. “With aortic stenosis, a patient’s heart works overtime to pump blood through a narrow opening that is caused by the disease,” said Dr. Jeffrey Levisman, chief of cardiac services and medical director of the transcatheter aortic valve replacement (TAVR)
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program at MountainView Hospital. “With the reduction of blood flow, it is imperative to address immediately as the restriction of blood flow is a major concern. If blood cannot properly flow out of the heart into the main artery of the body, the aorta, survival rates decrease considerably if left untreated.” Severe aortic stenosis is a narrowing of the aortic valve opening that does not allow normal blood flow. This is sometimes caused by the build-up of calcium on the aortic valve’s leaflets. Over time the leaflets become stiff, reducing their ability to fully open and close. When the leaflets don’t fully open, the heart must work harder to push blood through the aortic valve to the body. After calling and sharing his concerns, Frank was seen quickly at MountainView’s Las Vegas Heart Associates. Following an angiogram and other diagnostic testing, it was determined that Frank was a candidate for the minimally invasive TAVR surgery — and that Frank needed the procedure sooner rather than later. “Aortic stenosis is a serious disease and needs to be treated fast,” said Dr. Levisman. “At MountainView and Las Vegas Heart Associates, our team is able to see and treat patients quickly in a safe environment, while providing superior patient outcomes.” The TAVR procedure that Dr. Levisman recommended for Frank was an alternative to open heart surgery that allows for a new valve to be inserted within a diseased aortic valve. The procedure takes place in the Cath Lab while the heart is beating and takes approximately 15 to 20 minutes. Once the new replacement valve is expanded, it pushes the old valve out of the way and the replacement valve functions to regulate proper blood flow. MountainView’s TAVR program started in 2016 and has quickly become the premier TAVR program in the region. The TAVR team consists of cardiologists and cardiothoracic surgeons from MountainView’s Cardiovascular and Thoracic Surgery Associates.
The transcatheter aortic valve replacement (TAVR) procedure is an alternative to open heart surgery that allows for a new valve to be inserted within a diseased aortic valve.
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Dr. Jeffrey Levisman, right, during a procedure. (Courtesy) M AY 2 0 2 1
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Dr. Jeffrey Levisman, left, during a procedure. (Courtesy)
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Jeffrey Levisman, MD, FACC, FSCAI, is a board-certified interventional cardiologist and chief of cardiac services and medical director of the TAVR program at MountainView Hospital.
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According to the National Cardiovascular Data Registry, in 2019 MountainView’s TAVR program was above the 90th percentile in the “30-day all-cause risk standardized mortality odds ratio following TAVR” metrics. MountainView Hospital scored 0.8, while 0.87 was the norm within the 90th percentile rank. This means that MountainView’s TAVR outcomes in the areas of mortality, stroke and readmission for 30-days post procedure (a national benchmark) are considerably better than is to be expected for the patient population. “What this is really saying is that we are safely caring for this patient population and providing them excellent outcomes that, in turn, positively affect their quality of life,” said Dr. Levisman. “Quality indicators such as these, and others that will soon be publicly available, should be the benchmark that patients use to choose where they have their heart procedures.” Not only does MountainView Hospital rank well within this database, but the hospital has also been singled out by national patient quality organizations such as Healthgrades, U.S. News & World Report and The Leapfrog Group for its safe, patient care. MountainView has been rated an A hospital five consecutive reporting periods for its demonstrated safe,
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quality care and patient outcomes. “Las Vegas Heart Associates and MountainView Hospital took my health concerns and situation seriously and saw me right away,” said Frank. “It was a big relief for me, I had a real concern about it and didn’t want to wait.” After Frank consulted with Dr. Levisman and Dr. Deepak Malhotra, cardiac surgeon with MountainView Cardiovascular & Thoracic Surgery, he moved forward with the TAVR procedure shortly after his initial appointment. “I was amazed by how well the procedure went, how quickly everything was done and my recovery,” said Frank, who only had to stay in the hospital overnight. As more quality data continues to be published about the hospital’s TAVR program, Dr. Levisman expects many more patients locally and from out-of-state to seek care at MountainView Hospital and Las Vegas Heart Associates. “Not only can we care for patients in a safe, timely manner, our clinical outcomes are consistently in the top 10% of medical centers nationally,” said Dr. Levisman. For more information about the heart programs available at MountainView Hospital, please visit MountainView-Hospital.com. For more information about Dr. Levisman, visit LasVegasHeartAssociates.com or call 702-962-2200.
