2023-08-24 - Health Care Quarterly (Vol. 41) - Summer 2023

DON’T LET SICK GET IN THE WAY

When you’re sick, you miss out on good times, good friends, all the good stuff. Now, anytime you have an ouch or feel an ick coming on, you can head straight to UMC Express Care at Reid International Airport. Colds, flu, allergies, aches, and pains—we’ll get sick out of your way. We provide general X-ray and laboratory services including international travel-approved rapid PCR COVID-19 testing.

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Get in. Get out. Get better.

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Dr. Lorico leads an international research team who discovered a new pathway within our cells that contains a complex of three proteins required for the entry of viruses into the nucleus of a cell.

This ground-breaking research is leading to the development of a new class of drugs that may have therapeutic activity in AIDS, other viral diseases, and possibly metastatic cancer. Read about this discovery at HIVinvasion.org.

Dr. Aurelio Lorico

2023 Health Care

Headliner in Research & Science

Professor of Pathology, Interim Director of Research & Chief Research Officer, Touro University Nevada College of Osteopathic Medicine

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From the editor W

elcome to the 17th annual Health Care Headliners issue of Vegas Inc’s Health Care Quarterly! Every year, it’s our privilege to highlight some of the health care professionals whose tireless dedication is safeguarding the health of Southern Nevadans. To find these individuals, we seek nominations from the public so people in the community can tell the stories of the providers, scientists, administrators, and others who they believe make a difference in their individual fields and push for progress in the medical field.

I hope that as you read the profiles of this year’s Health Care Headliners, you will have an increased appreciation for how broad the scope of health care really is and how minute the details are of each aspect of medicine. You also won’t want to miss the breadth of information shared by experts in this publication.

Dr. Sunita Kalra at Intermountain Health provides important information about vaccines and their importance to maintaining a healthy community, especially with children returning to school. She also discusses vaccine safety, side effects and resources for further education on immunizations, as well as recommendations for adults and children.

UMC has a free education program, the Healthy Living Institute, designed to provide the public with resources to promote health and wellness through all stages of life. What started out as a resource for new mothers and babies has grown to include courses in CPR and first aid as well as a senior community program. Thousands of individuals have benefited from the free health and wellness education provided.

Dr. Yevgeniy Khavkin, the 2023 recipient of the Health Care Headliners Innovation Award, answers questions about spinal health and common

spinal issues. He includes tips on improving and preserving spinal health.

The circumstances we live in often determine our quality of health as well. Multipure, an advocate for purified water, discusses some of the common contaminants found in tap water and the dangers they pose, especially for immunocompromised individuals.

Some of these circumstances are chosen, like our professions and recreational hobbies. Dr. Alfred Danielian, another Health Care Headliner featured in this issue, works in sports cardiology. Athletes face specific risks and Danielian is working to mitigate them through highly specialized care. As an expert in his field, he can advocate for the best safety measures and precautions to protect local athletes.

Other circumstances we’re born with. The Cleveland Clinic has opened a genetic testing clinic that offers a well-rounded approach to predictive genetic testing for serious disorders. It doesn’t just walk its patients through the pros and cons of genetic testing, it takes care of the physical and mental health of individuals considering genetic testing by providing psychological evaluations and counseling, preparing patients for positive or negative genetic test results.

I hope you enjoy reading these and other stories, but even more importantly, I hope you learn something about how best to take care of your health and the health of your loved ones.

Sierra Smart Special Publications Editor sierra.smart@gmgvegas.com

FDA CHANGES COULD MAKE BIRTH CONTROL MORE ACCESSIBLE

The United States Food and Drug Administration approved the first over-the-counter hormonal birth control on July 13. Previously, individuals needed to receive a prescription from a health care provider to purchase daily oral contraceptives. This new availability may make birth control more accessible, possibly reducing the number of unintended pregnancies and related issues.

AI IMPROVES RISK PREDICTION

A recent study found that artificial intelligence can use data from low-dose CT scans of the lungs to improve risk prediction for death from lung cancer, cardiovascular disease and other causes. This study, published in Radiology by the Radiological Society of North America, used the CT scans of more than 20,000 individuals drawn from the National Lung Screening Trial.

COMPREHENSIVE CANCER CENTERS OFFERS FREE SUN SAFETY SUPPLIES AND TIPS

According to the American Cancer Society, about 800 Nevadans will be diagnosed with melanoma of the skin in 2023, and one in five Americans will develop skin cancer by age 70. Comprehensive Cancer Centers teamed up with the City of Las Vegas and the City of North Las Vegas to offer free SPF 30 sunscreen and proactive tips for sun safety at more than 100 kiosks across the Valley. Sunscreen kiosks are open at community centers, summer camp sites, recreation centers and pools. Sunscreen packets will be available for those participating in the North Las Vegas’s youth swimming program. Comprehensive has provided tens of thousands of sunscreen packets/bottles to date.

Comprehensive Care for Lung Disease and Sleep Disorders

Lung Center of Nevada, a division of Comprehensive Cancer Centers

With a renowned team of pulmonologists, including 2023 Health Care Quarterly Top Doctors, Dr. Nisarg Changawala, Dr. George S. Tu, and Dr. John J. Wojcik — Lung Center of Nevada provides highly specialized care for lung disease and sleep disorders, while also aiding in Comprehensive Cancer Center’s multidisciplinary approach to patient care.

Groundbreaking procedures at Lung Center of Nevada include Robotic Assisted Bronchoscopy and Endobronchial Ultrasound (EBUS). This combined procedure uses a state-of-the-art robotic platform and 3-D models of the patient’s own lung anatomy, making it possible for physicians to diagnose lung nodules (spots on the lungs) earlier and more accurately.

Lung Center of Nevada takes a comprehensive approach to lung disease such as COPD (Chronic Obstructive Pulmonary Disease) , where patients are evaluated and offered medical treatments, pulmonary rehabilitation, as well as possible use of Bronchoscopic Lung Volume Reduction (BLVR) procedural treatment. This is just an example of the multidisciplinary approach to pulmonary diseases and sleep disorders with the goal to better improve quality of life for patients.

For a full list of the advanced treatments and services offered at Lung Center of Nevada, visit our website at cccnevada.com.

NISARG CHANGAWALA, MD, MPH Pulmonology

JOHN (JACK) COLLIER, MD, FCCP, DABSM Pulmonology

KARISHMA BHATIA MEHTA, MD Pulmonology VISHISHT MEHTA, MD Interventional Pulmonology

RALPH M. NIETRZEBA, MD, FCCP, FACP Pulmonology

GEORGE S. TU, MD, FCCP, DABSM Pulmonology

JOHN J. WOJCIK, MD, FCCP, DABSM Pulmonology

Neurologist

Clinic offers predictive genetic testing for movement disorders

BY LUCILLE CARRIERE, P h D, AND ODINACHI OGUH, MD

The advancements of genetic testing—at home and in the lab—have made it easy for consumers to determine if their health will follow in the footsteps of their ancestors. Yet the gravity of learning such news is often overlooked.

With commercial genetic tests now available for life-altering medical diagnoses, such as breast cancer, Huntington’s disease, and Alzheimer’s, the emotional and psychological implications of learning one’s genetic status in the absence of proper counseling and preparation can be devastating.

When done right, there are many benefits to undergoing predictive genetic testing. This is why physicians at Cleveland Clinic Lou Ruvo Center for Brain Health opened Nevada’s first multidisciplinary predictive genetic testing clinic for those with a family history of inherited movement disorders, including Huntington’s disease.

While HD is rare, affecting about 30,000 people in the United States, including an estimated 300 Nevadans, it is a devastating genetic disease passed down from one generation to the next. If one parent has the disease, the child has a 50% chance of inheriting the mutated gene; gene carriers have a 100% chance of developing the disease. With a 99.9% accuracy rate, HD predictive genetic testing can be done via a saliva or blood test and confirm a diagnosis years before symptoms emerge.

