2014-02-24 HealthCare Quarterly

2014 | VOL. 3

CALYPSO SYSTEMBOLSTERS TREATMENTOF PROSTATE CANCER

SURGERY REDUCES SYMPTOMS ASSOCIATED

WITH PARKINSON’S

DEEPBRAIN

STIMULATION

SPONSORED BY:

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HOW IS NEVADA’S MEDICAL INDUSTRY CHANGING?

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UNITED TO REDEFINE CANCER CARE

WHEN YOU’RE IN THE FIGHT OF YOUR LIFE, IT HELPS TO HAVE AN ARMY ON YOUR SIDE.

Comprehensive Cancer Centers of Nevada treats more patients than all other Nevada treatment centers combined. For two decades, we have been affiliated with the world-renowned UCLA Jonsson Comprehensive Cancer Center, and The US Oncology Network – one of the nation’s largest networks of community-based oncology practices.

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• Comprehensive is now conducting more than 170 Phase I, Phase II and Phase III clinical research studies in Nevada.

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• More than 4,000 out-of-state patients come to Comprehensive each year to secure the strongest possible allies in their fight against cancer.

• Comprehensive has helped develop 49 FDA approved cancer therapies.

This means no matter what you face, chances are we’ve faced it before. Comprehensive possesses the absolute latest medical research to support your own unique course of individual treatment. And if your participation in a research study could benefit you, we can give you opportunities that simply don’t exist elsewhere.

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UNITED TO REDEFINE CANCER CARE

WHEN YOU’RE IN THE FIGHT OF YOUR LIFE, IT HELPS TO HAVE AN ARMY ON YOUR SIDE.

Comprehensive Cancer Centers of Nevada treats more patients than all other Nevada treatment centers combined. For two decades, we have been affiliated with the world-renowned UCLA Jonsson Comprehensive Cancer Center, and The US Oncology Network – one of the nation’s largest networks of community-based oncology practices.

UNITED WE HEAL• Through our affiliation with The US Oncology Network, you can put the knowledge and experience

of nearly 1,000 physicians nationwide on your side.

• Your individual treatment plan will draw on nearly 1,300 clinical research trials involving more than 56,000 patients.

RIGHT HERE IN NEVADA• Comprehensive is the only oncology-specialized practice in the state of Nevada to be affiliated with

both UCLA and The US Oncology Network.

• Comprehensive is now conducting more than 170 Phase I, Phase II and Phase III clinical research studies in Nevada.

• As one of the leaders in UCLA’s research network, Comprehensive delivers the same groundbreaking treatments in state and close to home, without patients ever needing to travel to UCLA.

• More than 4,000 out-of-state patients come to Comprehensive each year to secure the strongest possible allies in their fight against cancer.

• Comprehensive has helped develop 49 FDA approved cancer therapies.

This means no matter what you face, chances are we’ve faced it before. Comprehensive possesses the absolute latest medical research to support your own unique course of individual treatment. And if your participation in a research study could benefit you, we can give you opportunities that simply don’t exist elsewhere.

Ask your doctor about Comprehensive. Visit cccnevada.com for more information or call 702.952.3350 to schedule an appointment today.

United in Healing

The US Oncology Network is supported by McKesson Specialty Health. © 2014 McKesson Specialty Health. All rights reserved.

Maura Bivens & Daughter Diagnosis: Breast Cancer

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W I N T E R 2 0 1 4 H E A L T H C A R E Q U A R T E R L Y 7

24 TAVR PROCEDURE Transcatheter Aortic Valve Replacement procedure saving lives in Southern Nevada

28 CALYPSO SYSTEM Technology improves accuracy of radiation treatment for prostate cancer patients

34 COVER FEATURE Deep Brain Stimulation

38 AMERICA’S HEALTH RANKINGS Nevada ranks No. 37 nationally

40 VITAMIN DILEMMA Choosing the correct multivitamin can be a daunting task for many

28

34C O N T E N T S

COVER DESIGN: Shannon Moss

2014 | VOL. 3

CALYPSO SYSTEMBOLSTERS TREATMENTOF PROSTATE CANCER

SURGERY REDUCES SYMPTOMS ASSOCIATED

WITH PARKINSON’S

DEEPBRAIN

STIMULATION

SPONSORED BY:

COMMUNITY

46 THE NOTES News and notes from the health

care community

50 NONPROFIT Q&A United Blood Services

52 VOLUNTEER Q&A Michealanne O’Neill,Sunrise Hospital

54 HEALTH TIPS The latest health

and nutrition news

58 MAKING THE ROUNDS Southern Nevada health care

events in pictures

60 CALENDAR Upcoming events and classes

70 BY THE NUMBERS Health care facts and figures

72 LOOKING BACK Characters boost spirits at Sunrise Children’s Hospital

DEPARTMENTS

12 ADMINISTRATOR Renee Coffman, BS Pharm, Ph.D.,

Roseman University of Health Sciences

14 EDUCATOR Dr. Michael Daubs, University of Nevada School of Medicine

16 HEALTH CARE FINANCE Donald Parker,

Gryphon Valuation Consultants

20 WELLNESS Dr. Sean Ameli,

Ameli Heart Center

COLUMNS

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W I N T E R 2 0 1 4 H E A L T H C A R E Q U A R T E R L Y 9

Each year, the United Health Foundation provides rankings of the nation’s health on a state-by-state basis. They’ve been doing it for 24 years as a partnership be-

tween the foundation, the American Public Health Association and the Partnership for Prevention.

Some of the results can be eye opening.Nevada is ranked No. 37 among the 50 states for 2013 – the sane spot it held on

the list a year ago as well. Topping the list as the healthiest state in the U.S. was Ha-waii. It was followed by Vermont, Minnesota, Massachusetts and New Hampshire in the Top 5.

Sitting at the bottom of the list was Mississippi. Rounding out the bottom five were Arkansas, Louisiana, Alabama and West Virginia.

There were some successes marked in this year’s report. They include:• The prevalence of smoking declined from 21.2 percent to 19.6 percent of adults who smoked

regularly.• The prevalence of binge drinking declined from 18.3 percent to 16.9 percent of adults who had

binged in the past 30 days.• The prevalence of physical inactivity declined from 26.2 percent to 22.9 percent of adults who

did not participate in physical activity in the past 30 days.• The incidence of the infectious disease pertussis – or whooping cough – declined from 9.0 to 6.1

cases per 100,000 population.• The premature death rate declined by 2.4 percent from 7,151 to 6,981 years lost before age 75

per 100,000 population.As with any set of data, there are always challenges related to healthiness as well. They included:

• The percentage of children in poverty – at 21.3 percent of people younger than 18 – remains above 20 percent for the fourth consecutive year. That’s far above the 23-year low at 15.8 pe cent in 2012.

• The percentage of uninsured population increased 15 percent – from 13.9 percent 11 years ago to 15.6 percent – approximately the same as it was in 2012. The percentage of uninsured Amer cans has remained stable over the past four years.

• Nationwide, comprehensive immunization coverage among children ages 19 to 35 months is just 68.4 percent.

• In the past 20 years, the prevalence of low birthweight infants has increased from 7 percent to 8.1 percent nationwide.For much more on the rankings as they pertain to Nevada, check out the story beginning on page 38

of this issue. UnitedHealthcare of Nevada’s chief medical o�cer Dr. Laurine Tibaldi spells out the good and the bad regarding health in the Silver State.

I want to thank Nevada State Bank for sponsoring this edition of HCQ. As always, we welcome your feedback and ideas as we fine tune the next few editions of this unique magazine. Please share your thoughts with us at my e-mail address below. We’ll be back with the next issue – featuring Top Doctors – on May 26.

Until next time,

F R O M T H E E D I T O R

Rob LangrellEditor of Custom [email protected]

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1 0 H E A L T H C A R E Q U A R T E R L Y W I N T E R 2 0 1 4

PUBLISHER TRAVIS KEYS ([email protected])

EDITORIALEDITOR OF CUSTOM PUBLICATIONS ROB LANGRELL

RESEARCH LIBRARIAN REBECCA CLIFFORD-CRUZ

RESEARCHER PASHTANA USUFZY

ARTDESIGNER SHANNON MOSS

STAFF PHOTOGRAPHERS L.E. BASKOW, CHRISTOPHER DEVARGAS,

STEVE MARCUS, SAM MORRIS

PHOTO COORDINATOR YASMINA CHAVEZ

ADVERTISINGDIRECTOR OF SALES OPERATIONS STEPHANIE REVIEA

PUBLICATION COORDINATORS KASHMIR DIXON, SUE SRAN

MAJOR ACCOUNT MANAGER MARK DE POOTER

MAJOR ACCOUNT COORDINATOR KAREN PARISI

BUSINESS DEVELOPMENT SALES MANAGER GUY BERTUZZI

GENERAL SALES MANAGER JAMAL PARKER

ACCOUNT EXECUTIVES VINCE DUROCHER, JULIE EAGER,

JEFF FARGO, FRANCHOT HUTCHINSON, JEFF JACOBS,

GREG MARRIOTT, BREEN NOLAN

PRODUCTIONVICE PRESIDENT OF MANUFACTURING MARIA BLONDEAUX

ASSISTANT PRODUCTION DIRECTOR PAUL HUNTSBERRY

PRODUCTION MANAGER BLUE UYEDA

PRODUCTION ARTISTS MARISSA MAHERAS, DARA RICCI

TRAFFIC SUPERVISOR ESTEE WRIGHT

SENIOR GRAPHIC DESIGNER SEAN RADEMACHER

GRAPHIC DESIGNERS MICHELE HAMRICK, CARLOS HERRERA, TARA MCCRILLIS

TRAFFIC COORDINATORS MEAGAN HODSON, KIM SMITH

DISTRIBUTIONDIRECTOR OF CIRCULATION RON GANNON

ROUTE MANAGER RANDY CARLSON

FULFILLMENT MANAGER DORIS HOLLIFIELD

CIRCULATION RESEARCH SPECIALIST CHAD HARWOOD

MARKETING AND PROMOTIONSSTRATEGIC PARTNERSHIP MANAGER MICHAEL URIARTE

EVENT MANAGER KRISTIN WILSON

BUSINESS DEVELOPMENT COORDINATOR KATIE HARRISON

SOCIAL MEDIA MARKETING MANAGER JANICE VAN GORDER

GREENSPUN MEDIA GROUPPUBLISHER LAS VEGAS SUN BRIAN GREENSPUN

EXECUTIVE EDITOR TOM GORMAN

MANAGING EDITOR RIC ANDERSON

PUBLISHER OF ONLINE MEDIA DONN JERSEY

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A D M I N I S T R AT O R

ROSEMAN’S MERGER WITH NEVADA CANCERINSTITUTE FOUNDATION WILL PROVE FRUITFUL

By Renee Coffman

In November 2013, Roseman University of Health Sci-ences, through its nonprofit subsidiary, Roseman Med-ical Education and Research LLC, completed a merger

with the Nevada Cancer Institute Foundation. The merger allows Roseman University to more efficiently pursue both organizations’ shared missions of advancing medical re-search and education under the auspices of the university.