Less pain. More gain. Joint care and support. You shouldn’t have to live with joint pain. Our joint care specialists have many ways to help you find relief. And if you need a joint replacement, they’ll go the extra mile to help you get back to doing what you love as quickly as possible. We even offer pre-surgery prep classes and post-surgery team rehabilitation. Learn more at strosehospitals.org/ortho.
Improving maternal health with prenatal programs BY KELLY SIMONSON
F Kelly Simonson is the president of Health Plan of Nevada’s Medicaid Plan.
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or some moms, getting ready for a new baby might mean cribs and car seats, baby showers and painting a nursery. Beyond that, it might mean having a lot of family and community support or regular access to a doctor to make sure both mom and baby are healthy. But for some moms-to-be, there are barriers that can make that difficult. The concern and fear for expecting mothers can start to build from the moment the test turns positive, but one thing they shouldn’t have to fear is the stability of their own health during pregnancy or childbirth. Unfortunately, that’s a real possibility for far too many women, particularly those who are African American. Maternal health in the United States is a growing concern, with the highest maternal death rate among developed countries, and for Black women, the risk is even higher. Maternal mortality has increased by 27% in the United States since 1990, while falling by 44% in other developed countries during the same time period. About 700 women die each year from pregnancy-related complications, according to the Centers for Disease Control and Prevention. For Black women, death in pregnancy and childbirth is three to four times more likely. According to America’s Health Rankings’ 2018 Health of Women and Children Report, the mortality rate for expectant African American mothers is 47.2 deaths
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for 100,000 live births compared to 18.1 for white mothers—one of the widest disparities in women’s health. Some factors behind these statistics include rising rates of chronic diseases such as obesity, hypertension and cardiovascular disease among minority groups. However, systemic issues abound. According to healthypeople.gov, social determinants such as access to health care and early intervention programs, as well as educational, employment and economic opportunities influence outcomes. Additionally, inequities in the level of medical care for expectant Black mothers play a major part. At Health Plan of Nevada, we understand the challenges of being an expectant mother, recognizing that every pregnancy is a one-of-a-kind experience. To further assist soon-to-be-moms and help prevent pregnancy-related complications, we’ve developed comprehensive care programs that offer resources and support to women, to aid in a healthy pregnancy and a healthy baby.
Pregnancy Case Management Babies of mothers who do not get prenatal care are three times more likely to have a low birth weight and five times more likely to die than those born to mothers who do get care, according to womenshealth.gov. Health Plan of Nevada’s pregnancy case management wants to ensure the health of the mother and the baby from gestation, and has built a pregnancy case management program that incorporates a team of nurses and assistants to help pregnant women go through healthy pregnancies every step of the way. The trained case management nurses will: n Collaborate with local obstetricians to identify and screen pregnant women for low-risk and high-risk pregnancy-related needs n Help select doctors and assist in making prenatal appointments n Work with doctors and specialists to coordinate any additional medical services n Assist in securing transportation to medical services n Help secure community assistance from agencies like WIC (Women, Infants and Children) Continued on page 42
About 700 women die each year from pregnancy-related complications, according to the Centers for Disease Control and Prevention. For Black women, death in pregnancy and childbirth is three to four times more likely.