However, as the disease affects a person physically and mentally, with notable symptoms including uncontrollable movements, emotional changes and problems with memory, the decision to test is not a simple one.

Our comprehensive clinic is designed to ensure that patients and their families have the information and resources needed to learn their

status so they can maximize their quality of life. Under one roof, we integrate multiple disciplines over several pre- and post-testing appointments to offer patients an individualized diagnostic and subsequent care plan:

n Neurology: A neurologist evaluates the presence of any HD symptoms, family history of HD and begins the conversation of why a person may want to pursue testing.

n Clinical Psychology: A clinical psychologist assesses emotional health, social support and emotional readiness for test results (positive or negative). If an evaluation supports a patient’s preference to move forward with testing, the patient will then meet with a genetic counselor.

n Genetic Counseling: A licensed genetic counselor will explain the benefits, limitations, and alternatives to genetic testing. This counseling is essential to set expectations during the testing process, as receiving a diagnosis without proper support can lead to severe emotional distress, increased risk of suicidality, mood disturbances, and missed opportunities to apply for important resources to help with long-term care.

With this information, a person can decide if predictive genetic testing is right for them. If the decision is made to move forward with testing, the genetic counselor and clinical psychologist will deliver the results together. Regardless of the outcome, a follow-up appointment with a neurologist will occur to ensure continuity of care.

There is no cure for Huntington’s disease, but we know a multidisciplinary approach to treatment can offer personalized symptom management and improve quality of life for those living with the disease and their families.

The multidisciplinary HD predictive genetic testing clinic does require a referral.

For more information about the clinic or HD care please visit ClevelandClinic.org/Nevada.

Lucille Carriere, PhD, is Behavioral Health Director and the Angie Ruvo Endowed Caregiving Chair at Cleveland Clinic Lou Ruvo Center for Brain Health, and Odinachi Oguh, MD, is a Movement Disorders

happen to anyone, regardless of their age

BY RAYMOND THEODOSIS, MD

Everybody, regardless of age, can develop cataracts. A cataract is the clouding of the natural lens of the eye, due to proteins breaking down and causing blurry vision. Contrary to what many people think, it is not a new growth in the eye; it is a normal part of the eye that, with time, can eventually become cloudy and affect multiple facets of our daily lives.

All of us are born with a natural lens inside the eye that helps us see and focus. As we age, a cataract can develop to the point where it impairs our vision. When this happens, driving at night and seeing road signs can become problematic. In some instances, even daytime vision can become blurry, which people often notice when watching TV or reading a book, even when they have their glasses on.

Age remains the top risk factor for cataracts, but that doesn’t mean it can only affect the elderly. In fact, cataracts can develop at any age, starting at birth. Over the past decade, I have seen a number of people that have developed significant cataracts by the age of 40. This is especially true among those with underlying health conditions such as diabetes, hypertension, and certain auto-immune disorders. It can also develop due to trauma to the eye, excessive exposure to the sun, smoking, or excessive alcohol intake.

When a person is diagnosed with a cataract that is causing a visual disability, the only

available treatment is surgery. Cataract surgery is one of the most common and safe surgeries in the U.S., with over 3 million surgeries performed each year. Although there is no rush to have surgery, the benefits of cataract surgery can go beyond simply improving vision. Studies have shown that cataract surgery can decrease the risk of hip fractures, car accidents, and even depression.

One thing our patients are most happy about after cataract surgery is the fact that many times, they no longer need to wear eyeglasses! Some describe it as having the ability to turn back time.

Modern cataract surgeries have become a refractive procedure. With the introduction of the Light Adjustable Lens, which enables the patient and doctor to customize vision after cataract surgery using special implanted lenses, we have significantly increased the precision of refractive outcomes.

The cataract surgery only takes about 10 to 15 minutes, with little to no pain. Although the patient’s vision may still look blurry right after the surgery, this is normal and is expected to gradually improve over the next few days or weeks.

The good news is that cataracts do not come back after surgery, bettering the life quality of the patient forever. As Cataract Surgeons, we are constantly looking for innovative ways to improve both the safety and refractive outcomes of surgery. As cataract surgery continues to evolve, I believe that we will be able to change people’s lives in new and exciting ways.

Raymond Theodosis, MD, is an ophthalmologist at Shepherd Eye Center

Cataracts can

Cataracts can develop at any age, starting at birth. This is especially true among those with underlying health conditions, such as diabetes, hypertension, and certain autoimmune disorders.

Why good oral health in adolescence makes you a healthier adult

BY DR. ROSA ROLDAN

Establishing good oral hygiene habits in adolescence will protect not just your teeth but your overall health into adulthood.

Tooth decay, the major cause of dental trouble that can eventually lead to tooth loss, is actually an infectious disease caused by bacteria. If it takes hold, it can form a cavity in the enamel and then progress deeper into the tooth causing discomfort, difficulty eating and speaking, and a need for fillings or root canal treatment.

Untreated cavities can also cause pain and infections that, when present in children, inhibit playing and learning. In fact, children who have poor oral health often miss more school and receive lower grades than children who don’t. On average, 34 million school hours are lost each year because of unplanned (emergency) dental care, and more than $45 billion in U.S. productivity is lost each year because of untreated dental disease. As these conditions are allowed to progress and worsen, individuals face an increased risk for heart disease, diabetes, stroke, and more as adults.

To address this early, medical-dental integration between oral health and chronic disease prevention programs benefit patients and help them save money. Initiatives such as dental sealants in adolescence are examples of these programs.

Sealants protect the chewing surfaces and can prevent 80% of cavities for two years in the back teeth, where 9 in 10 cavities occur. However, this effective intervention remains underused, with less than half of children and adolescents having dental sealants. Children ages 6-11 without sealants have almost three times as many cavities in the first molars as children

with sealants. Adults aged 20-34 have more untreated cavities in their back teeth than any other age group. As a result, young adults may benefit from dental sealants.

Early prevention through school sealant programs, such as those offered by LIBERTY Dental Plan, are an effective way to provide millions of children with an extra tool to prevent cavities. Additionally, school sealant programs for children from low-income families could save up to $300 million in dental treatment costs nationwide.

Another effective tool to ensure overall health is to start seeing a dental provider at a young age. This creates the opportunity to maintain good oral health, prevent disease or treat it early, save money, and promote health into adulthood. Building collaborative relationships between physicians and dentists at the community level is essential for increasing access to dental care for all children and improving their oral and overall health.

Establishing good oral health early in life is also critical. Brush your baby’s first teeth gently with a small, soft-bristled toothbrush and a small smear of fluoride toothpaste, at least once a day at bedtime. Teach your child to brush with a children’s toothbrush and no more than a peasized amount of fluoride toothpaste. Continue providing assistance and support until they are about age six when they have the fine motor skills to do an effective job themselves.

In practicing good oral health at a young age, we can not only decrease oral issues later but also minimize the risk of other illnesses associated with poor oral health. Diseases such as diabetes, heart disease, stroke, and cancer all have roots in poor oral health. Proper brushing, good diet and behavioral choices, and regular visits to dental providers will help ensure your smile and your health for years to come.

Dr. Rosa Roldan is the senior vice president and chief dental officer for LIBERTY Dental Plan

Embracing the flexibility of remote work in health care

BY MATTHEW GRIMES

In recent years, the trend of remote work has gained significant momentum across industries, completely revolutionizing the idea that work isn’t always where someone goes but what someone does. While remote work has become common in many sectors, it remains relatively rare in the health care field. In line with our mission to transform radiology through medical imaging excellence, we’re constantly looking for ways to improve our patient and physician experiences at Desert Radiology.

In our pursuit to innovate the quality of health care within our community, we also must look for ways to innovate our operations.