The foundation’s assets, which include the Ralph and Betty Engelstad Cancer Research Building at 10530 Discovery Drive in Summerlin, sophisticated research equipment and two parcels of undeveloped land, are now part of Roseman University. These resources will advance the university’s al-ready robust research endeavors and provide the ideal facility for the university’s planned allopathic College of Medicine, currently in development.

The positive impact of the merger on Southern Nevada is substantial. In 2011, Roseman began the building of its medi-cal research programs through acquisition of research groups that were displaced by the bankruptcy of the Nevada Cancer Institute. Through leased space in the Ralph and Betty En-gelstad Cancer Research Building, Roseman provided the re-searchers the facility, resources and financial backing to con-tinue the groundbreaking research they had already started.

Without this backing, the state could have lost valuable brainpower as these researchers may have moved on to other institutions outside of Nevada. The completed merger fully se-cures the building and the equipment, providing the stability researchers seek as they concentrate on discoveries that may lead to new therapies for cancer and a variety of other diseases.

Under the leadership of Roseman’s Vice President for Research, Dr. Ronald Fiscus, and with access to Roseman’s highly specialized research equipment and strong collabo-rations with renowned researchers from around the globe, the university has expanded local medical research beyond cancer and into disease areas that impact populations in our state and region, including diabetes and obesity, and their related pathological complications; Alzheimer’s, Parkinson’s and other neurodegenerative diseases; and cardiovascular disease. Roseman researchers are also working on adult stem cell and regenerative medicine and expansion into other ar-eas is planned in the coming years as the university develops its College of Medicine.

To date, Roseman’s research groups have delivered oral presentations at scientific meetings across the country and

around the world, published dozens of articles in peer-re-viewed scientific journals and won numerous local and na-tional awards. These accomplishments contribute to raising the stature of Nevada as a national player in medical research.

With research programs and a facility secured, the univer-sity’s development timeline for its College of Medicine is ex-pedited. Roseman’s Board of Trustees gave the university full approval to proceed with planning last December, including the submission of an application with the Liaison Commit-tee on Medical Education, the accrediting body for medical schools, to initiate the accreditation process.

Roseman is engaging in conversations and exploring col-laborations in the Southern Nevada community to continue the comprehensive planning required to start a medical school, including curriculum development and designing its undergraduate clinical training structure. If plans progress as expected, Roseman may enroll its charter class of medical students by fall 2017.

Like with the university’s Doctor of Pharmacy, Bachelor of Science in nursing, Master of Business Administration and Orthodontics residency program, Roseman plans to imple-ment its highly effective educational model in delivery of the College of Medicine curriculum. The model is immersive and incorporates mastery learning, problem-based and active learning, cooperative and team-based learning, and a block curriculum designed specifically to support learning out-comes and the highest level of achievement for all students.

Roseman also assesses students based on its mastery learning philosophy, rather than the traditional testing and letter grading system. Students are assessed regularly on their knowledge and skills, and must score 90 percent or higher on assessments of their programmatic knowledge and clinical skills to progress in their programs.

Throughout the institution’s history, the Roseman educa-tional model has been proven to produce successful gradu-ates, many of whom are practicing in Nevada. The best evidence of this success is student achievement on board licensure examinations; Roseman students and graduates achieve passing rates that are consistently better than na-tional averages, with individual exam scores that are typically much higher than national averages. The university looks for-ward to applying its unique and effective academic model to medical education.

Further, like with its other academic programs, Roseman’s

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W I N T E R 2 0 1 4 H E A L T H C A R E Q U A R T E R L Y 1 3

Renee Coffman, BS Pharm, Ph.D. is president of Roseman University of Health Sciences.

development of the College of Medicine includes creating ways for stu-dents to be actively involved in Southern Nevada communities, particularly in urban and rural underserved areas. The goal is to foster community con-nections that will not only encourage students to return to practice in these communities upon completion of their medical education, but to join the already outstanding medical community in improving the health and qual-ity of life of residents in Nevada.

Roseman University’s research teams are making discoveries that will lead to new therapies to treat various diseases.

The Ralph & Betty Engelstad Cancer Research Building is now Roseman Summerlin Campus.

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E D U C A T O R

IT WAS TIME TO RETURN HOME AND HELPMEDICINE GROW IN SOUTHERN NEVADA

By Dr. Michael D. Daubs

A community’s quality of life is directly related to the health of its members. For too long, many Las Veg-ans have not trusted their health care system or its

providers. The system has been plagued by one bad story after another, highlighting its failures at the expense of the improvements quietly being made.

As a Las Vegan whose family roots date back to the 1930s, I understand the issues and frustration. As a community, we deserve the same quality of care that is available in other similarly sized cities. I believe this goal is achievable and not as far off as some may think. The key lies in our medical education system. Supporting and improving the healthcare education system in Nevada will undoubtedly improve our overall health care system.

As a graduate of the University of Nevada Reno and the University of Nevada School of Medicine (UNSOM), I had to leave the state to pursue graduate medical education training in orthopaedic surgery. This type of specialty training was not, and currently is not available in our state. Without a depart-ment of orthopaedic surgery at UNSOM, it was a tough hill to climb to get accepted into such a highly competitive specialty.

Having experienced this challenge, I made it my goal to return to the city and state I grew up in and start a residency program in orthopaedic surgery. After holding faculty posi-tions in the Departments of Orthopaedic Surgery at Wash-ington University in St. Louis, the University of Utah and most recently at UCLA, I have now returned home to my calling and taken the position as professor and chief of the division of orthopaedic surgery at UNSOM in Las Vegas.

My goal is to develop a high-quality training program in Las Vegas that attracts outstanding students from Nevada and other medical schools throughout the country. With the support of UNSOM and University Medical Center, we are in the final stages of making this a reality. My experience as a faculty member, at what many consider to be some of the top orthopaedic training programs in the country, has allowed me to develop the blueprint needed to successfully build a high quality program in Las Vegas and attract top-notch orthopaedic surgeons as faculty.

As a spine surgeon at UCLA, I cared for many Las Vegans who made the trip to Los Angeles for their complex spinal

Dr. Michael Daubs is a professor and chief of the division of orthopaedic surgery at the University of Nevada School of Medicine in Las Vegas.

surgery. I witnessed the hardships that traveling out of town for health care had on patients and their families. I am com-mitted to building an orthopaedic department consisting of well trained, ethical orthopaedic surgeons in Las Vegas who are capable of providing the same high-quality care that you might expect to receive traveling outside of the city.

The development of the orthopaedic residency training program will improve the overall quality of care in Las Vegas by providing the community with young, well-trained, ortho-paedic surgeons and by providing continuing medical educa-tion to all community orthopaedic surgeons through weekly teaching conferences, research forums, peer-reviewed qual-ity assurance meetings and visiting professors from top cen-ters around the country.

The University of Nevada School of Medicine has many excellent residency training programs located in Las Vegas and centered at UMC that supply our city with many well-trained physicians. Without these programs, our city’s phy-sician shortage would be even greater.

Research has shown that about 60 percent of physicians who complete a residency-training program at UNSOM remain in the state to practice. The goal of the leadership of our higher education system and Dr. Tom Schwenk, the UNSOM dean, is to continue the development of residency training programs in Reno and Las Vegas that will help with the shortage of physicians in Nevada.

In addition to growing our graduate medical education programs, the initial plans are being formulated for the de-velopment of a leading academic medical system that will be built around a School of Medicine in Las Vegas and UN-SOM in Reno. With our support as a community, this will become a reality. Academic medical centers cultivate the enriched environment that is critical to developing out-standing researchers, medical students, and ultimately ex-emplary physicians that enter practice in our communities.

I believe we can improve the overall quality of life in our city by improving the health of our community. It’s time to sow the seeds and cultivate the healthcare system we all demand and need by supporting the continued develop-ment of our medical education system. All of us deserve quality health care delivered right here in our hometown.

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ER wait times are approximate and provided for informational purposes only. If you are having a medical emergency, call 9-1-1.

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H E A LT H C A R E F I N A N C E

WHAT IS A PHYSICIAN PRACTICE WORTHIN TODAY’S CHAOTIC WORLD OF HEALTH CARE?

By Donald Parker

There are many reasons throughout a physician’s career that may require the appraisal of his or her practice, such as changes in partnership structure,

estate planning needs or the distribution of marital assets in divorce settlements. But, the most important need for the use of a professionally-credentialed valuation consultant is to ensure that when it comes time to sell, physicians receive full fair market value for their interest in the practice while ensuring that the transaction complies with all applicable regulations such as the Stark laws and anti-kickback regulations.

Planning a transition/exit strategyThe reasons for selling a physician practice vary. Some

physicians would simply like to get back to the practice of practicing medicine and dispense with management of the practice. In this case, physicians may be willing to transition their practitioner status from employer to employee. For others, instead of a transition, their objective might be better defined as an exit strategy in which they wish to sell their practice (or an interest therein), receiving full fair market value for what they are leaving behind.

In any case, whether planning a transition or exit strategy, there are numerous complex issues that affect the value of all physician practices. As with any business, but especially in the case of physician practices, it is important to begin the planning process well ahead of the anticipated transaction.

The key to any successful transition or exit strategy is securing a team of trusted advisors, including a practice valuation consultant, very early in the process. Retaining professionals that specialize in health care transactions will help assure that any sale results in the receipt of the full fair market value of the practice.

Physician practice valuationIn today’s ever shifting healthcare environment, there

has been much discussion among valuation professionals, the courts and the IRS regarding to the most appropriate methodologies for valuing physician practices. At the end of the day, however, all parties agree that the most defensible valuation results from a balanced approach based on sound, informed judgment and logic, experienced statistical analysis and the economic realities of the marketplace.

Determining the value of a physician practice requires addressing a variety of complex issues including, but certainly not limited to: practice specialty; years in practice; patient base (new & recurring); charges & collections; physician production (encounters & procedures), reimbursement rates; referral sources; economic conditions; industry metrics; local demographics; and operational data such as coding conventions, payor mix, provider agreements (including capitation limits) and hospital privileges.

While the underlying fundamentals of valuation are generally the same for physician practices as those for most businesses, there are subtle differences in their level of applicability. The fair market value of a physician practice involves the identification of two distinct categories of assets: Tangible and Intangible.

• Tangible assets include equipment and furniture, leasehold improvements, cash on hand, accounts receivable and certain deposits and prepaid items. Accounts receivable often require special attention because, while they should only include the amount actually expected to be collected, many physician offices carry accounts receivable at the full amount of the original charges. Further, since most practices keep their books on a cash basis, accounts receivable may not even appear on the financial statements. Finally, very often, accounts receivable will not be included in the sale price of the practice.