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Tummy2Toddler Mobile App There is a lot to keep track of when pregnant or parenting a little one. The free, Tummy2Toddler pregnancy and new baby support app offers on-the-go resources through pregnancy milestones and up to two years of life. Through the app, mothers can: n Manage pregnancy through each milestone and trimester n Complete a risk assessment to identify high-risk pregnancy n Get parenting guidance through their baby’s first two years and monitor early childhood development n Track progress using a fetal kick count tracker, with the results emailed directly to their obstetrical doctor n Receive immediate answers to questions about any symptoms they are experiencing n Complete a postpartum depression screening – any positive results are immediately sent to a behavioral health case manager to contact the mom and review resources and support
Telehealth Access Telehealth is helping make access to health care more convenient. Expectant mothers have access to 24/7 virtual visits without an appointment. Women also have access to a 24/7 advice nurse line allowing them to ask questions about any concerning symptoms, receive self-care advice and assistance in deciding whether to seek urgent care, emergency services or schedule an appointment with their provider.
Babies of mothers who do not get prenatal care are three times more likely to have a low birth weight and five times more likely to die than those born to mothers who do get care, according to womenshealth.gov.
Every 15 minutes, a baby is born who experiences withdrawal from opioids, according to the National Institute on Drug Abuse. This condition is also known as Neonatal Abstinence
Syndrome. We’ve developed a Neonatal Abstinence Syndrome Prevention Program with our OB-GYN partners to help encourage and promote a universal drug screening for every expecting mother. The program uses an evidence-based
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Behavioral Health
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verbal screening tool to screen for substance use, mental health and domestic violence. Our hope is that through this program, we can eliminate the stigma around substance abuse and support families through encouragement, education and engagement.
5 THINGS TO KNOW BEFORE YOUR NEXT OB-GYN VISIT BY CINDY DUKE, MD, PH.D., FACOG Keeping up with gynecologist visits is something every woman has to do. Considering the underlying concerns around it, some women are understandably apprehensive to book an appointment. To ease your anxiety, here are the most common things that women often overthink when planning their gynecologist visit and my honest take on it.
1
Your Doctor is Not Judging Your Sex Adventures: Depending on your age and history, your OB-GYN will ask about your sex life — specifically, your number of sexual partners, the gender of partners and types of sexual relations that you may have engaged in to better streamline the care that you need.
2 Cindy M. Duke, MD, Ph.D., FACOG, is the founder and medical director of Nevada Fertility Institute.
Don’t Be Shy About Your Body: I see many patients worry about being judged over their choice for grooming but let me be clear, gynecologists do not judge! How you choose to groom, or not, is up to you, so long as your grooming doesn’t lead to increased risks for infections or other irritations in the area.
3
Don’t Skip Appointments Because of Your Period: Let me tell it straight: Menstruation does not limit our ability to do most of your examination. If you miscalculated your period and it started on the day of your scheduled annual examination, we usually do not need to have you reschedule.
To help Nevada families, there are also numerous community resources available for expectant moms, and Health Plan of Nevada wants to ensure all moms, no matter what demographic have the access to care and resources they need for a healthy and sustainable pregnancy. Early engagement with pregnant mothers, enhanced support for care providers, an enriched health care experience and access to community partners are keys to healthy pregnancies for all women.
4
If You’re Feeling Something On Your Body, Speak Up: Communication with your OB-GYN is the key during every visit. We understand that talking about your sex life or other irritations in such an intimate area of your body can be awkward, but you must bring up any issues that are causing you discomfort, rather than enduring it.
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Menopause Should Not Disrupt Your Sex Life: During menopause, many women feel a declining desire for sex but still crave intimacy and trust. While it is true that menopause symptoms can get in the way of sexual relations, it should not stop you from getting physical. Going to your gynecologist appointment is a way to stay on top of your sexual and reproductive health. Once you get into the appointment, set aside all your inhibitions, and lay bare your deepest concerns. We are here to help you feel better and this enables you to enjoy your personhood and womanhood to the fullest.
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The future of medical education and health care in Las Vegas BY JASON ROTH
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edro “Joe” Greer Jr., MD, is passionate about transforming medical education and he chose to join Roseman University as the institution to create change. A nationally and internationally recognized leader in medical education, a Presidential Medal of Freedom recipient and MacArthur Genius Grant Fellow, and author, Dr. Greer brings to Roseman a wealth of knowledge and ideas to transform health care in Las Vegas. How important is it to change the way we educate future physicians?