Our latest effort reimagines how and where our diagnostic radiologists serve the Las Vegas community with an entirely new and remote role.

A transformative role

As we continued to recruit and retain the best of the best in radiology to serve the Las Vegas community, everything traditional about a diagnostic radiologist role went out the window.

The bulk of the work a diagnostic radiologist is tasked with is reading and interpreting a range of general modalities, including MR, CT, ultrasound, plain films and injections—all things that can be successfully accomplished outside of the walls of an imaging center. This allows radiologists to work remotely while still being part of a progressive 90-physician group, interpreting studies and procedures performed across 12 hospitals and 10 imaging centers.

By leveraging state-of-the-art equipment and

a unified PACS worklist, Desert Radiology ensures that radiologists can provide exceptional services without being physically present at the health care facilities.

Even more unique than the remote aspect of this role is the work/life balance it promotes. The 7 on/14 off evening remote position not only allows health care professionals to work from the comfort of their homes but also provides an unparalleled level of flexibility, with 14 consecutive days off. This format also increases the speed in which images can be viewed and interpreted by radiologists, providing round-the-clock movement on all caseloads.

Work-life balance

Our practice values work-life balance and understands the importance of allowing physicians to recharge and enjoy their personal lives. With the 7 on/14 off schedule, radiologists can fully immerse themselves in their personal life.

The remote work revolution has reached the health care sector, offering unprecedented flexibility to radiology professionals. Evening remote positions for diagnostic radiologists break the traditional mold, providing an exceptional opportunity to balance work and personal life. By embracing remote work, Desert Radiology can attract top talent from all over the United States and help to redefine what it means to be a health care professional in the modern world.

If you’re ready to experience the benefits of remote work in the health care field, Desert Radiology might be the perfect fit for you. Apply for the available positions by visiting desertrad.com/careers.

Matthew Grimes is Chief Operating Officer at Desert Radiology

The bulk of the work a diagnostic radiologist is tasked with is reading and interpreting a range of general modalities, including MR, CT, ultrasound, plain films and injections.

HEALTH CARE HEADLINERS

Vegas Inc’s Health Care Headliners recognizes some of the best researchers, administrators and health care providers in Southern Nevada’s medical eld. These nine individuals are dedicated to the well-being of the people in our community, and their hard work is ensuring the best possible care for Nevadans today and for future generations.

e live in an era of signi cant technological advancements in medicine, health care, and treatment but continue to see maternal morbidity and mortality rise,” said Katie Nease, associate director of Maternal Child Services at Health Plan of Nevada. “The traditional, modern model of care during pregnancy is not working, and we are all charged with nding solutions.”

Nease’s career in health care began with a desire to help people, based on her own childhood experiences with medical care for her severe asthma. Becoming a mother inspired her to pursue nursing and she found an instant passion for birth and the birthing experience that shaped her education. “I feel very proud to work for this company because we are changing lives and making a di erence,” Nease said. “Healthy communities build healthy humans, and it is worth it!”

Nease played a critical role in designing and implementing the HPN Doula Program. This program aims to reduce racial and ethnic disparities in maternal and infant outcomes by providing support from trained doulas to empower and assist women during pregnancy, childbirth, and the postpartum period. The HPN Doula Program has helped address the health care disparities experienced by African American families, especially in childbirth.

The advice Nease would give to women who are planning to become pregnant is to start preparing early. Nease recommends a healthy lifestyle, including adequate sleep, healthy eating, hydration, and physical activities to prepare for pregnancy. She also advises individuals to schedule preconception visits to discuss a care plan.

Associate Director of Maternal Child Services

Health Plan of Nevada

Years in health care: 10

obert Vadovic, Medical Director for Community-Based Programs and Program Director for the Primary Care APP Fellowship Program at Intermountain Health, is passionate about education.

teaching providers. When

and we can walk through the

Vadovic says he is a tool to help others succeed. He aids not only the patients under the care of his programs, but also the health care providers that work with him.

Recently, Vadovic had the opportunity to present two lectures at the American Association of Nurse Practitioners’ annual conference where he discussed the topics of mentorship and population health.

Vadovic is an advocate for continuing education for providers and is a member of the Intermountain Health Nevada Clinical Education Committee. This committee was responsible for establishing the 90-Day Medical Assistant program, which creates career opportunities in un-

derserved areas while alleviating sta ng shortages. Vadovic himself practices what he teaches and is currently pursing his masters in health administration.

Local students also have the opportunity to benefit from Vadovic’s guidance and mentorship. He is a community partner with the UNLV School of Nursing. Every year he works with Intermountain Health to provide stethoscopes to incoming nursing students. He also serves as a mentor for UNLV’s senior-level nursing students. Additionally, Vadovic is an adjunct professor and guest lecturer at Touro University and is a former instructor for the Red Cross.

“The thing I enjoy most,” Vadovic said, “is

a provider has an issue with a patient

situation and find a solution, it is so rewarding.”

Community-Based Programs and Program Director for the Primary Care APP Fellowship Program

Intermountain Health

Years in health care: 34

Wade Vandervort/Sta

he first woman to be elected as UMC’s chief of sta , Meena Vohra has been instrumental in leading pediatric care in Southern Nevada since 1991. Vohra is directly responsible for revolutionizing UMC’s pediatric department from having one emergency pediatrician to a full-scale children’s hospital.

She now serves as the Medical Director of UMC Children’s Hospital, where her expert team of medical professionals provides life-saving care to local children on a daily basis.

From 1991 to 1993, Vohra was the sole specialist covering the Pediatric Intensive Care Unit. She took care of the critically ill children with few resources, not leaving Southern Nevada a single time in those years, knowing that her presence could mean life or death for a child. Now, following her vision for Southern Nevada, more children than ever before have access to critical health care.

As the chief of sta , Vohra now has the opportunity to provide leadership to the medical sta at UMC—a team comprised of more than 1,000 physicians. Her guidance and support allows providers to deliver the highest level of care. “As the medical director of UMC Children’s Hospital, I’ve been fortunate to work alongside a dedicated team of professionals to introduce valuable new services for children and recruit a growing number of world-class physicians to Southern Nevada,” Vohra said. “UMC Children’s Hospital now stands as a pillar of hope for children and families across our community.”

Wade Vandervort/Sta

tephen Hendrix believes that the best way to create a better community is to be an example of what a better community would look like. He said, “In such a divided culture and country as we are in today, it is critical now to emphasize and behave in ways that show how we are alike and changes we would like to see, as opposed to allowing our community to become more disjointed.”

Hendrix truly exhibits this philosophy in his work as the clinical manager of social services with Southwest Medical Hospice. After finishing his contract with the Air Force, Hendrix tried several careers without finding his passion. In 2010, he volunteered to work disaster relief following a tsunami in Thailand. It was through this period of service that Hendrix realized that finding connection through adversity and appreciating the simple joys of life brought him the fulfillment he had been seeking. Upon his return to Las Vegas, he knew he wanted to find a job that allowed him to share that same connection with others. Hendrix found his calling in palliative and hospice care.

People who know and work with Hendrix says he has a gift for meeting people where they are at. Even though the patients and families that Hendrix works with are often at their lowest points, he is able to validate their experiences through their vulnerability and provide them with solutions and thoughtful care. Hendrix’s dedication to those in end-of-life care surpasses just medical or social work, though both are noble pursuits. He reestablishes hope and purpose and acts with kindness and grace in a workplace full of emotional, mental, and physical turmoil.

Southwest Medical Hospice

Years in health care: 10

Wade Vandervort/Sta

Clinical Manager of Social Services

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lfred Danielian is a cardiologist specializing in sports cardiology and interventional echocardiography for structural heart disease procedures. He is currently the medical director of echocardiography & sports cardiology of Las Vegas Heart Associates, in addition to being the head team cardiologist for local sports teams the Vegas Golden Knights, Las Vegas Raiders, Las Vegas Aces, UNLV Athletics, Henderson Silver Knights, NBA G League Ignite, and Las Vegas Aviators.