• Intangible assets include the practice name and reputation, the assembled work force (physician and non-physician), developed processes and procedures (including technology systems), provider agreements, the established patient base and accompanying medical records, location and telephone numbers, any synergy created by multi-physician practices and goodwill. Of these intangible assets, goodwill typically comprises the greatest value and is also the most difficult to assess a value. The technical definition of goodwill is beyond the scope of this article, but suffice it to say that goodwill is defined by the amount of income not directly attributable to identifiable assets. Goodwill includes such intangible assets as reputation, trade name and work force.

Continued on page 18

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Valuation methodologiesIn almost all cases of business appraisal, as with physician practices,

there are three generally accepted valuation approaches that should be considered.

• The income approach estimates the value of the practice by determining the present value of the expected future economic benefi ts.

• The market approach entails comparing the practice to similar physician practices that have transacted in the marketplace, inferring value by relating the price of the practice to the level of collections or physician production.

• The asset approach determines value based on the level of net assets. In other words, the amount of assets minus all liabilities.

Coloring inside the lines: Determining fair market valueWhile the specifi c intricacies of physician practice valuation are well

beyond the scope of this article, the following touches on some of the more important considerations in estimating value.

Federal regulations, such as the Stark Law and Anti-Kickback Statute, mandate that transactions involving physician practices must not only be priced at fair market value, but must also serve a “commercially reasonable” purpose. FMV is defi ned by these regulations in a manner that is more nuanced than the standard defi nition of FMV and may preclude consideration of economic benefi ts that might otherwise be priced into a transaction for other types of businesses.

Standard defi nitions of fair market value • The IRS has defi ned FMV as: “The price at which the property would

change hands between a willing buyer and a willing seller when the former is not under any compulsion to buy and the latter is not under any compulsion to sell, both parties having reasonable knowledge of relevant facts.” [Rev. Ruling 59-60]

Fair market value as it relates to physician practices• Stark Law defi nes FMV as: “The value in arm’s length transactions,

consistent with the general market value, means the price that the assets would bring as the result of a bona fi de bargaining between well-informed buyers and sellers who are not otherwise in a position to generate business for the other party.”

• The Anti-Kickback Statute further refi nes the defi nition of FMV, introducing the following language: “Where the price or compensation

Donald Parker is the founder of Gryphon Valuation Consultants, a Las Vegas-headquartered business valuation firm that provides business valuation and litigation support services to a wide range of businesses across all industries. He is a chartered

financial analyst sponsored by the CFA Institute and holds the certified valuation analyst designation from the National Association of Certified Valuators and Analysts.

H E A LT H C A R E F I N A N C E

has not been determined in any manner that takes into account the volume or value of anticipated or actual referrals.”

Commercially Reasonable • Commercial Reasonableness is defi ned as “An arrangement…entered

into by a reasonable entity of similar type and size and a reasonable physician (or a family member or group practice) of similar scope and specialty, even if there were not potential DHS [Designated Health Services] referrals.” [69 Fed Reg p. 16093]

In addition to the above refi ned distinctions, most recently, the Patient Protection and Affordable Care Act (or Obamacare) is driving an increase in hospital and health system acquisitions of physician practices brought about by a push to align patient care across providers, changing reimbursement models and healthcare reform compliance.

This is sure to add to the ever-changing landscape of physician practice valuation even beyond the impact of current regulations and, as such, further demonstrates the need for valuation analysts with specifi c expertise in the healthcare industry.

It’s not a “one-size-fi ts-all” proposition Every valuation engagement has its own peculiarities. Business

appraisal has always been an exercise of part art and part science that endeavors to reach an estimation of value within a reasonable range.

So, when you ask “What is my practice worth?” a defi nitive answer may be elusive, but common sense, professional judgment and applied statistical analysis can result in a valuation that is balanced, unbiased and defensible against the potential pitfalls created by ever increasing layers of regulation.

““Every valuation engagement has its own

peculiarities. Business appraisal has always been

an exercise of part art and part science that

endeavors to reach an estimation of value within

a reasonable range.”

Continued from page 16

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0000095953-01.indd 1 2/5/14 10:12 AM


W E L L N E S S

By now we have all accepted as almost gospel that elevated blood pressure, or hypertension, is bad for our health. Specifically it increases our risk of

heart disease, stroke and kidney failure.But the recent guidelines from the Institute of Health

have raised new questions. For many patients and phy-sicians alike, it brings more confusion as to what blood pressure is too low and what is too high. Those questions become very real issues when it comes time for prescrib-ing medications and making certain that the benefit asso-ciated with their use far outweighs their risks.

A normal blood pressure is 120/80. The top number is the pressure generated by the squeezing force of the heart pump action (systolic) and the lower number is the pres-sure dependent on the relaxation of the blood vessel walls when the heart relaxes (diastolic). As we age, there is less relaxation of the blood vessel walls that results in higher diastolic blood pressure. Our kidneys also go through changes and a chain of hormonal releases result in an in-crease in our systolic blood pressure as well.

The threshold to treat high blood pressure has been 140/90 for some time. The new guideline (referred to a JNC 8) however, raised that to 150/90 if you are older than 60 with no diabetes or kidney disease. These changes were made based on insufficient evidence in the literature for added benefits of any lower threshold and the potential for more side effects from medication, including dizziness and falls that can be more prevalent with advancing age.

For adults younger than 60, the blood pressure goal re-mains under 140/90. It’s important to note, that for diabetics and those with kidney disease, the previous guidelines had recommended an even lower blood pressure of below 130/80. But once again, the art of the practice of medicine and more robust recent data had already relaxed those goals even be-fore the new guidelines, simply by noting more side effects from the necessary additional medications to aim that low.

Hypertension affects 76 million people in the United States alone, of which a third don’t even know they have it or it simply goes untreated. The concern that is raised by the very medical panel of experts – and even those at the Amer-ican Heart Association – is that by relaxing these thresholds, we would be losing on the significant gains in reducing heart disease and stroke. However, the review of a number of large clinical trials, which are considered as an acceptable

WHEN IT COMES TO BLOOD PRESSURE,JUST HOW LOW SHOULD YOU GO?

By Dr. Sean Ameli

quality evidence, found that driving the blood pressure lev-els with medications to the normal target of 120/80, did not prevent any additional heart attacks or strokes.

At the cornerstone of these recommendations and guidelines remains one single common denominator – the emphasis on lifestyle changes. These include losing excess weight, regular daily exercise and eating habits such as a low-sodium intake (less than 2.4 grams a day) with a focus on fruits and vegetables.

Relaxation techniques and stress management have been successful in teaching hypertensive patients ways to elicit a

“relaxation response,” which may lower heart rate and blood pressure. Even if these measures do not eliminate our need for medications, following them can result in the need for less medication, lower doses and therefore fewer side effects.

When it comes to the array of medications recom-mended for a first line of attack, the new guidelines finally confirmed what many physicians had already been doing, which was to no longer insist on all hypertensive patients be placed on a diuretic (thiazide-type) . Instead to use agents commonly known as ACE-inhibitors (angioten-sin-converting enzyme inhibitors) or ARBs (Angiotensin Receptor Blocker) and Calcium Channel Blockers (CCB) that were considered well established. African-Americans, however, should be prescribed either diuretics and or CCB as they these continue to be more effective in this patient.

Until now, you’ve been reading on what hopefully will serve as clear and helpful new information that you can arm yourself for a better understanding of your health es-pecially when speaking to your health care providers. Here now is some practical information related to your blood pressure to use in your approach to prevention of a heart attack and stroke:

• If we seriously want to reduce our chances of develop-ing HTN, then we cannot avoid daily exercise and eating healthy. Now we could say, there is nothing new about that and easier said than done. Remember when your health care provider writes that prescription along with its associ-ated feared side effects, it’s the price of not at least walking every day, cutting out salt and losing weight.

• Unless we are the president of the United States, our physician doesn’t knock unannounced with a blood pres-sure cuff to diagnose us with hypertension and prescribe medications. Instead, we go to our physician because we

20-21_HCQ022414_Wellness_Column.indd 20 2/13/14 5:36 PM


don’t feel well or we want to prevent not feeling well. Note that most with hypertension have no symptoms. That’s why it is checked regularly. Remembering those points should further help understand when we are prescribed their recommendations, it is only because physicians don’t like their patients having a stroke or a heart attack more than the po-tential side effects of the medications. When our physicians prescribe aspirin, it is not because our bodies are deficient of aspirin. It’s simply because without it, there are not more effective means to reduce the risk of a blood clot in a heart attack. Fortunately for all of us, our health care professionals have no incentives in prescribing medications, but have many for preventing kidney failure. Keep in mind that your physi-cians would rather see you in their office than in the hospital.

Recently we are being barraged by a tsunami of “guidelines,” each with

new research to guide us as to what the best practice of medicine should or should not include. However the emergence of these guidelines have caused more concern and confusion than clarification for both physicians and patients. At times, some guidelines even conflict with each other. To navigate through all of this, we can follow a single principle: these pub-lished recommendations are merely guidelines and not gospel.

The simple fact is that the science of medicine is an ever-evolving field, one that as physicians, we can be proven wrong every day. That underscores the significance of an individualized plan of care tailored to patients’ personal needs. And that is where the art and practice of medicine truly lies.

Perhaps the only gospel in medicine remains the time tested phrase in the Hippocratic oath, “above all, do no harm.”

Dr. Sean Ameli is a cardiologist at the Ameli Heart Center in Las Vegas. For more information, visit www.AmeliHeartCenter.com

© 2013 Rising Tide

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TAVR PROCEDURE

OFFERS HOPE TO PATIENTS WITH SEVERE AORTIC STENOSIS

By Brendan Bussmann


The phrase, “you need to have open heart surgery,” is never something that patients want to hear from their doctor. Open heart

surgery is a major decision for patients and their families to make.

But what if open heart surgery wasn’t even an op-tion? What if a patient was so sick that they weren’t even a candidate for surgery?

For patients su�ering from the heart disease severe aortic stenosis, this is a very real situation that they may face. Many of these patients are cared for by their adult children or elderly spouses, who share in the health care decision-making process. As the baby boomer generation retires and their parents continue to age, more and more individuals will be caring for elderly parents with severe aortic stenosis.

Severe aortic stenosis is a narrowing of the aortic valve opening. This narrowing can restrict normal blood flow and can cause a number of symptoms such as fatigue, shortness of breath, swelling in the feet or ankles, chest pain and an irregular heartbeat. This disease can be caused by a birth defect, rheu-matic fever, radiation therapy or can be related to age. In elderly patients, severe aortic stenosis is some-times caused by the build-up of calcium (mineral deposits) on the leaflets of the aortic valve. Over time, the leaflets become sti�, which reduces their ability to fully open and close.

“As physicians, we are seeing an aging patient popu-lation,” said Dr. Branavan Umakanthan, cardiologist with the Nevada Heart and Vascular Center. “People are living much longer now than they had in previous generations. While this is a wonderful evolution, physicians have had to find new ways to care for their patients with very progressives disease such as severe aortic stenosis.”