Dr. Pedro “Joe” Greer Jr., top, is the dean of the Roseman University College of Medicine. Jason Roth, above, is the vice president of communications at Roseman University of Health Sciences.
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Why Roseman?
Roseman University was built with a singular mission—to raise the bar on educating health professionals, challenge the way things have been done and to educate students differently so they are exceptionally competent. Roseman has a history of success in building innovative health programs in nursing, pharmacy and dental. Students complete their programs at exceptional rates, pass their boards at levels above national averages, and go on to get jobs and contribute to their communities. The next chapter of Roseman is to build a 21st century medical school in Las Vegas with a curriculum and approach that is different — one that trains doctors to care for the entire person, family and household. My team, as part of this community, sees this as an extraordinary opportunity to create in Las Vegas a new model for medical education and patient care.
To maintain the status quo, Nevada will require an additional 1,100 primary care physicians by 2030.
In order to better address the health care, economic and societal challenges we face in Nevada and across the country, we need to change the way we teach our medical students. To understand the patient, students must be taught to understand the household and the greater context from which that patient comes in order to provide the most optimal care, and to align services and solutions to help the patient achieve positive health outcomes. Guided by faculty and community-dependent collaboration, Roseman University College of Medicine will immerse our students into our communities and expose them to a variety of different practice settings early in their medical education. Our goal is to prepare our graduates academically, socially and emotionally, as they will have journeyed alongside their patients
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in the communities and households where they live, learned from them, and through our curriculum, have the opportunity to make relevant, sustainable impacts.
How will this College of Medicine be different?
The College of Medicine will build on Roseman’s success with an empathic, patient-centered approach to improving the lives of high-risk patients. We know that it is a person’s ZIP code, not their genetic code, that determines their health outcomes. Specifically, 70% of health outcomes are attributable to non-biological factors. We must look at the entire person, their family and household, in order to mitigate their health risks and their threats to prosperity. These are the social determinants of health, and we can best serve patients and their families through household-centered care, where we assess household stressors that contribute to health like food, job security, transportation and access to support services. We are creating solutions to improve the health of the household through a myriad of approaches, including the GENESIS program which will be an important component in building the College of Medicine. GENESIS is rooted in household-centered care and will ini-
tially focus on a medically underserved population of families in the highest-risk, underserved areas of Las Vegas. Why Nevada? Why now?
While many endeavors have helped increase the number of practicing physicians and improve access to health care in Nevada, the persistent shortage of physicians in both primary care and specialties remains. Nevada’s growing and aging population requires more doctors, specifically to serve culturally diverse populations. To maintain the status quo, Nevada will require an additional 1,100 primary care physicians by 2030. Like the entire intermountain west, Nevada is growing at a rate that far exceeds its current medical training and education capabilities. By 2035, the population of Nevada is expected to grow to 3.5 million, further stressing health care resources in the state. Growing undergraduate and graduate medical education in Nevada is crucial, not only to maintain a healthy population, but to build and maintain a vibrant state economy. How will Roseman University College of Medicine approach student recruitment?
Our students will be thinkers and change makers, and highly driven to support their communities. Our goal is to collaborate with community organizations to recruit our students from this region, as they are more likely to have deep ties to our local communities and are more likely to later practice here. Using a holistic admissions approach, we will look for qualities in addition to academic performance that will allow them to be excellent physicians such as humility, empathy, critical thinking, communication and collaboration. We will be looking for students who reflect the diversity, experiences and dimensions of Nevada’s communities. We will do this by considering their lived experiences and the factors impacting their journey. With our support and within the nurturing yet rigorous reaches of our educational model, our students will be like Roseman’s other graduates—highly competent, competitive in their field and ready and capable of creating a positive impact in the communities they will serve.