Las Vegas Heart Associates

Years in health care: 16

“I have a particular interest and passion for the care of the athlete’s heart,” said Danielian. “I chose this career in the health care industry to provide empathetic and personalized patient care of the highest quality.” This quality care extends past professional and collegiate athletes. Danielian also volunteers his time with underserved youth by conducting free pre-participation cardiac examinations, including electrocardiography and echocardiography for local youth athletes in the community in conjunction with LV Sportz Foundation.

Danielian is a member of the American College of Cardiology Nevada State Chapter Council and the American College of Cardiology Sports & Exercise Cardiology Leadership Council, where he advocates for the adoption of heart-healthy policies in health care systems and healthy communities in our region. He also recommends balance in individuals’ personal and professional lives, including routine exercise and adherence to a heart-healthy diet and lifestyle.

Medical Director of Echocardiography & Sports Cardiology

COMPASSIONATE. RESILIENT. ADVOCATE FOR THOSE MOST IN NEED.

Southwest Medical congratulates Stephen Hendrix for being honored by this year’s Vegas Inc Health Care Headliners for Community Outreach. Focused on promoting health equity, Stephen is committed to helping patients and their loved ones make life’s most di cult journey in an atmosphere of peace, comfort, and dignity.

Stephen Hendrix Clinical Manager of Social Services for Hospice Care, Southwest Medical

evgeniy “Gene” Khavkin moved to Las Vegas in 2010 and established the Khavkin Clinic, a multispecialty practice of which he is the medical director. The goal of the clinic is to provide patients with the best and most ethical medical care from a team of highly skilled medical professionals. Khavkin is a boardcertified neurosurgeon and fellowship-trained spine surgeon who aspires to provide noninvasive surgery options and limit the use of opioids for pain management.

In his speci c area of expertise, Khavkin has the opportunity to perform rare and complicated procedures. Khavkin said, “Recently, I performed a complex surgery on a patient with a spine tumor who was losing the ability to walk. After the surgery, the patient regained strength in his legs and the ability to ambulate. Surgeries and experiences like this make decades of training well worth it.”

Khavkin’s training started when he was only 16 years old, attending medical school in Russia. He later moved to the United States and transferred to the University of Chicago’s Pritzker School of Medicine. After nishing his neurosurgical residen-

cy at the University of Chicago, Khavkin completed a fellowship in complex and minimally invasive spine surgery at Johns Hopkins University in Baltimore.

Khavkin has served as the director of neurosurgical spine services at Northwestern University and as the director of spine and neurosurgery service at the Spring Valley and Centennial Hills hospitals. He is also engaged in international humanitarian work, improving medical care in Eastern Europe and contributing to Jewish Healthcare International and Eagle Condor International. Khavkin also performs free surgeries for uninsured patients as part of Helping Hands Surgical Care.

Wade Vandervort/Sta

he company vision of Dee for Dentist is “live long and smile more.” As the owner and primary clinician of the practice’s two locations, Dee Dee Meevasin puts that vision into practice. She got her start in dentistry in high school when she spent the summer assisting with her local dentist. Meevasin continued working as a dental assistant through college while earning her bachelor’s degree in biological sciences before returning home to Las Vegas to attend UNLV’s School of Dental Medicine.

Owner and Primary Clinician

Dee for Dentist

dental procedures. To help motivate people to engage in preventive and other dental care, Meevasin works hard to make the latest technological innovations and techniques available to her patients, including anesthesia-free options for cavity fillings and laser dentistry to replace anxiety-causing tools that discourage individuals from seeing the dentist.

Years in health care: 28

A native of Las Vegas, Meevasin is committed to serving the community she calls home. She encourages everyone to visit their dentist regularly to maintain good oral health and avoid more serious

Meevasin also prioritizes giving back to the community. Dee for Dentist hosts an annual Freedom Day, where the practice provides free dental care for local veterans and their families. She also spearheaded the Fills Good program through which they have fundraised and raised support for local nonprofits. In 2019, Meevasin became a clinical partner and area director for Team Smile, a national organization that provides dental care to underserved children.

Steve Marcus/Sta

Touro University Nevada

Years in health care: 40

urelio Lorico has been practicing medicine and actively participating in medical research since 1983. “I graduated in medicine with the intention to devote my life to biomedical research and try to nd a cure for cancer,” Lorico said.

After graduating from medical school, Lorico received his post-doctorate degree at Yale, where he researched the biological function of the multidrug resistance protein 1 gene. He moved on after eight years and became senior scientist at the Norwegian Cancer Center in Oslo, where he pursued research in gene therapy of hereditary diseases.

Lorico is a professor of pathology, interim research director, and chief research o cer at Touro University Nevada, where he leads a global research team. The mission of this research team is to develop more e ective cancer treatments. They have successfully designed multiple drugs that prevent cancer metastasis by targeting and blocking communication between cancer cells and normal cells.

Lorico’s favorite part of his work is being able to discuss science with his collaborators. He also enjoys following his intuitions about the mechanism of disease and attempting to validate them in the lab. Over the course of his many years as a scientist and educator, Lorico has mentored numerous peers and students, bolstering the next generation of doctors and researchers and making an indelible mark on the future of cancer care.

Professor of Pathology, Interim Research Director, and Chief Research Officer

Christopher DeVargas/Sta

EXTRAORDINARY PHYSICIANS EXTRAORDINARY CARE

Congratulations on being named a

Top Doctor

Welcome to Las Vegas, breast-imaging specialist, Dr. Janis Yee

Dr. Janis Yee, has joined Steinberg Diagnostic Medical Imaging (SDMI) after completing her fellowship at UCLA. SDMI is excited to welcome her to Las Vegas and its outpatient radiology practice. Adding another sub-specialized Breast Imaging Radiologist will positively affect southern Nevada patients. SDMI Director of Women’s Imaging, Dr. Aanshu Shah, looks forward to having another breast specialist to collaborate with “It is always nice to have someone come in with a fresh perspective.”

SDMI’s marketing team was able to spend some time with Dr. Yee to talk about her new role.

SDMI: Why did you choose Radiology?

YEE: Radiology is a dynamic, engaging, and rewarding field. I am proud of the crucial role we play in patient diagnosis and clinical management.

SDMI: Why did you choose your subspecialty?

YEE: I enjoy the multidisciplinary and patient-centered approach to breast imaging. Women’s health and well-being have always been an interest and focus of mine.

SDMI: What made you want to join the SDMI Family?

YEE: I appreciated the warmth and welcoming nature of the staff and physicians and their focus on quality patient care.

SDMI: How do you see yourself impacting healthcare in Las Vegas?

YEE: I plan to utilize the knowledge and skills I gained during my training to provide accurate diagnoses, keep patients up-todate with the latest guidelines, and current technology.

To read the full -length interview and learn more about SDMI, Dr. Yee and their commitment to women’s imaging in southern Nevada, visit sdmi-lv.com

Alfred Danielian, MD, FACC, FASE Cardiology

Je rey Levisman, MD, FACC, FSCAI Interventional Cardiology

Deepak Malhotra, MD Cardiothoracic Surgery

Bryan Werner, MD, MPH, FAAPMR Physical Medicine & Rehabilitation

Matthew Selleck, DO, FACS, FSSO Complex Surgical Oncology

Chief Operating Officer

oni Corbin began her 35-year career in the medical eld focused on direct patient care. When her young son was in a serious accident, requiring him to undergo multiple complicated surgeries before the age of 5, Corbin had to navigate the health care system at every level to advocate for her child. Most of the health care providers that she worked with directly showed dedication and compassion in their careful treatment of her son. These providers inspired Corbin to pursue a larger vision by bringing that same level of compassion to the administrative side of health care.