When the leaflets of the aortic valve don’t fully open, the heart must work that much harder to push

blood through the aortic valve to the body. Eventu-ally, the heart gets weaker, which increases the risk of heart failure because the heart can’t pump enough blood to the body. Without treatment, about half of the people who su�er from severe aortic stenosis die within an average of two years from this disease.

Treatment for aortic stenosis depends on how far the disease has progressed in the heart. If the stenosis is mild, medication may be prescribed to help regulate the patient’s heartbeat and prevent blood clots. However, as the severity of the stenosis progresses, physicians may recommend replacing the diseased valve.

“In the past, these patients had no other option than to accept the fact that they were eventually going to die from severe aortic stenosis,” said Dr. Neuman Jahangir, cardiothoracic surgeon and co-division chief of cardiovascular and thoracic surgery at Sunrise Hospital and Medical Center. “This dis-ease is lethal and has had a very poor life expectancy

– until now.”A procedure called Transcatheter Aortic Valve

Replacement, or TAVR, o�ers new hope to patients with severe aortic stenosis here in Southern Nevada. The Heart Center at Sunrise Hospital was the first hospital in Las Vegas to perform and invest in this life-saving procedure in a state-of-the-art operating room called a Hybrid OR – combining a traditional operating room with a cardiac catheterization lab.

The TAVR procedure allows patients to undergo aortic valve replacement through two small incisions in the skin. During the TAVR procedure, the diseased heart valve is removed and a new heart valve is inserted through a catheter.

The surgeon is able to replace the diseased valve through a smaller incision while looking directly at the heart through a small, tube-shaped camera. Sunrise is the only hospital in Nevada capable of per-

24-27_HCQ022414_TAVRFeature.indd 24 2/13/14 5:38 PM

W I N T E R 2 0 1 4 H E A L T H C A R E Q U A R T E R L Y 2 5Photos by Sam Morris

Above, the Hybrid Operating Room used for the TAVR procedure. At right, Dr. Neuman

Jahangir, a cardiothoracic surgeon and co-division chief of cardiovascular and thoracic surgery at Sunrise Hospital and Medical Center.

24-27_HCQ022414_TAVRFeature.indd 25 2/13/14 5:38 PM



forming TAVR procedures using two di�erent approaches – Trans-femoral (passing through the transfemoral artery) and Transapical (passing through the apex of the heart).

“Cardiac Surgery is an evolving field,” Jahangir said. “Until the development of TAVR, we had hit a plateau with regards to the advancements in treating this disease. With TAVR, we’re able to treat an entirely new subset of patients. TAVR gives these very ill patients a new lease on life.”

Perhaps one of the most remarkable components of the TAVR procedure is the multidisciplinary approach that is necessary to provide severe aortic stenosis patients with the best possible care and optimal outcomes. The TAVR team consists of cardiovascular surgeons, interventional cardiologists, anesthesiologists, interven-tionalists and critical care physicians and nurses.

“In the Hybrid OR, you’ll find a cardiac surgeon working hand-in-hand with an interventional cardiologist,” said Dr. Rafael Valencia, cardiologist with the Nevada Heart and Vascular Center.

“Echocardiography and anesthesiology are also key components to the TAVR procedure.”

“The TAVR team meets to discuss every case,” said Dr. Fareed Sheikh, cardiologist with Advanced Heart Care Associates. Dr. Sheikh conducts the echocardiogram during a TAVR procedure. “I provide three-dimensional, real-time images of the valve for the entire procedure so that the cardiac surgeon and interventional cardiologist have a strong visual of the inside of the heart through-out the case.”

“We have amazing nurses in the Cardiovascular and Thoracic Unit and the Cardiac Catheterization Lab at Sunrise,” Sheikh said.

“I would say that they are the best in town when it comes to caring for critically ill cardiac patients.”

The Heart Center at Sunrise Hospital is the most comprehensive cardiovascular and thoracic program in Nevada. The Heart Center cares for more hearts than any other hospital in the state, and Sunrise Children’s Hospital is the only facility in Nevada to provide pediatric open heart surgery.

“At Sunrise, we are able to treat cardiovascular disease at any age,” Umakanthan said. “We have excellent resources available to us so that we can provide the best possible care for our patients.”

The Heart Center at Sunrise Hospital o�ers a free Valve Clinic for patients su�ering from the symptoms of aortic stenosis. These symptoms may include a heart murmur (an extra or unusual sound heard during a heart beat), chest pain or an inability to perform normal daily activities due to fatigue. To learn more about the Valve Clinic, call (702) 731-VALVE (8258).

Brendan Bussmann is vice president of strategic development and marketing for Sunrise Hospital and Medical Center and Sunrise Children’s Hospital.

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Gary D. Morris, M.D.Foot & Ankle SurgeryHip, Knee and Ankle Replacements

Thomas C. Kim, M.D.Pediatric & Adult Sports MedicineKnee & Shoulder Surgery

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Aetna HMO / PPO / POS | Affiliated Health Funds | American Group Administrators | Amerigroup | Attorney Liens | Auto Med Pay | Beechstreet Network | Benesight | Benicorp | Blue Cross Blue Shield | California Ironworkers (NV only) | Caremore | Cement Masons | Cigna PPO / HMO / POS | Clark County Fire Fighters Coventry | Culinary (HEREIU) | Electrical Workers | First Health | Fortis | GEHA | GHI | Great West | Guardian | Health Alliance | Health Care Partners | Health Plan of Nevada | Healthnet | HMA | Hometown Health | Horizon Health | Humana | Humana Gold | IBEW | JAS (UFCW) | John Alden / Assurant Health Las Vegas Fire Fighters | Loomis | Lumenos | Mailhandlers | Managed Care Consultants (MCC) | Medicare & Medicaid | Multiplan Network | NALC (National Association of Letter Carriers) | Nevada Check Up | Nevada Preferred Professionals (NPP) | Operating Engineers (Most Unions) Pacificare PPO / HMO / POS Painters Trust | Plumbers & Pipefitters | Prime Health PPO | Principal | Private Healthcare | Systems (PHCS) | Railroad Medicare | Secure Horizons | Senior Dimensions | Sheet Metal Workers (Most Unions) | SHO (Sierra Healthcare Options) | Sierra Choice POS | Sierra Health & Life | Smartchoice Southwest Administrators | Teachers Health Trust | Teamster (Most Unions) | Tricare (Secondary Only) | Trident | UMR | Unicare | United American (Secondary Only) | United Healthcare | Universal Health Network | Victims of Crime | Workers Compensation | Zenith Administrators

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0000093779-01_LVL_NVOrthopedicSpine_Ad.indd 1 1/24/14 2:25 PM0000093779-01.indd 1 1/24/14 3:04 PM24-27_HCQ022414_TAVRFeature.indd 26 2/13/14 5:39 PM

Spine • Foot & Ankle • Sports Medicine • PediatricsHand, Wrist & Elbow • Reconstructive Joint Surgery

Reynold L. Rimoldi, M.D.Spinal Surgery, Sports MedicineKnee & Shoulder Surgery

Michael S. Bradford, M.D.Adult Reconstructive SurgeryRevision of Hip & Knee Arthroplasty

Arthur J. Taylor, M.D.Hard, Wrist & Elbow DisordersMicrovascular Surgery

Conrad O. Yu, M.D.Hand, Wrist, Elbow& Shoulder Specialist

Michael D. Thomas, M.D.Pediatric Orthopedic SurgeryScoliosis & Spine Deformity

Patrick S. McNulty, M.D.Spinal SurgerySpinal Disorders

Gary D. Morris, M.D.Foot & Ankle SurgeryHip, Knee and Ankle Replacements

Thomas C. Kim, M.D.Pediatric & Adult Sports MedicineKnee & Shoulder Surgery

Walter J. Song, M.D.Hand, Wrist & Elbow,& Shoulder Specialist

John J. Kastrup, M.D.Hip, Kneeand Shoulder Specialist

Daniel D. Lee, M.D.Spine DisordersGeneral Orthopedic Surgery

Edward S. Ashman, M.D.Sports MedicineKnee & Shoulder Surgery

Russell T. Nevins, M.D.Adult Reconstructive Joint SurgeryRevision of Hip & Knee Arthroplasty

Bradley S. Baker, M.D.Orthopedic Surgery, Sports MedicineShoulder & Knee Arthroscopy Specialist

Ronald W. Hillock, M.D.Musculoskeletal Oncology& Adult Reconstructive Surgery

Holman Chan, M.D.Foot & Ankle Surgery / TraumaGeneral Orthopedics

Quality Care by Physicians You Can Trust.

2 Locations to Serve You!

APPOINTMENTS: 702.258.3773

NORTHWEST LOCATION2650 N. Tenaya Way, Ste. 301

Las Vegas, Nevada 89128

HENDERSON LOCATION1505 Wigwam Parkway, Ste. 330

Henderson, Nevada 89074

www.NevadaOrthopedic.com

Aetna HMO / PPO / POS | Affiliated Health Funds | American Group Administrators | Amerigroup | Attorney Liens | Auto Med Pay | Beechstreet Network | Benesight | Benicorp | Blue Cross Blue Shield | California Ironworkers (NV only) | Caremore | Cement Masons | Cigna PPO / HMO / POS | Clark County Fire Fighters Coventry | Culinary (HEREIU) | Electrical Workers | First Health | Fortis | GEHA | GHI | Great West | Guardian | Health Alliance | Health Care Partners | Health Plan of Nevada | Healthnet | HMA | Hometown Health | Horizon Health | Humana | Humana Gold | IBEW | JAS (UFCW) | John Alden / Assurant Health Las Vegas Fire Fighters | Loomis | Lumenos | Mailhandlers | Managed Care Consultants (MCC) | Medicare & Medicaid | Multiplan Network | NALC (National Association of Letter Carriers) | Nevada Check Up | Nevada Preferred Professionals (NPP) | Operating Engineers (Most Unions) Pacificare PPO / HMO / POS Painters Trust | Plumbers & Pipefitters | Prime Health PPO | Principal | Private Healthcare | Systems (PHCS) | Railroad Medicare | Secure Horizons | Senior Dimensions | Sheet Metal Workers (Most Unions) | SHO (Sierra Healthcare Options) | Sierra Choice POS | Sierra Health & Life | Smartchoice Southwest Administrators | Teachers Health Trust | Teamster (Most Unions) | Tricare (Secondary Only) | Trident | UMR | Unicare | United American (Secondary Only) | United Healthcare | Universal Health Network | Victims of Crime | Workers Compensation | Zenith Administrators

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0000093779-01_LVL_NVOrthopedicSpine_Ad.indd 1 1/24/14 2:25 PM0000093779-01.indd 1 1/24/14 3:04 PM


By Dr. Michael Becker


PRECISION PERFORMANCECALYPSO SYSTEM IMPROVES ACCURACY OF RADIATION

THERAPY FOR PROSTATE CANCER TREATMENT

MM edical technology is growing exponentially each

year, making procedures more efficient and easier on

patients. In the area of radiation oncology, and specifically

radiation treatment for prostate cancer, one of the most

exciting new technologies is the Calypso System.