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HCQ Notes Valley Oaks Medical Group purchased three existing medical clinics in Summerlin and Henderson, with plans for continued expansion over the next few years. Led by Founder and CEO
Guru Charan and his business partner, Dr. Rajesh Sonani, physicians and staff provide services in pain management, arthritis and primary care. VOMG currently accepts most major insurances, including Medicare and Medicaid, and all locations are accepting new patients.
Conway-Kleven
Buitrago
Cure 4 The Kids Foundation (C4K) opened the Robert and Dorothy Keyser Foundation and Cashman Family Foundation Preventative Health Center. Nevada’s first pediatric physical medicine center, the facility will serve in patients’ rehabilitation following surgeries and procedures. The foundation also hired Brooke
Conway-Kleven to manage its physical medicine department and Jennifer Buitrago as its chief nursing officer. Buitrago had previously served as interim CNO since 2018 and is one of the original members of the C4K clinic staff and a founding board member. Desert Radiology received a renewal as a Diagnostic Imaging Center of Excellence from the American College of Radiology, a designation that represents the pinnacle of medical imaging services. Desert Radiology was the first outpatient imaging practice ever in Nevada to receive this recognition in 2015. PureCare Living, a health care man46
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Free behavioral health program for teens The behavior health unit at Southern Hills Hospital and Medical Center launched a free program to support teens in our community. Every Thursday, “Teen Talk” group sessions will be facilitated by a licensed clinician on topics including depression, anxiety, challenges with school, struggles with peer relationships and changes in home dynamics. The group is intended for ages 13-17. Registration is required by calling 702-290-7725. In addition, Southern Hills will open its second freestanding 24-hour emergency room this summer. Located at 10770 Las Vegas Blvd. South, the 10,000-square-foot, 12-patient-exam-room ER will be staffed by physicians and nurses specializing in emergency medicine, adult and pediatric care and onsite imaging and laboratory services.
agement company, announced its newest skilled nursing facility Silver State Pediatric has submitted its licensing application and is pending its Life Safety review — the final phase of licensing before admitting its first patients. The $14.1 million state-of-theart facility will specialize in pulmonary and post-acute care for children with traumatic injuries as well as cognitive disabilities. Seven Hills Hospital launched a new evening chemical dependency M AY 2 0 2 1
intensive outpatient program. The evening outpatient program helps individuals struggling with alcohol or substance use build a strong foundation for lasting recovery. The program runs Monday through Thursday from 6 pm to 9 pm. Learn more by visiting sevenhillsbi.com. Cleveland Clinic Lou Ruvo Center for Brain Health physicians Carrie Hersh, DO, MSc, FAAN; Le Hua, MD, FAAN; and Zoltan Mari, MD, FAAN, received designation as Fellows of the Ameri-
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can Academy of Neurology. This status acknowledges exemplary work and achievements in the neurosciences, the clinical practice of neurology or academic/administrative neurology, in the AAN and in the community. This past year, Drs. Hersh, Hua and Mari were among only 115 neurologists worldwide to earn the coveted FAAN, demonstrating recognized patient-centered care in Las Vegas. Southwest Medical, part of OptumCare added nine new health care providers to help meet the growing need for health services in the Las Vegas community including Kelly Roberts, PA, endocrinology; Lauren Belove, PA, neurology; and Spencer Fleek, PA, Justin Madriaga, PA, Jean Montenegro, APRN, Jacob Parks, PA, Laveena Sullhan, PA, Vickie McPherson, APRN, and Brittany Williams, APRN, all specializing in adult medicine. Intermountain Healthcare named Paul Krakovitz, MD, the interim Nevada region president. This is a new position for Intermountain Nevada since Healthcare Partners Nevada joined Intermountain Healthcare in 2019.
Straight To Your Inbox Sign-up Now at LVSun.com/Optin
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HCQ Notes continued
Inspired by Governor Sisolak’s remarks on the somber milestone, on March 5 health care providers and staff from Southwest Medical, part of OptumCare, gathered at their Tenaya corporate offices for a candle lighting and moment of silence to acknowledge and honor the over 5,000 people in Nevada who have died due to coronavirus since the start of the pandemic.