Southwest Medical, part of Optum

Years in health care: 35

As Southwest Medical’s chief operating o cer, Corbin has led the business in innovation. She said, “I’m excited about the future of technology in health care, and a wealth of advancements we’ll be adopting at Southwest Medical in the near future. We have so many tools, including arti cial intelligence, remote health delivery options, and others that will further advance quality of care and provide for early disease predictions for patients.”

During the pandemic, Corbin utilized her unique skill set to expand Southwest Medical’s NowClinic telemedicine platform to provide virtual appointments to meet the needs of a rapidly evolving medical crisis. She also implemented curbside testing sites, which were modi ed to vaccination sites with the development of the COVID-19 vaccines. In her tenure as COO, Corbin has worked to combat the sta ng crisis, opening more than 40 clinics and increasing the sta of providers by almost 20%.

Steve Marcus/Sta

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A Place Where You Belong

At Acacia Springs, there’s something for everyone in our vibrant, active community. Our dedicated team of health care professionals is eager to help each resident feel at home and supported—so they can live the best life possible. Here, it’s not just like home, it is home.

MEDICAL PROFILES

OPHTHALMOLOGY

Dr. Devasis Reddy, MD

Dr. Devasis Reddy is a comprehensive ophthalmologist dedicated to providing compassionate and quality eye care to all of his patients. He earned his undergraduate degree from the University of California, San Diego before obtaining his MD from Oakland University William Beaumont School of Medicine in Rochester, Michigan. Later, he completed his residency at William Beaumont Hospital in Royal Oak, Michigan.

Dr. Reddy performs both standard and laser-assisted cataract surgery. Utilizing standard, multifocal, and toric intraocular lenses, his goal is to achieve the most optimal vision for each patient’s needs. In addition, he is extensively experienced in the diagnosis and management of glaucoma, diabetes, secondary cataracts, ocular inflammation, dry eye, styes, conjunctivitis, and many other ocular diseases. Outside of the office, Dr. Reddy is an avid sports enthusiast and enjoys spending time outdoors.

NEW EYES LAS VEGAS

8352 W. Warm Springs Road Ste. 130 Las Vegas, NV 89113 702-485-5000 neweyeslasvegas.com

Also accepts appointments at other New Eyes locations

REPRODUCTIVE ENDOCRINOLOGY

Dr. Eva Littman, MD

As the founder and practice director of Red Rock Fertility Center, the premier fertility clinic in Las Vegas, Dr. Eva Littman is well recognized throughout Nevada. She began her lifetime dedication to supporting the development of families at Duke University, where she went to medical school and finished her OBGYN residency. She received a Reproductive Endocrinology & Infertility Fellowship and attended Stanford University after Duke.

Red Rock Fertility Center has assisted thousands of families in realizing their ambition of starting a family under the direction of Dr. Littman and Physician Assistant Amity Hererra, PA-C. Hererra studied at UCSD and Western University and has 20 years experience in reproductive endocrinology.

The honors and distinctions Dr. Littman has received demonstrate how much of her life has been devoted to assisting families in the Las Vegas Valley. She has consistently been recognized as a Top Doc in infertility, and in 2017, she received the “Business of the Year” award from the U.S. Small Business Administration.

RED ROCK FERTILITY CENTER

9120 W. Russell Rd. Suite 200

Las Vegas, NV 89148 702-749-4614

redrockfertility.com

CELEBRATING A CAREER—A LIFETIME— DEDICATED TO PROTECTING THE WELL-BEING OF OUR COMMUNITY

Congratulations to Toni Corbin on her well-deserved 2023 Vegas Inc Health Care Headliners Lifetime Achievement honor. With a deeply rooted commitment to the good health of everyone who calls this valley home, Toni’s work to create holistic change in southern Nevada’s health care system is unparalleled. On behalf of your colleagues, our patients, and the entire community—thank you.

©2023 Southwest Medical Associates, Inc. All rights reserved. smalv.com

Toni Corbin Chief Operating O cer, Southwest Medical

Improvements are coming nationwide in the prevention of sudden cardiac arrest deaths in student-athletes

BY SARA SIBLEY AND ALFRED DANIELIAN, MD, FACC, FASE

As the professional football season and high school sports commence nationwide, this year may be one of the most significant and pivotal to date in regard to heart health and safety. With important high school athletics policy changes and support from large organizations, such as the the National Football League, the goal this year is to provide a safer experience for student athletes.

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The events surrounding the sudden cardiac arrest of Buffalo Bills player Damar Hamlin, and his collapse on national television earlier this year, still linger in people’s minds, especially those in the health and sports space. It was this tragic event that brought about an unexpected, yet positive outcome involving emergency action planning improvements in high school athletics. These changes were recommended and reviewed by physician experts, including sports cardiologists and other health professionals.

The Smart Heart Sports Coalition was founded this year in response to the events surrounding Hamlin and has united 26 institutions and counting, including professional sports organizations such as the NFL, NBA, MLB, NHL, and many others.

Some exciting and welcome news was announced this summer regarding a collaboration with the American College of Cardiology and the Smart Heart Sports Coalition. The ACC has joined forces with the Coalition, and they are on a mission to raise awareness and provide necessary education on sudden cardiac arrest.

A local sports cardiology expert has become an integral part advocating for these important and lifesaving changes. Alfred Danielian, MD, FACC, FASE, board-certified in cardiovascular disease and the director of sports cardiology and echocardiography at Las Vegas Heart Associates, affiliated with MountainView Hospital, explains: “By advocating for better safety measures and precautions, the goal is to have a well-prepared plan in place for the prevention of death in student-athletes who suffer sudden cardiac arrest.”

Dr. Danielian, who actively serves on the ACC’s Sports and Exercise Cardiology Leadership Council, said, “Sudden cardiac arrest can happen when the heart suddenly and unexpectedly stops beating due to the development of a chaotic electrical rhythm of the heart.”

With the guidance of experts such as Dr. Danielian, who is one of only a handful of sports cardiologists in the country, more student-athletes are expected to be saved than ever before with the actions and interventions in place for the management of sudden

cardiac arrest. These policy changes are in the process of being enacted by several states, including Nevada.

With the help of the coalition, and guidance from the ACC, medical professionals and other advocacy groups, three evidence-based best practices and key areas of focus have been identified with the single goal of preventing fatal outcomes from sudden cardiac arrest:

1. Emergency action plans are created for all high school athletic venues and are posted, widely distributed, communicated, rehearsed and updated annually.

2. Automated external defibrillators are available and clearly marked at all athletic venues or within one to three minutes of the venue where competitions and practices are staged.

3. Cardiopulmonary resuscitation and AED equipment training and education is available for all coaches and staff involved with sporting events.

The critical need for athlete safety measures is evident through alarming statistics in the United States. According to the ACC, sports-related incidents are a leading cause of death in young athletes under the age of 18 By enacting and providing guidance for high school athletics, these implemented practices will better the lives of athletes and mitigate the risk of serious injury or even death.

The coalition’s endeavors have reached lawmakers and policymakers across the country in an effort to require more states to adopt one or more of these life-saving measures. These policy changes aim to create a safer sporting environment, prioritizing the well-being and long-term health of student-athletes as well as promoting a culture of prevention and proactive education and care.

“With the right training, ongoing education, and access to life-saving equipment and tools, these emergencies can be better managed to ensure these young athletes and coaches are prepared,” Dr. Danielian said. In addition to leading efforts with his role in the ACC on cardiac health in the proper assessment of athletes as well as cardiovascular injury prevention, Dr. Danielian serves as the team cardiologist for the Vegas Golden Knights, Las Vegas Raiders, Las Vegas Aces, UNLV Athletics, Henderson Silver Knights, NBA G League Ignite, and Las Vegas Aviators.