28-33_HCQ022414_CalypsoFeature.indd 28 2/13/14 5:40 PM


Medical technology is growing exponentially each year, making procedures more e� cient and easier on patients. In the area of radiation oncology, and specifi cally radiation treatment for prostate cancer, one of the most exciting new technologies is the Calypso System.

My practice, Nevada Cancer Specialists, is a branch of Urology Specialists of Nevada, an organization focused on the treat-ment of urologic issues. My practice as a radiation oncologist is broader, and I treat patients with any type of cancer that requires radiation therapy. Nevada Cancer Specialists is one of the only practices in Southern Nevada o ering radiation therapy with the Calypso System.

The Calypso System uses GPS for the Body® Technology, or radiofrequency waves, sent via three Beacon® Electromagnetic Transponders, which help keep the target treatment area in the path of a more precise radiation beam.

Each of the three Beacon® Electromagnetic Transponders is smaller than a grain of rice, and they are implanted in the prostate during an outpatient procedure that’s similar to a biopsy. Throughout the course of radiation therapy, the transponders

“talk” to therapists, allowing them to precisely and accurately treat the prostate while avoiding delivery of radiation to almost all of the healthy tissue surrounding the treatment area.

Calypso System technology was cleared by the FDA in 2006. About two years ago, I acquired this unique technology for Nevada Cancer Specialists. Since then, we have treated about 300 patients using the system, with a 99 percent success rate.

Amazing technologyThe Calypso System’s GPS for the Body® Technology is such an

important development for treatment of prostate cancer because of its ability to deliver radiation rapidly and accurately, which helps to cut down on side e ects and improve patient quality of life.

Prior to this technology, side e ects from radiation, which can include bowel and rectal, urinary, and sexual dysfunction issues, were much more common. Those side e ects are the result of radiation damaging the tissue of healthy organs surrounding the prostate. In studies, and in our experience using the Calypso System over the past two years, patients treated with the Calypso System had far fewer side e ects than those who received tradi-tional radiation therapy delivery.

The Calypso System’s tiny electromagnetic transponders are each made of a small piece of gold, which is wrapped in copper wire. The Calypso System’s electronic array – an important piece of equipment that looks deceptively simple, like a plain board made of white plastic – is then placed over the treatment area, and it sends a signal, similar to sonar, which is “bounced” back to the system in order to track the transponders’ location in the body.

Like fi llings in teeth, the implanted transponders remain in the body permanently. The transponders don’t include an electronic or battery-operated element, and while they allow clinicians to direct the radiation beam to the correct location, they aren’t radioactive and won’t harm the body in any way.

The transponders’ ability to reveal the prostate’s location at all times is important because prostate motion during treatment

can be frequent and unpredictable – the prostate can move up to 12 millimeters in as little as eight minutes, posing challenges to clinicians delivering radiation therapy. When the prostate moves a great deal, it can be due to factors that are obvious to the patient, like sneezing or coughing, or factors that can go unnoticed, such as the movement of gas in the gastrointestinal tract.

“Our patients often don’t even know they’ve moved, and it’s im-possible to see that internal movement just by looking at them, but with the Calypso System we can track the internal move-ment and adjust,” said Jaylynn Stahle, a Nevada Cancer Special-ists radiation therapist. “It’s like having X-ray vision – we can be that accurate.”

Once the patient is prepped, the Calypso System locks onto the transponders and tracks them throughout treatment, detecting even slight movement and continuously transmitting the exact lo-cation of the three transponders. This system allows the delivery of radiation with precision and accuracy, because the transpon-ders send information continuously and in real time.


““Patients receiving treatment with the Calypso

System come in for regular radiation treatments

Monday through Friday for about nine weeks, and

meet with their physician once a week to ensure the

treatment plan is working.”

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The prostate’s movement is displayed in a series of graphs radiation therapists monitor during treatment, which show move-ment on the lateral, longitudinal and vertical axes. If the prostate ventures out of the four millimeter threshold around its starting location for more than a few seconds, the therapist will stop the radiation and either wait for the prostate to return to its original location or make an adjustment.

In this way, a smaller “beam” of radiation at a higher dosage can be delivered directly to the prostate, allowing clinicians to deliver maximum radiation to the tumor while avoiding the healthy sur-rounding tissues and organs. In other words, rather than trying to hit something the size of an acorn with a “beam” of radiation the diameter of a grapefruit, the beam can be mere millimeters larger than the acorn. And since clinicians using the Calypso System technology don’t have to compensate for possible unseen movement with a larger “beam” of radiation, the dose of radiation can be more powerful because the risk of hitting and damaging healthy tissue is virtually erased.

At far left, Jade Shaltry, a radiation therapist, operates the Calypso System technology at a treatment console area at Urology Specialists of Nevada. Above, Shaltry positions a Calypso array over patient Robert Hall. At left, the system’s tiny electromagnetic transponders are each made of a small piece of gold, which is wrapped in copper wire.

Higher radiation doses have been shown to produce a better outcome, and because it uses a more concentrated dose of radia-tion, the Calypso System also cuts the actual radiation delivery time to just a few minutes.

Before starting radiation therapy on our patients, we have an initial session and do a treatment planning CAT scan, and I use those images to create the patient’s treatment plan. After that, each time the patient comes in for radiation therapy, we do a quick CAT scan just to look internally and make sure the organs are in the right place, because we want to recreate the same body placement every day, for every treatment, in order to be as ac-curate as possible.

Unfortunately, not all patients are candidates for treatment with the Calypso System. If a patient has a cardiac pacemaker or has had a hip replacement, they aren’t a candidate for the Calypso System, and in some cases obesity can be a factor because the electronic array must be placed within a certain distance of the transponders to work properly.




Michael Becker, D.O. is a board certified radiation oncologist with Nevada Cancer Specialists and Urology Specialists of Nevada.

Patient experienceBob Hall, 74, began his radiation therapy with the Calypso Sys-

tem in early January. After a high PSA test, Hall was referred to Urology Specialists of Nevada’s Dr. Mark Leo, and had MRI tests and a biopsy to determine his diagnosis.

“After your diagnosis, they tell you what the possible cures and remedies are,” Hall said. “They discuss it for a long time with you, and we selected the Calypso System because it has some of the best results with the least amount of problems.”

Hall, like most patients, found the transponder implant proce-dure to be similar to the biopsy in terms of comfort.

Implanting the transponders is a simple outpatient procedure. As with any invasive procedure, there can be complications, in-cluding bleeding and infection, but most patients are able to carry on with normal activities as soon as the implant procedure is done.

“There’s a little discomfort, but that’s about it. It’s nothing that is a terrible pain by any means,” Hall said.

Patients receiving treatment with the Calypso System come in for regular radiation treatments Monday through Friday for about nine weeks, and meet with their physician once a week to ensure the treatment plan is working.

Using RapidArc® radiation technology in addition to the Calypso System has further helped Nevada Cancer Specialists cut down on treatments times, because it delivers radiation constant-ly while continuously moving in an arc motion around the patient, which is faster than other types of machines that have to start and stop during the rotation process.

“The Calypso System has definitely decreased treatment times, so we can treat more patients in a day,” Stahle said. “The shorter times also help with patient comfort because in general, the quicker we can get them in and out, the happier they are.

“And I think the Calypso System gives patients peace of mind, knowing the radiation is going right to the cancer and not missing and hitting healthy tissue.”

Hall said since beginning his radiation therapy, there has been no pain. In fact, outside of slightly changing his daily schedule to accommodate treatment sessions, there has been virtually no change to his day-to-day life.

“I’m retired, so I come in every day at 10 a.m. I stop with my wife for a cup of co�ee, and then we drive in and the radiation is done very quickly,” he said. “And then you look forward to final results when you’re done with radiation.”


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ER Wait Time is an average provided for informational purposes only. ER Reserve should be used only if you decide your care can wait until the time you select. Do not wait if your symptoms or conditions worsen or if you need immediate care since delays may complicate your condition. If you are unsure of your condition or if your condition worsens, then please go to the nearest emergency room or call 9-1-1. Some insurance plans may not cover an ER visit if it is deemed urgent care or may apply a different copay.

Please check your covered benefits with your insurance provider for details. With Text EZ to 379248, standard message and data rates apply.

Physicians are independent practitioners who are not employees or agents of the Valley Health System. The system shall not be liable for actions or treatments provided by physicians.

Wherever you are in Las Vegas

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erjustgoteasier.com gives you online access to ER Reserve and ER Wait Times.

ER Reserve lets you request an appointment in the Emergency Department when you need care for less serious and non-life-threatening illnesses and injuries

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ER Wait Times are available on our hospital websites.

Use your text-enabled cell phone to check wait times in the Emergency Room at any Valley Health System hospital.

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A s a local meteorologist, Kip Smith works with his hands all

day long. Smith was officially diagnosed with Parkinson’s

disease in 2010 at age 54, although he recalls experiencing

symptoms as early as his late 40s.

His tremors had become so extreme that there was a significant

chance he would have to cut his career short and accept social se-

curity disability benefits. The thought of having to leave a job that he

loved because of his disease encouraged him to turn to the experts at

Sunrise Hospital and Medical Center.

“I was 54 years old when I was first diagnosed,” Smith said. “But look-

ing back, I had the symptoms (of Parkinson’s disease) for at least five

years prior to that. So, I believe that I have had Parkinson’s since I was

49 years old. I had a tremor in my right side and my shoulder was very

stiff, nearly frozen. I am right-handed, so the disease made it very diffi-

cult to do my job. My handwriting had become microscopic. It was very

compact and hard to read.”Continued on page 36

STIMULATIONFOR THE BRAIN

DEEP BRAIN STIMULATION (DBS) HELPS DISABLED PATIENTS WITH PARKINSON’S DISEASE

By Amanda Powell


3 6 H E A L T H C A R E Q U A R T E R L Y W I N T E R 2 0 1 4 Photos by Christopher DeVargas

Smith made the decision to have Deep Brain Stimulation sur-gery at Sunrise Hospital with Dr. James Forage, an accomplished neurosurgeon with the Spine and Brain Institute.

Developed by the medical device company Medtronic, DBS sur-gery has been approved by the FDA for the treatment of advanced Parkinson’s since 2002. DBS surgery has been clinically demon-strated to reduce some of the most disabling motor symptoms associated with Parkinson’s.

“I spoke with my neurologist, as well as Dr. Forage and other patients who had the surgery at Sunrise,” Smith said. “Once my in-surance company approved the procedure, I told them to go ahead and schedule me for surgery.”

DBS uses a surgically implanted medical device, similar to a cardiac pacemaker, to deliver electrical stimulation to precisely targeted areas of the brain to reduce some of the most disabling motor symptoms associated with Parkinson’s, including shaking, sti�ness and movement di�culties. In addition, DBS stimulation settings can be adjusted in response to individuals’ Parkinson’s symptoms and the system can be turned o� or removed surgically.