The National Institute of Aging, part of the National Institutes of Health, and the Alzheimer’s Drug Discovery Foundation awarded fiveyear grants of $3.2 million and $1.4 million, respectively, to scientists from Cleveland Clinic Lou Ruvo Center for Brain Health to study the therapeutic potential of the anti-cancer drug lenalidomide in early-stage Alzheimer’s disease. The funding will support the project “Repurposing Lenalidomide for Early Alzheimer’s Treatment” led by Marwan Sabbagh, MD, and Boris Decourt, Ph.D. Valley Health System and Vera Whole Health partnered to open two primary care centers at 100 Green Valley Pkwy. in Henderson and 331 N. Buffalo Pkwy. in Las Vegas. The Valley Health Care Centers powered by Vera Whole Health bring the outcomes-driven Vera advanced primary care model to Valley’s clinically integrated delivery network, boosting access, improving member experience and delivering better health outcomes.
As Nevada’s only Verified Burn Center, UMC urges precautions to prevent pavement burns. Often caused by walking barefoot on hot surfaces, pavement burns can happen in a matter of seconds. With pavement temperatures reaching dangerous levels during the summer months, UMC’s Burn Care team urges families to take precautions. “The hot pavement is particularly dangerous for toddlers and young children,” said Dr. Syed Saquib, medical director of the UMC Lions Burn Care Center. “Parents should watch children closely and ensure they wear shoes with thick soles to help prevent dangerous pavement burns that can require hospitalization.”
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NEUROLOGY Treating Parkinson’s and other Movement Disorders
ERIC S. FARBMAN, MD | Associate Professor of Neurology Chief of the Movement Disorders Section | Roseman University College of Medicine A member of the neurology team at Roseman Medical Group, the clinical practice of Roseman University College of Medicine, Dr. Eric Farbman is a board-certified neurologist and is fellowship trained in the diagnosis and treatment of Movement Disorders, including: • PARKINSON’S • HUNTINGTON’S • DYSTONIA • ATAXIAS • TREMORS INCLUDING ESSENTIAL TREMOR
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5380 S. Rainbow Blvd. Suite 120, Las Vegas, NV 89118 rosemanmedicalgroup.com | 702-463-4040 | @rosemanmedicalgroup
HCQ Notes continued Dr. Jeffrey L. Cummings, UNLV research professor and a leading expert on Alzheimer’s disease clinical trials, garnered a first-of-its-kind leadership award from the National Institute on Aging to support and expand the world’s only research observatory devoted exclusively to Alzheimer’s disease clinical trials and drug development. The competitive $3 million award will enable Cummings and a multidisciplinary team of UNLV students and researchers to broaden efforts dedicated to studying Alzheimer’s drug mechanisms, trial designs and outcomes to find ways to get new treatments to patients faster. The UNLV School of Medicine was officially renamed the UNLV Kirk Kerkorian School of Medicine. The name change, which honors the late Las Vegas business leader and philanthropist, was formally approved April 16 by the Nevada System of Higher Education Board of Regents. The school’s five-story, 135,000 square medical education building, which is currently under construction in the Las Vegas Medical District, will also become the Kirk Kerkorian Medical Education Building.
Captain Adella Ramos, a U.S. Air Force airfield operations officer, participated in the Department of Defense “Skill Bridge” program created to assist military personnel in transitioning to civilian life, working as a medical assistant at Southwest Medical’s Rancho Urgent Care. As Ramos retires from military service, she presented the clinic with a flag to show her appreciation—the same flag that was flown in Capt. Ramos’ name above Camp Flores, headquarters of the 1st Expeditionary Rescue Group and the 443rd Air Expeditionary Squadron, Al Asad Air Base, Al Anbar Province, Iraq.
A L L YO U R H E A LT H C A R E N E E D S , A L L I N O N E P L AC E .
Born out of a concern for patient health and safety.
5300 W. Spring Mountain Rd Ste 112 • Las Vegas, Nevada 89146 P: 702.362.6373 • F: 702.362.6420
WWW.VEGASMDC.COM
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