Sara Sibley is Director of Physician Strategic Communications at HCA Healthcare Far West Division, and Alfred Danielian , MD, FACC, FASE, is board-certified in cardiovascular disease and the Director of Sports Cardiology and Echocardiography at Las Vegas Heart Associates, affiliated with MountainView Hospital

HEALTHIER COMMUNITY

Community members practice their CPR skills during a class at the Healthy Living Institute. (Courtesy)

COMMUNITY

BUILDING

ABY EMILY ANTUNA

Good health and well-being are essential to living your best life. But how do you achieve them? Where can you go if you need help? The Healthy Living Institute at UMC is Southern Nevada’s one-stop shop for resources and education to support this winning combination, and most of these valuable services are offered at no cost to community members.

This is not your average community resource center. The Healthy Living Institute offers evidence-based solutions to promote health and wellness through every stage of life. From classes on childbirth and car seat installations, to social events and health seminars for seniors, to training on CPR and other lifesaving first aid, the list continues to expand as the needs of Southern Nevada grow.

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Find a Need, Fill a Need

For more than 90 years, UMC has cared for Southern Nevada’s most critically ill and injured patients regardless of their ability to pay. As the hospital has evolved into a premier academic medical facility, home to many of our state’s first and only vital services, its mission to be a beacon of hope for the community’s most vulnerable remains at the forefront. This philosophy led to the creation of the Healthy Living Institute. “It started nearly two decades ago as a grant-funded resource for new mothers,” said Amy Runge, Clinical Nurse Manager of the Healthy Living Institute. Runge joined as an educator in 2007, when it was known as the Family Resource Center. She said it didn’t take long for the staff to recognize there were more community members they could help. “Many people don’t understand their health and wellness, and they don’t believe they have the financial means to learn about it,” Runge said. “That’s why we work so hard to keep this education free. There should never be a cost to get this information.”

It Takes a Village

While the Healthy Living Institute has grown significantly from its humble beginnings, it continues to serve as a pivotal support system for mothers and babies in Southern Nevada. Thousands of parents and grandparents have used the institute’s complimentary education on childbirth, breastfeeding, soothing techniques and childhood development. These classes are taught by experts, including Irma Albarran. “I was tired of seeing what happens when mothers don’t have the support and information they need,” said Albarran, a former Pediatric Emergency Nurse at UMC Children’s Hospital. “The results of simple things like not putting your baby to sleep properly can be tragic and preventable. That’s why I wanted to teach these classes.”

“I wanted to be as prepared as possible,” said Tiffani Neilson, an expecting mother in one of

Albarran’s breastfeeding classes. With her baby due this summer, Neilson said these courses have made her less anxious about the whole process. “The information I received from the Healthy Living Institute gave me the answers I was looking for. The classroom setting was the perfect opportunity to ask questions and learn alongside other expecting mothers,” Neilson said.

The Healthy Living Institute also offers free car seat installations and safety checks for families. According to AAA, 3 out of 4 car seats are installed incorrectly, which can result in serious injuries or death in the event of a crash.

Priceless Preparedness

You never know when you will be in a situation where you need to save someone’s life. It could be a stranger, a co-worker or a loved one. No matter who it is, it’s important to know the steps to take in an emergency. The Healthy Living Institute has empowered thousands of community members to learn lifesaving CPR skills and first aid, and the

Antuna

team is adding more free programs as demand increases.

Xochitl Kambak, a registered nurse who teaches many of these courses, said when people call to ask about the classes, they are often surprised to hear they are free. “I tell them that there shouldn’t be a cost because if we teach them to save someone’s life, that’s priceless,” Kambak said.

It’s a sentiment Nancy MacAulay, a student in Kambak’s “Stop the Bleed” class, shares. “You don’t want to be that person just sitting on the sidelines,” MacAulay said as she learned to apply a tourniquet properly. MacAulay has taken several of the CPR and first aid classes offered, and she plans to take more. “They keep it light but make it very informative as well. It helps you retain the information.”

The Healthy Living Institute offers CPR training for adults, children and infants. It recently added courses on CPR for pets. Community members can also take part in classes on first aid for minor burn injuries.

Celebrating Seniors

Life doesn’t stop after 50. In fact, it can be a new start. Runge started the Senior Celebrations program to empower and support these valuable members of our community. “Many people who are retired tell me they don’t feel like they have a purpose. So this becomes their purpose, focusing on themselves and finding ways to be their best,” Runge said.

Senior Celebrations offers health seminars with UMC’s world-class physicians, social events including tea parties and movie outings, and classes focused on nutrition and fitness at every age.

“It’s a great way to start your day,” said Tom Bingham, 72, as he stretches after a fitness class. “I like to see the people I’ve come to know and meet new people. Everyone is so friendly and supportive!”

A Lasting Ripple Effect

Raquel Rodriguez started coming to the Healthy Living Institute when she was looking for playgroups for her baby. “We’ve been here for nine years,” Rodriguez said, laughing as she stands alongside her 9-year-old daughter. Between car seat installations, classes, and senior celebrations events for her parents, Rodriguez said her family has benefited from everything the Healthy Living Institute has to offer.

When people learn to promote health and wellness, it becomes this ripple effect. They teach it to others in the community and their family members. It’s a beautiful thing to see.”

— Amy Runge, Clinical Nurse Manager

of the Healthy Living Institute

Registered Nurse Xochitl Kambak, right, presents the steps of infant CPR to participates in a Safe Sitter class at the Healthy Living Institute. (Courtesy)

Clean water is vital to treatment plans for immunocompromised

BY ZACHARY RICE

When a person is faced with a medical condition, their treatment plans often include adjusting their diet to incorporate healthier foods that can help fight disease. But most people with chronic conditions rarely think about the water they are consuming, and many physicians don’t consider how water quality can affect the outcome of their treatment.

It should be no surprise that immunocompromised people are more vulnerable to drinking water contaminants. Even the Environmental Protection Agency understands the risk and requires every annual water quality report to include a clause stating that persons undergoing chemotherapy, those who have had an organ transplant, those with HIV/AIDS or other immune system disorders, the elderly and infants can be particularly at risk from infections, and suggests they seek advice about drinking water from their health care providers.

This is because “clean” drinking water that flows from the tap isn’t necessarily pure. It travels through miles of pipeline, picking up contaminants and runoff along the way, and is treated with chemicals and disinfectants to help protect against waterborne illnesses, which can leave behind harmful byproducts and cause further damage to your health.

Know the facts

Here are just a few concerning contaminants that have been found in our local water by the Las Vegas Valley Water District. While many may be at acceptable levels by EPA stan-

dards, some of these are not acceptable at any level, which is especially true for those who are immunocompromised.

n Through older pipes, lead can leach into drinking water and reach dangerous levels as it did in Flint, Michigan. It’s now universally agreed there is no safe level of lead exposure. Lead can cause a host of problems, including developmental disabilities in infants and children.

n Perfluoroalkyl and Polyfluoroalkyl substances are a category of emerging contaminants commonly used to manufacture foam, nonstick surfaces, and food packaging. Exposure is associated with adverse health effects, including an increased risk of cancer and developmental issues in infants and young children.

n Cryptosporidium is a parasite responsible for most waterborne illnesses. Communicable and resistant to chlorine, “Crypto” outbreaks in healthy populations include symptoms of diarrhea, nausea, headaches, fever and loss of appetite for a few days. For someone with a weakened immune system, Crypto could be more serious, even deadly.

n Chlorine is a disinfectant that reacts with organic matter in water to produce compounds known as trihalomethanes, which can damage the immune system by inhaling water vapor in the shower.

n Microplastics are now everywhere and have been detected in both bottled and tap water. While the toxic effects of microplastics are still unknown, research on fish found evidence of neurotoxicity (alterations to the nervous system) and oxidative damage (cell and tissue damage caused by an imbalance of free radicals and antioxidants in the body).