DBS is performed in two di�erent stages. During the first stage, a CT scan and MRI are taken of the patient’s brain. These two images are merged together to give the surgeon a complete image of the brain.

From there, a surgical plan is created to pinpoint the exact locations in the brain that are impacted by the disease. A frame is placed on the patient’s head and a local anesthetic is used. Patients are awake during the first phase of the DBS procedure so that they can communicate with their surgeon. Once inside the brain, the surgeon places four wire-like devices called DBS Leads on the exact locations specified in the surgical plan. The DBS Leads look like a smaller version of what is used during an EKG.


Once the leads are placed and attached to the battery, the sur-geon is able to ask the patient to perform routine activities such as touching their finger to their nose, holding a water bottle and other movements that may be normally restricted by tremor. This helps the surgeon to program the battery to the exact specifica-tions of each individual patient.

During the second phase of DBS surgery, the battery is im-planted into the patient’s chest and connected to the DBS Leads. The battery is then turned on and the patient’s symptoms such as tremor and rigidity immediately subside. This second phase is performed under general anesthesia.

“DBS surgery is a transformative procedure that to date has been recommended much later in the disease progression than is ideal or in the patient’s best interest,” Forage said. “When DBS surgery is initiated well before medicines become ine�ective, patients experience fewer physical symptoms for a longer period of time. Kip’s story is one that we like to call the ‘new’ face of DBS. In gen-eral, younger patients like Kip, have their quality of life preserved and, in his case, his ability to continue his career.”

Many Americans first became familiar with Parkinson’s in 1998 when actor Michael J. Fox announced that he had been diagnosed seven years prior. Since 2000, the Michael J. Fox Foundation has granted $400 million to find a cure for Parkinson’s. While DBS surgery is not a cure for Parkinson’s, it’s helped more than 100,000 patients who have experienced a loss in quality of life due to this disease.

Parkinson’s is a progressive, degenerative neurological move-ment disorder that a�ects more than 1.5 million Americans. In the U.S., approximately 60,000 people are diagnosed with Parkinson’s

At left, Dr. James Forage, a neurosurgeon with the Spine and Brain Institute. Below, Dr. Gabriella Gregory, a neurologist with the Nevada Neurosciences Institute at Sunrise Hospital.



each year. Although Parkinson’s ordinarily begins in middle or late life and risk continues to increase with age, the number of people diagnosed with Parkinson’s before age 60 is rising at an alarming rate. About 10 to 20 percent of those diagnosed with Par-kinson’s are under the age of 50, of which about half of this group is diagnosed before 40.

“DBS surgery is a wonderful treatment for Parkinson’s patients,” said Dr. Gabriela Gregory, neurologist with the Nevada Neurosci-ences Institute at Sunrise Hospital. “I believe that the procedure is currently underutilized. The best thing about DBS is its im-mediacy to address the issue. Once the device is implanted and turned on, the tremors subside instantly. Plus, it doesn’t have the negative side e�ects of medication. It is extremely focused, which allows me to provide even better care to my Parkinson’s patients.”

Oral medications can be used to improve motor function for people with Parkinson’s. However, if they work well initially, they may lose e�ectiveness over time, cause troubling side e�ects, or both. Additionally, as the condition progresses, the disease may not be well managed on drug therapy alone.

Smith knows all too well about the side e�ects of Parkinson’s medications.

“Immediately after being diagnosed, I began taking medica-tions for Parkinson’s disease,” Smith said. “These were somewhat e�ective for a while, but then the side e�ects got worse. I was also spending upwards of $200 a month on these medications. I finally hit my limit in late 2011.”

There is a “window of opportunity” for when DBS surgery is most e�ective for Parkinson’s patients. This window begins to close once medications are no longer e�ective in treating the symptoms of Parkinson’s. Forage recommends that patients speak with their neurologist or neurosurgeon early on in their disease to find out if DBS surgery is right for them.

Smith has no regrets about his decision to have DBS surgery. He no longer takes medication for Parkinson’s and has returned to many of his normal daily activities. He is able to continue his work as a meteorologist and enjoys working out on his elliptical machine from time to time. Smith has become extremely pas-sionate about sharing his journey with other Parkinson’s patients considering DBS surgery. He travels to conventions, attends local support groups and speaks to anyone he can about how DBS changed his life.

“They tell patients that after DBS surgery, you can expect to function at the same level as your best day on the medications,” Smith said. “For me, I have found that I actually am able to func-tion better than I ever did on my medications. Thanks to DBS, I feel like I have my life back.”

Amanda Powell is associate vice president of marketing and communications at Sunrise Hospital and Medical Center and Sunrise Children’s Hospital.



HOWHEALTHY

IS NEVADA?By Dr. Laurine Tibaldi

When it comes to overall health, Nevada ranks in the lower half among all 50 states. That’s according to the 24th annual America’s Health

Rankings from United Health Foundation.

18.1%

1 in 5

26.2% 30.2%

57.8%

1 in 11of people in Nevada smoke compared to

19.6% nationally

adults in Nevada are physically inactive

compared to 22.9% nationally

of adults in Nevada are obese compared to

27.6% nationally

of high school graduates report good or excel-lent health compared to those who did not

graduate

of students in Nevada graduate within 4 years

compared to 78.2% nationally

people in Nevada have diabetes

compared to 1 in 10 nationally

Rank:37

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T he report, the longest running of its kind in the country, placed Nevada No. 37 among all 50 states for overall heath, which is the same ranking the state

received last year. Here’s a snapshot of how Nevada fared in this year’s report:

Nevada’s strengths • Low prevalence of binge drinking• Moderate prevalence of diabetes• Low incidence of infectious diseases

Nevada’s challenges • Low high school graduation rate • High violent crime rate• Low per capita public health funding

Nevada residents are getting some things right. In 1990, approximately 36 percent of the population smoked com-pared to 18.1 percent in 2013. In the past year alone, the prevalence of smoking decreased from 22.9 to 18.1 percent of adults.

Across the country, seventeen states had signifi cant drops in smoking, with the largest seen in Nevada, Mary-land, Oklahoma, Kansas and Vermont. In addition to the decrease in smoking, the prevalence of binge drinking decreased from 18.6 to 15.1 percent of adults.

A number of smoking cessation programs across the state have no doubt helped to decrease the prevalence of smoking, including, the Nevada Tobacco Users Helpline (Helpline), a division of the University Of Nevada School Of Medicine, Department of Psychiatry, which provides free and confi dential telephone-based counseling for Nevada residents who want to address their tobacco use. For teens, Not On Tobacco (N-O-T) is the American Lung Associa-tion’s (ALA’s) voluntary program for teens who want to quit smoking. It is the most researched, most widely used and most successful such program in the United States.

Cardiovascular health has also improved in the state. In the past 10 years, the rate of cardiovascular deaths decreased by 25 percent from 340.0 to 271.9 deaths per 100,000 of the population. The state has also seen a decrease in the rate of preventable hospitalizations that decreased from 65.3 to 57.3 discharges for every 1,000 Medicare enrollees.

While we should take a moment to congratulate our-selves for these successes, we can’t take continued progress for granted. Signifi cant challenges remain.

At 26.2 percent of adults, the prevalence of obesity is lower in Nevada than the media state; however, more than

560,000 adults are obese in the state. Obesity and especial-ly childhood obesity continues to be a major health crisis.

According the CDC, obesity rates continue to rise espe-cially for young people in Nevada.

Among Nevada’s adolescents in grades 9 through 12 • 13.4 percent were overweight (≥ 85th and < 95th percen-

tiles for BMI by age and sex)• 11.0 percent were obese (≥95th percentile BMI by age

and sex)

Among Nevada’s children aged 2 years to less than 5 years

• 14.6 percent were overweight (85th to < 95th percentile BMI-for-Age)

• 13.6 percent were obese (≥ 95th percentile BMI-for-Age)

Other challenges impacting the state include high rate of individuals without insurance. In the past 5 years, the percentage of uninsured populations increased from 18.4 percent to 23.0 percent of the populations. The rate of children in poverty has increased from 9.1 percent to 22.7 percent of persons younger than 18 years.

As UnitedHealthcare’s chief medical offi cer for Nevada, I have witnessed eff orts statewide on behalf of the public and private sectors to reverse dangerous health trends, such as the prevalence of binge drinking and, smok-ing, immunization coverage, and to improve our overall health outcomes, such as reducing infant mortality and cancer deaths.

Hundreds of programs across the states aimed at fi ght-ing diseases and improving care are helping increase the overall health of Nevada residents. Together, we can break down barriers to high-quality care. We can take on obesity as we took on smoking. And we can win. It will take work, certainly, and time, but our health is worth that eff ort.

For more information about America’s Health Rankings, go to www.americashealthrankings.org.

Dr. Laurine Tibaldi is chief medical officer atUnitedHealthcare of Nevada.

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PICKING THE RIGHTVITAMINS

MOST DIETS LACK REQUIRED NUTRIENTS

By Wayne Gorsek

F or many decades, doctors and health care profes-sionals have recommended multivitamins to their patients, realizing the standard American diet lacks

essential vitamins and minerals required for optimal cel-lular, immunity, bone, cardiovascular and brain health.

These typical multivitamins claiming to be complete and sold on most retail store shelves and pharmacies are formulated by large drug companies based on RDAs – now called DVs, or Daily Values – that have not been kept cur-rent based on the most recent science. Sadly, numerous recent published medical and science studies show they are worthless and, even worse, may cause heart attacks and Alzheimer’s disease.

Flashback to more than 20 years ago when I started studying the diseases of aging at a medical school library trying to help my grandparents, who raised and adopted me. They were su� ering from numerous diseases of aging as they entered their 70s and 80s, and I was excited to fi nd published medical journal studies indicating nutrients such as Vitamin C, D3, B-complex, lutein, zinc, selenium, chromium, magnesium, alpha lipoic acid, carnitine, Co-Enzyme Q10, grape seed extract, pine bark, green tea with EGCG, turmeric, lutein and others could actually reduce the risk and – more excitedly – reverse or slow the progres-sion of diabetes, Parkinson’s, hypertension, heart failure, depression, loss of balance, fractures and many other ter-rible diseases they were su� ering from.

I found the drugs that doctors prescribed weren’t e� ec-tive or tolerable in most examples. The side e� ects were terrible and drugs actually killed my grandfather by caus-ing a massive stroke in the brain and probably caused my grandmother’s heart attack and ultimately death.

What was very sad for me is when I compared the mul-tivitamins on the market versus the actual studies, I found

them lacking the best nutrients entirely. The ones they had also contained far too little to be e� ective. This is why I started my fi rst vitamin company more than 20 years ago – to formulate an e� ective multivitamin that actually works.