Zachary Rice is President of Las Vegas-based Multipure, an organization that provides drinking water systems, filters and purifiers for residential and commercial use around the world.

What to do

There are ways to avoid ingesting contaminants in your drinking water:

Using a point-of-use water filter, such as a carbon block system, installed under a kitchen sink that purifies water at the tap. There are also whole-home filtration systems where the water is filtered as it enters your home.

Boiling water for at least one minute will kill pathogens, such as Crypto.

Choose bottled water wisely. Not all bottled water products are created equal. Bottled water from a protected well or natural spring is less likely to be contaminated than water from rivers and lakes, but the cost of consuming disposable bottles as your only source of drinking water can get expensive, especially staying hydrated in Las Vegas.

Since private well owners bear responsibility for the safety of their own water, they can be a safe option, but the water should be tested each year.

You may also have the water in your home tested so you are aware of any unsafe levels of contaminants. However, the most important thing is to educate and protect yourself so your water does not contribute any harm to your family’s health.

Check your vaccine records; it’s immunization awareness month

BY SUNITA KALRA, MD

Back-to-school season is upon us — a fitting time to review your records to ensure that you and your loved ones are properly immunized. August is also immunization awareness month, another reminder that children and adults should be up-to-date on vaccinations.

Vaccines are among the most important tools we have to protect our health. They expose our bodies to a weakened form of a virus or bacteria, helping our immune systems develop the strength needed to fight when the real version hits us. This can prevent us from getting sick in the first place, or make the illness less severe.

Vaccinations are especially important for children. Their immune systems are still developing and are more vulnerable to illness. Vaccines can help protect children from numerous serious diseases, including influenza (flu), HPV, measles, mumps, rubella, diphtheria, tetanus, pertussis (whooping cough), polio, hepatitis A and B, varicella (chickenpox), haemophilus influenzae type B (HIB), Neisseria meningitidis, pneumonia, and COVID-19. Experts suggest you secure the right vaccines for your child before they start the school year, following the immunization schedule for their age.

Having your children vaccinated helps stop the spread of deadly diseases, especially to those with compromised or weakened immune systems. Additionally, as we age, our immune systems become less effective. So, make sure to keep up with vaccinations even when you are an adult,

especially for pneumonia, influenzae, pertussis, shingles, meningococcal, and tetanus.

When traveling to certain countries, vaccines for yellow fever or typhoid fever may be recommended. Check with your doctor or consult the CDC website for vaccine advice based on your travel destination.

In addition to protecting our individual health, vaccinations also protect our communities at large. When many people are immune to a disease, it helps to protect those who are not immune, such as young children and people with weakened immune systems. This is known as herd immunity. For herd immunity to work, it’s important that a large number of individuals in the community are vaccinated.

There has been much discussion regarding the safety of vaccines. Vaccines are very safe. They undergo extensive scientific testing and monitoring from the time they are developed. The majority of those vaccinated don’t experience side effects, and the ones who do usually suffer mild side effects, which generally go away on their own in a few days. These side effects may include pain, redness, swelling at the injection site, fever, fatigue, and headache.

In rare cases, vaccines can cause serious side

Dr. Sunita Kalra is a family medicine provider caring for patients at Intermountain Health Green Valley myGeneration Senior Clinic.

effects. However, the risk of experiencing side effects is much lower than the risk of getting sick from the disease that the vaccine is designed to prevent.

If you’re considering not vaccinating your child or yourself, please talk to your health care provider. They can help you to understand the benefits and risks of vaccination and help you make the best decision for your health. For further education, the U.S. Centers for Disease Control and Prevention and the American Academy of Pediatrics are excellent guides for immunization information, including up-to-date recommendations for vaccinations for children and adolescents age 18 or younger.

Many vaccines are covered by health insurance as part of a preventive visit, and Intermountain Health can help answer your questions about vaccinations. We have providers who can help you with a vaccination schedule, how to maintain that schedule, and help you keep track of your vaccination record.

For information about becoming an Intermountain patient or to schedule an appointment, visit intermountainnv.org

PREVENTING SPINAL ISSUES ENABLES A HIGHER QUALITY OF LIFE

What are the most common spinal injuries?

Dr. Yevgeniy Khavkin is a spine fellowship trained neurosurgeon who received his training at the University of Chicago and Johns Hopkins University, and served as a director of Neurosurgical Spine Service at Northwestern University in Chicago before coming to Las Vegas in 2020. He has performed over 7,000 spine surgical procedures, some of them performed in Nevada for the first time. He also owns The Khavkin Clinic.

What is the basic makeup of the spine?

The spine is the foundation of the body that provides support for sitting, standing and movement. It allows the body to operate like a well-oiled machine. The five main parts of the spine include vertebrae, the spinal cord and nerves, facet joints, discs, and soft tissue with ligaments. The spine’s 24 stacked vertebrae (33 if you count the sacrum and coccyx) form the spinal canal, which houses the spinal cord and nerves, protecting them from injury and helping them carry signals between the brain, organs and muscles. Facet joints let you twist and turn and provide flexibility and stability. Discs are flat, round cushions that sit between the vertebrae and act as the spine’s shock absorbers. Lastly, the soft tissue and the ligaments in the spine are like the ties that connect the vertebrae to hold the spine in position. They work in conjunction with your muscles that support the back and help you move.

Spinal injuries cover a lot of areas, but you commonly think of herniated discs or spinal cord or nerve compression. There are also several common conditions affecting the spine, most notably degenerative disc disease in the neck and lower back, radiculopathy (pain in the arms and legs), and scoliosis. Some of the less common or least talked about issues include spinal tumors, infection, osteoporotic vertebral fractures, and congenital anomalies.

Are there signs patients should look out for indicating spinal issues?

Absolutely. The most common problems are neck pain, lower back pain or pain radiating to your arms or legs (radiculopathy). Changes in the agility of your fingers and hands can also be related to spine problems. A spine injury or spinal cord compression (myelopathy) can affect your ability to do simple tasks like buttoning a shirt or zipping up a jacket. Difficulty walking and balance problems can also be caused by nerve and spinal cord problems and need to be closely monitored by a specialist.

With spinal issues, are patients always going to need surgery to fix them?

Not at all. In fact, we recommend a nonsurgical approach as much as possible. Most patients can get relief from nonsurgical treatment such as anti-in-

Q&A with Dr. Yevgeniy ‘Gene’ Khavkin

Dr. Yevgeniy ‘Gene’ Khavkin

flammatory medication, physical therapy, or epidural injections. We always say that the best surgery is the one you can avoid. If these conservative treatments are not enough, there are minimally invasive surgeries that can help provide complete relief, such as discectomies (for disc herniations), decompressions (for stenosis), and fusions (for spondylolisthesis.)

What can spinal issues limit in life?

As the body’s foundation, any type of spinal injury or condition is impactful on a person’s life. For some, it can limit the ability to enjoy activities with family such as hiking, jumping on a trampoline or kayaking on a lake. For others, it can be as serious as making daily tasks difficult, like getting out of bed, bending down to tie their shoes or doing basic household chores. The goal of treatment for spine conditions is to improve quality of life and to get a person back to enjoying their life, pain free.

How can people improve or preserve their spine health?

Having strong back and abdominal muscles can protect your spine and keep your lower back healthy and pain free. At least twice a week, you should incorporate strength training and stretching exercises into your routine. A good night’s rest is equally important for spinal health. Lying down is the spine’s chance to rest after holding you up all day, so it’s beneficial to have a firm or medium-firm mattress that keeps your spine supported. As always, good posture and proper biomechanics of the spine movements (sitting, standing, twisting, picking things up) can also help your neck and back stay healthy.