A great example of this is when a very popular multivita-min did an advertising campaign bragging about adding lu-tein. Sadly, they only added 250 mcg (1/4 of a mg) when the studies indicate 6-20 mg per day is the e� ective dosages to benefi t patients with macular degeneration. This is the primary disease causing people to lose their vision as they age and there are no laser or drug therapies that prevent or reverse this vision loss. The simple math with lutein shows it requires about 2,400 percent higher levels to actually work versus what is in the typical multivitamin.

Why is this? The primary ingredient in a typical multivitamin is calcium carbonate, the same ingredient used to make concrete, and it only costs a few dollars per kilogram whereas lutein costs several hundred dollars per kilogram. The typical multivitamin being sold costs about $10 per year to manufacture, divide this by 365 days and simple math tells you the cost is under 3 cents per day. Use common sense: Do you really think you can purchase an e� ective supplement that costs 1/8 of the price of a gumball or 1/25 of the price of a candy bar?

Very sadly the typical multivitamin sold at health food stores is only slightly better, but at a far greater cost. Many of them have too little Vitamin D, B-Complex, the wrong form of B12, the cyanide form versus the active methyl form, no lutein and CoQ10 and other formulation failures in my opinion based on the latest science.

When choosing an e� ective multivitamin, I recommend you read the supplement facts and only choose a supple-ment with:

• 4,000-5,000 IU of Vitamin D3



4 2 H E A L T H C A R E Q U A R T E R L Y W I N T E R 2 0 1 4 Courtesy photo


Wayne Gorsek, the founder and chief executive officer of Dr. Vita.com, has performed decades of research on multivitamins.

• 300-600 mcg range of K1/K2• 6-20 mg of lutein• 100-200 mg of Coenzyme Q10• 250-1,000 mcg of methyl B12• 500-5,000 mcg of Biotin• 200 mcg selenium in the L-selenomethionine form, plus

look for green tea standardized for EGCG• turmeric standardized for 95 percent curcuminoids• 300-600 mcg of iodine• 50-200 mg of quercetin.

Also, only choose a multivitamin that has 5 mg of black pepper extract for enhanced absorption, plus capsules provide an easier to swallow and quicker to digest delivery versus rock hard tablets full of artificial chemicals. In fact, the typical tablet is so difficult to swallow that many people can’t tolerate it.

The best multivitamin formulations contain levels of up to 10- to 80-times higher than the typical one. Most multivitamin only contain worthless levels of vitamin D3 – under 1,000 IU per day – and studies indicate it requires 4,000-5,000 per day to reach

optimal blood levels. Doctors have confirmed this.The minimum target level for optimal disease prevention is more

than 50 ng/mL of 25-hydroxyvitamin D. If you test a patient’s blood levels, you’ll find 85 percent or more are below this level.

The benefits of optimal D3 blood levels are numerous. It has been shown that as you age you may lose your sense of balance, and low D3 may be the cause. Low D3 also increases risk of osteo-porosis. Lastly, infectious diseases kill more than 50,000 Ameri-cans every year.

Flu viruses can induce a massive inflammatory response capable of killing the patient, commonly known as sepsis. As people age, they often over-express these same destructive pro-inflammatory cytokines. The result is chronic low-level inflamma-tion that damages aging arteries, joints and neurons. By down-regulating excess pro-inflammatory cytokine production, vitamin D could save the lives of those stricken with acute influenza, or the dozens of inflammatory diseases that afflict millions of aging Americans each year. Recent studies show auto-immune diseases may be caused by low vitamin D3 levels and effectively prevented and reversed with optimal levels.



As someone who was raised in Las Vegas, and who received his undergraduate and medical degrees in Reno, Dr. Daubs understands the importance of training and keeping physicians and medical professionals here at home. Most recently at UCLA’s Department of Orthopedics, he has returned to re-establish his practice treating adult and pediatric patients with complex spinal disorders, including scoliosis.

Dr. Daubs plans to continue his involvement in cutting-edge research and share his vast knowledge of advanced treatments and surgical techniques with those accepted into the proposed Residency Program. Designed to train top-tier medical students, the orthopedic residency’s goal is to keep them in our state.

PROFESSORCHIEF, DIVISION OF ORTHOPEDIC SURGERY

Michael Daubs, M.D.

Working for the health of our communities and creating a higher institution of learning that produces top-notch physicians that stay at home and serve the residents of Nevada.

University of NevadaSchool of Medicine

Michael Daubs, M.D., announces his return to Las Vegas as he re-establishes his practice and spearheads the launch of the state’s fi rst Orthopedic Residency Program with the University of Nevada School of Medicine and UMC.

HE’S BACK.

Dr. Daubs is now seeing patients at the School of Medicine’s Patient Care Center. 1707 W. Charleston Blvd., Suite 160 • Las Vegas, NV • Appointments at 702.671.5150

0000102004-01.indd 1 1/24/14 3:58 PM


Wayne Gorsek is the founder and CEO of Las Vegas vitamin company, Dr.Vita.com. He can be reached

at [email protected].

Antimicrobial peptides are components of the immune system that protect against bacterial, fungal, and viral infections. Secret-ed by immune cells throughout the body, antimicrobial peptides damage the outer lipid membrane of infectious agents (including infl uenza viruses), rendering them vulnerable to destruction by the body’s immune system.

Recent studies confi rm that vitamin D dramatically regulates the expression of these antimicrobial peptides in immune cells. We now have a defi nitive biological mechanism to explain why vitamin D confers such dramatic protection against common winter illnesses.

Additionally, the cancer risk is reduced with optimal vitamin D levels. Studies indicate low levels increase the risk of breast can-cer by 300-600 percent versus optimal levels that reduce overall cancer risk in the 50-70 percent range. Selenium, at 200 mcg per day, has been shown in a study to lower overall cancer mortality by 50 percent. Vitamin D3, selenium and zinc are truly a trifecta of powerful nutrients proven to improve immunity and reduce cancer risk. Levels in typical multivitamins are too low to provide these benefi ts.

Coenzyme Q10 is one of the fi rst nutrients I studied more than 20 years ago because medical studies indicated excellent benefi ts for congestive heart failure and Parkinson’s. My grandfather had both, and the drug therapies failed to prevent progression of these diseases that destroy the quality of life and put a terrible burden on the family and caregivers both emotionally and physically. The typical diet only provides 2-5 mg of CoQ10 and typical multivi-tamins provides zero. As we age, our body’s natural production declines and drugs, such as statin cholesterol lowering drugs, im-pair the production of CoQ10 and cause nerve and muscle damage. Look for a multivitamin with 100-200 mg per day and, if you have heart failure and/or Parkinson’s, you’ll need 600-1,200 mg per day. One study showed a 50 percent reduction in Parkinson’s progres-sion with 1,200 mg of CoQ10 per day. There are no drugs proven to provide this benefi t.

The B-Complex vitamins, along with selenium, carnitine and CoQ10, are essential for healthy cell methylation. Studies indicate a lack of these nutrients, and failure of the methylation cycle could cause depression and caner. The typical American diet is very defi -cient in these essential nutrients as are the typical multivitamins.

Only choose a multivitamin that has 250 mcg or more of the active form of B12 call methylcobalamin versus the cyanide form called cyanocobalamin. This form of B12 has been proven to achieve blood levels similar to injection and may actually protect and regenerate the nervous system. Also look for alpha lipoic acid and chromium in the 200-500 mcg per day range as these nutri-ents work together to prevent the blood sugar from damaging the healthy cells a process called glycation.

As we age, our blood sugar levels tend to increase and the high end of normal actually doubles our risk of heart disease – your goal should be low end of normal. Eliminate sugar, corn syrup, fructose and other simple sugars that raise blood sugar levels and cause cancer, obesity and diabetes. Sweetened juices cocktails, processed foods and sodas are the worst o� enders.

Some of the most amazing nutrients and herbs that I have

Turmeric ExtractTurmeric Extract, standardized to 95%, is backed by multiple human trails to support healthy infl ammation, cardiovascular and joint helath.

Grape Seed ExtractBacked by numerous human trials to benefi t anti-aging, cardiovascular health, cognition, blood sugar, blood pressure, and more. Up to 30 to 50 times more powerful antioxidant than Vitamin C or E.

Red Wine Extract andResveratrolPotent anti-aging nutrient found in red wine increases the lifespan of three species of animals. The many health benefi ts have been backed by numerous human trials.

Black Pepper ExtractBioperine brand – proven bio availability enhancer – makes Turmeric Extract and numerous other nutraceuticals more bio available in the body.

LET’S TALK BENEFITS

infl ammation, cardiovascular and

studied don’t have daily values, but provide amazing antioxidant protection against deadly free radicals linked to Alzheimer’s, can-cer, heart disase and aging. My favorites are green tea (EGCG is an active ingredient), turmeric (curcuminoids are active ingredi-ent), grape seed, red wine, pomegranate, quercetin/biofl avonoids, berries and pine bark. A high quality multivitamin will include all of these.



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HEALTHCARE

0000102714-01.indd 1 2/4/14 11:32 AM


T H E N O T E S

Dr. Mark Penn is the founding dean of Roseman University’s allopathic College of Medicine. He will also serve as chancellor of the Summerlin campus, which houses Roseman’s medical re-search programs. He joined Roseman in July 2012 as chancellor of the university’s South Jordan, Utah, campus and special assistant to the president for program planning.

Neurosurgeon Dr. Aury Nagy opened Nevada Brain & Spine Care with offices in Las Vegas, Henderson and Bullhead City, Ariz. He was pre-viously a partner with Las Vegas Neurosurgery & Spine Care. Besides his neurosurgery practice, Nagy serves as spine committee chair and neu-rosurgery section chief for Spring Valley Hospital as well as an adjunct clinical faculty member for Touro University.

Three plastic surgeons, Dr. Goesel Anson, Dr. Michael Edwards and Dr. Terry Higgins, joined forces to create Anson, Edwards and Higgins Plastic Surgery Associates. The practice is located at 8530 W. Sunset Road, Suite 130, Las Vegas.

Dr. Troy Watson, director of the Foot and Ankle Institute at Desert Or-thopaedic Center, and his staff provided foot screenings and footwear to clients of the Salvation Army. Precision Orthotics and Del Webb Middle School also donated to the campaign. Zappos’ sister company, 6pm.com, donated 700 pairs of shoes, as well.

The United Way of Southern Nevada’s Women’s Leadership Council opened a medical clinic at Reynaldo Martinez Elementary School oper-ated by Positively Kids. It serves more than 700 students.

WestCare, a nonprofit group that helps people with addictions and men-tal health disorders, has a new website, www.WestCare.com.

PENN

NAGY

Southwest Medical Associates made several changes. Dr. Daniel Frank moved to a national role to oversee clinical documentation and quality improvement and local care delivery; Dr. Sam Bauzon moved to medical director of the clinical documentation and qual-ity improvement department from associate medical director; Dr. Nancy Yu moved to medical director of the achieving clinical excel-lence department from associate medical director; Dr. John Rhodes is associate medical director of primary care. SMA also added two new providers to its Southwest Surgery Center and one new pro-vider to its Pahrump clinic. Dr. Robert Blackwood and Dr. Agata Vollers joined the surgery center, while Dr. Eric Miller has started at the clinic.