+ HCQ Notes

Novum Women’s Center in Las Vegas opened July 18. Designed to meet the needs of women and children seeking care, Novum Women’s Center provides access to OB/ GYN, primary care and mental health services while eliminating barriers to accessing this care. On-site, free child care is available. Additionally, Novum recognizes social risk factors and o ers free women’s and children’s clothes, shoes and other items for those in need.

Google for Startups announced that among the 23 recipients of the 2023 Black Founders Fund is Las Vegas-based Pills2Me, a medication delivery app. Founded in 2020 by Leslie Asanga, PharmD, MBA, MPH, a graduate of Roseman University College of Pharmacy and the Yale School of Public Health, the Pills2Me app o ers a range of features to give patients easy access to medications, including on-demand prescription delivery from any pharmacy. This year, medication therapy management services were added to the app, o ering patients access to personalized medication reviews to ensure they are taking the right medications at the right time, and to address any potential drug interactions. The Google for Startups Black Founders Fund o ers awards recipients $150,000 in equity-free cash to help fuel their business, as well as sales and fundraising training, technical support from Google mentors, up to $100,000 in Google Cloud credits, and mental health coaching from a team of Black therapists. Recipients also receive leadership training and connection and support from fellow founders as part of the Google for Startups alumni network.

Joseph A. Wineman, DMD, MHA, ABGD, was installed as the 2023-24 president of the Nevada Dental Association. The NDA provides services that promote the highest standards of dental care for patients and professional excellence through education, leadership and advocacy. Dr. Wineman served as president of the Southern Nevada Dental Society, chairperson of the Southern Nevada peer review committee, and is the continuing education chair for the Nevada Academy of General Dentistry. NDA elected the following o cers to its ex-

ecutive committee: Dr. Patrick Silvaroli, DMD, as president-elect; Dr. Sheronda Strider-Barazza, DMD, as vice president; Dr. Perry Francis, DDS, as treasurer; Dr. Aimee Abittan, DMD, as secretary; and Dr. Doucette, DMD, as past-president.

Nathan Adelson Hospice announced the hiring of Lori Townsend as the hospice’s chief nursing o cer. Townsend will manage daily nursing operations to ensure all practices align with the organization’s objectives and values. In addition, Townsend will oversee the home care, business development, admissions and transportation departments and actively engage with patients and employees to support and promote the hospice’s values and mission.

Southwest Medical added six new health care providers to help meet the need for health services in the Las Vegas community. Areeba Siddiqui, MD, joins Southwest Medical’s Oakey Healthcare Center; Karen Cozelos, APRN, joins Southwest Medical’s Siena Heights Healthcare Center; Melissa Han, APRN, and Nicole Castro Zieba, APRN, join Southwest Medical’s Tenaya Healthcare Center; Maria Jumalon, APRN, joins Southwest Medical’s Lake Mead Healthcare Center; and Daisy Mackie, APRN, joins Southwest Medical’s Nellis Healthcare Center.

HSARx announced a partnership with the American Nurses Association. ANA will o er HSARx’s prescription savings program to its membership. The ANA partnership builds on HSARx’s recent collaborations with insurance general agencies and third-party administrators.

Nevada Health & Bioscience Corporation, a nonprofit organization with

Wineman

Townsend

MountainView Hospital welcome new residents

Sunrise Health Graduate Medical Education Consortium at MountainView Hospital welcomed its 2023 class of medical residents on June 28. This marks the beginning of 81 GME residents’ post-medical school journey. In addition, five pharmacy residents started as part of the hospital’s MountainView Hospital Pharmacy Residency Program. There are 10 programs and two fellowship programs at MountainView. The new medical residency class will bring the total number of residents to more than 200 across all of MountainView’s residency programs.

the mission of developing health care research, education, clinical assets and programming in Nevada, named Dr. Barbara Atkinson as its first physician medical liaison.

In this leadership role, Dr. Atkinson will serve as NHBC’s primary adviser on clinical and general medical services, as well as advising on future academic a liations and partnerships. Dr. Atkinson’s expertise spans administration, clinical, education and research. She was the founding dean of the Kirk Kerkorian School of Medicine at UNLV She is the only woman to lead three medical schools in the United States.

SR Construction announced the completion of the Fertility Center of Las Vegas. The facility is located at the intersection of Hacienda Avenue and Durango Drive and is the company’s second location. It’s part of a nearly 4.5-acre commercial property that houses a surgery center, laboratory and fertility clinic.

Touro University Nevada announced the retirement of Shelley Berkley, senior vice president of the Touro University system. Berkley finished her tenure at Touro on June 30. A resident of Las Vegas for nearly 60 years, Berkley served as senior vice president of the Touro University system since July 2022, after being promoted from CEO and senior provost of Touro’s Western Division, a position she held for more than eight years. During Berkley’s tenure as CEO

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Nigro Construction announced the completion of Queensridge Medical Center, located less than one mile from Summerlin Hospital Developed by Scott Goldstein of Prospect Street and constructed by Nigro Construction, the three-story, 70,000-squarefoot, state-of-theart Class A medical o ce building is the largest independently owned medical building within three miles of the hospital.

Atkinson

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Nathan Adelson Hospice was selected by Modern Healthcare as one of the 2023 Best Places to Work in Healthcare. This award program identifies and recognizes outstanding employers in the health care industry nationwide. Modern Healthcare partners with Workforce Research Group on the assessment process, which includes an extensive employee survey.

and Senior Provost, Touro University Nevada expanded its medical school and physician assistant studies class sizes. She was also one of four individuals honored for their lasting contributions to the Touro University system during Touro’s 50th anniversary gala in New York City in December.

Touro University Nevada’s College of Health and Human Services celebrated the graduation of more than 100 health care professionals, including graduates of physical therapy, occupational therapy, and nursing.

Goodwill of Southern Nevada announced that Intermountain Health region chief nursing o cer Keyona Cole joined its board of directors. As a member of the board, Cole will provide oversight and strategic di-

rection to guide the business and mission of the organization. She also leads Intermountain Health’s DEI committee in Nevada. Cole worked closely with Goodwill and NV Careers on the development of the 90-day medical assistant program. Th e program provides unemployed or underemployed community members with no prior experience the ability to enter the health care workforce through a paid apprenticeship. Apprentices rotate through Intermountain Health’s more than 60 Southern Nevada clinics and facilities, including primary care, pediatrics and specialty clinics.

Dr. Young will be joining ENTC in September, 2023. Dr. Young specializes in hearing loss, tinnitus, tympanic membrane repair, chronic ear disease, dizziness and Eustachian tube dysfunction.

If you would like to schedule an appointment with Dr. Young or any of our fine physicians please call 702-792-6700 or visit ENTC.com

Cole

ACADEMIC PROGRAMS

COLLEGE OF DENTAL MEDICINE

•Doctor of Dental Medicine (DMD)

•Advanced Education in Orthodontics & Dentofacial Orthopedics (AEODO) Residency Program

•Advanced Education in General Dentistry (AEGD) Residency Program

COLLEGE OF GRADUATE STUDIES

•MS in Biomedical Sciences (MBS)

•MS in Pharmaceutical Sciences (MSPS)

•MS in Pharmaceutical Sciences (MSPS) with a focus in Data Science & Health Informatics

COLLEGE OF MEDICINE

•Currently in Development

COLLEGE OF NURSING

•Registered Nurse to Bachelor of Science in Nursing (RN to BSN)

•Accelerated Bachelor of Science in Nursing (BSN)

•Master of Science in Nursing/Family Nurse Practitioner (MSN/FNP)

COLLEGE OF PHARMACY

•Accelerated Doctor of Pharmacy (PharmD)

100 New FDA Approved Cancer Treatments

Giving me the chance to get back to being dad

Comprehensive Cancer Centers has participated in the development of 100 new FDA approved cancer treatments. With 150 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.