Southwest Medical Associates recognized the performance of its health care providers. Honored were: Dr. Valeria Asimenios, Rob-ert Hulse Sensitivity Award; Rena Rivera, Anne Osborne Sensitivity Award; and Dr. Chang-Hoon Ahn, Family Home Hospice Comfort & Dignity Award. Provider of the Year awards went to: Dr. Samson Otuwa, anesthesiology; Steve Forcier, certified registered nurse anesthetist; John Kvist, nurse practitioner/physician assistant; Lau-rel Pope, OB/GYN; Dr. Dennis Moore, pediatrics; Dr. Charalee Smith, primary care; Michael Kooyman, specialty; and Dr. Ellen Martin, ur-gent care.

The Valley Health System appointed its board of governors for 2014. The new board merges five previous boards for Centennial Hills, Desert Springs, Spring Valley, Summerlin and Valley hospi-tals. Officers includes: chairman Tom Warden, senior vice president of Summerlin for the Howard Hughes Corp.; vice-chairman Dr. Jer-ry Schwartz, MDVIP concierge medicine company; and secretary/treasurer Valerie Murzl, senior vice president of human resources and training at Station Casinos. Other members include: Hannah Brown, Jon Porter, Rossi Ralenkotter, Sig Rogich, Carolyn Yucha, Dr. Flip Homansky, Dr. Dan McBride, Dr. Golam Choudhry, Dr. Mi-chael Gunter, Dr. Peter Scully, Dr. Warren Volker, Dr. Dost Wattoo, Karla Perez, Kim Forbes-Daniels, Ann Savin, Lynn Belcher, John Coldsmith, Margaret Covelli, Leonard Freehof, Robert Freymuller, Sam Kaufman, Elena McNutt, Sajit Pullarkat, and Ernie Stegall.

Several Valley Health System nurses were honored during the March of Dimes Southern Nevada Nurse of the Year awards. Rec-ognized were: Elyse Barnes, Centennial Hills Hospital, winner, charge nurse/general medical and surgical; Lindsay Gambit, Spring Valley Hospital, runner-up, general medical and surgical; Michelle “Mickey” Guerrero, Valley Hospital, winner, charge nurse/special-ty; Stephanie Harris, Spring Valley Hospital, runner-up, pediatric critical care; Beth Lee, Spring Valley Hospital, runner-up, surgical services; Amanda Melcher, Valley Hospital, winner, emergency services; Nancy Newell, Centennial Hills Hospital, runner-up, in-fection control; Sharon Sanchez, Desert Springs Hospital, winner, general medical and surgical; Anne-Marie Schenk, Summerlin Hospital, runner-up, nursing administration; Rosemary Upchurch, Centennial Hills Hospital, runner-up, case management; Kira Volle, Centennial Hills Hospital, winner, women’s health; Susan West, Spring Valley Hospital, winner, surgical service; and Annie White, Valley Health System University, winner, nurses choice-administration.

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The Werner Institute for Balance and Dizziness joined with Fyzical Ther-apy and Balance Centers. The company, which specializes in diagnosing and treating patients with peripheral and central nervous system disor-ders, will operate as Fyzical Therapy and Balance Centers at clinics at 9080 W. Cheyenne Ave., Las Vegas, and 9005 S. Pecos Road, Las Vegas.

Dr. Quang Nguyen, D.O., is a medical weight loss endocrinologist at the Surgical Weight Control Center. Nguyen is a doctor of osteopathy and is board certified in internal medicine, hypertension and endocrinology. He also works as an adjunct associate professor at Touro University College of Osteopathic Medicine and a clinical associate professor at the Arizo-na College of Osteopathic Medicine. He recently passed the American Board of Obesity Medicine certification exam for obesity medicine physi-cians and is certified in the subspecialty of obesity medicine. Nguyen was among 158 physicians nationally who passed this year’s exam.

WellHealth Women’s Specialty Care is one of 27 organizations nationally that will implement Strong Start Centering Pregnancy group prenatal care intended to reduce preterm births and improve outcomes for newborns. The initiative is part of Strong Start for Mothers and Newborns, managed by the Center for Medicare and Medicaid Innovation.

Comprehensive Cancer Centers of Nevada completed its 3,600-square-foot expansion of its Southern Hills Cancer Treatment and Breast Surgery Center at 9280 W. Sunset Road Suite 100, Las Vegas. Expansion and en-hancements include the extension of the lobby and medical oncology infu-sion room and five medical oncology exam rooms, two medical oncology scheduling stations and an exam room for breast surgeon Dr. Souzan El-Eid.

T H E N O T E S

Dr. Eileen Shi, Dr. Terence Agustin, along with Samantha Scheible and Candace Moore, both certified physician assistants, joined HealthCare Partners Medical Group, a physician-run group providing primary, spe-cialty and urgent care in Southern Nevada. Shi sees patients at Durango Pediatrics, 5575 S. Durango Drive, Las Vegas. Agustin, who specializes in internal medicine and geriatric care, sees patients at 2225 N. Civic Center Drive, Suite 280, North Las Vegas. Scheible sees patients at the Spring Valley clinic, 5320 S. Rainbow Blvd., Suite 150, Las Vegas. Moore sees patients at the HealthCare Partners Tenaya Pediatrics Clinic, 3150 N. Tenaya Way, Suite 260, Las Vegas.

Thirty-four adult primary care clinics owned by HealthCare Partners Medical Group, a physician-run group of primary, specialty and urgent care providers, have been recognized as patient-centered medi-cal homes by the National Committee for Quality Assurance, meaning staff empha-sizes a strong clinician-patient relationship and personalized health care delivery.

Three nurses with HealthCare Partners Nevada, a physician-run network of primary, specialty and urgent care pro-viders, received awards at the 2013 Nurse of the Year event. Chief Nursing Officer Patti Berry was named Nurse of the Year. Jamie Simmons, LPN, won and Judith Stephens, RN, was runner-up in the Managed Care category. About 700 nurses were nominated for awards in 25 categories.

SHI

AGUSTIN

SCHEIBLE

MOORE

Desert Springs Hospital unveiled a Shaper Bariatric Surgery app that al-lows people to preview how bariatric surgery could transform their phy-sique. The app is available on Google play or Android and Apple app stores.

Dr. Lynn Kowalski, medical director of MountainView Hospital’s Institute for Robotic Surgery, performed her 1,000th robotic surgery. Kowalski is board certified in gynecologic oncology. MountainView is the only hospital in Las Vegas to take part in a clinical trial that uses directed imaging during minimally invasive hysterectomies for cervical and uterine cancer.

LaserMed Solutions opened a location at 777 N. Rainbow Blvd., Suite 200, Las Vegas. It offers Zerona Laser treatment, which uses a cold laser.

Sunrise Hospital and Medical Center received the American Heart Association/American Stroke Association’s “Get With The Guide-lines – Stroke Gold Plus Quality Achievement Award” for the fifth consecutive year. The award recognizes care for stroke patients.

Sunrise Health System’s MountainView and Southern Hills hospi-tals were named among the nation’s “Top Performers on Key Qual-ity Measures” by the Joint Commission. The hospitals were rec-ognized for exemplary performance using evidence-based clinical processes that improve care for heart attack, heart failure, pneumo-nia and surgery patients. Southern Hills has achieved top performer status for three consecutive years.

Sunrise Health hospitals and Health to You opened three H2U Health Centers for 8,855 hospital employees and their dependents. The centers are at MountainView, Southern Hills and Sunrise Chil-dren’s hospitals.



Dr. Bohdan “Bo” Chopko joined the St. Rose|Stanford Clinics as a board certified neurosurgeon and neurointerventionalist. Chopko comes to Las Vegas from Mansfield, Ohio, where he worked at Mid-Ohio Neurosurgical Care. He is also on the faculty of Stanford’s department of neurosurgery.

Esteban Duran-Ballan is executive director and Michelle Kelczewski is di-rector of nursing at the Kindred Flamingo Subacute and Transitional Care Center, which focuses on higher acuity skilled nursing care and transition-ing patients from hospital to home. He previously was the administrator of five skilled nursing and rehab facilities in Virginia.

Gov. Brian Sandoval appointed 18 people as members of the Gover-nor’s Behavioral Health and Wellness Council. The council chairman is Dr. Joel Dvoskin, and vice chairwoman is retired Judge Jackie Glass. Additional members of the council include: Mike Willden, director, Ne-vada Department of Health and Human Services; Richard Whitley, ad-ministrator, Nevada Division of Public and Behavioral Health; Marilyn Kirkpatrick, speaker, Nevada State Assembly; Michael Roberson, mi-nority leader, Nevada State Senate; Pat Hickey, minority leader, Nevada State Assembly; Debbie Smith, assistant majority leader, Nevada State Senate; Katherine Miller, director, Nevada Department of Veterans Services; Dr. Dale Carrison, chief of staff, University Medical Center; Karla Perez, regional vice president, Universal Health Services; Richard Steinberg, president and CEO, WestCare Foundation; Steve Wolfson, district attorney, Clark County; Susan Roske, chief public defender, Clark County; Randolph Townsend, former Nevada state senator; Doug Gillespie, sheriff, Metro Police; Timothy Burch, director, Clark County Department of Social Services; and Monte Miller, CEO, KeyState Cor-porate Management.

Adelbert Wadsworth is a physician assistant at Urology Specialists of Nevada. He graduated from Touro University Nevada with a master’s in physician assistant studies and is a member of the American Academy of Physician Assistants.

Four local hospitals — Centennial Hills Hospital Medical Center, Progres-sive Hospital, Southern Hills Hospital and Medical Center and Sunrise Hospital and Medical Center — received the 2013 Nevada Hospital En-gagement Network Bright Spot: Reducing Harm Across the Board Award. Honorees demonstrated high-quality patient care and excellence in pa-tient safety indicators.

Circus Couture presented “Possession(s),” a performance, fashion and art event at the Joint at the Hard Rock to benefit the Children’s Specialty Center of Nevada, the state’s only nonprofit outpatient clinic treating kids with cancer regardless of insurance.

Local physician Jorge Burgos is a recipient of a 2013 HealthInsight Qual-ity Award. HealthInsight is a private, nonprofit, community-based orga-nization dedicated to improving health and health care in Nevada, New Mexico and Utah.



N O N P R O F I T Q & A

Hours of operation: Varies

Owned/operated by: Blood Systems Inc.

Operating since: 1963

Describe your organization and the services you offer.United Blood Services of Las Vegas is a nonprofit organization that

provides life-saving blood products for hospitals in Southern Nevada, California and Northern Arizona.

What is your mission?Every two seconds, someone in the United States is in need of blood.

UBS works tirelessly to make sure that supply is met when people need it most. UBS relies on local blood donations to make sure blood is available for those in need. Our mission is to provide a safe and ample blood supply while also producing advanced, cutting-edge research for medical professionals. Whom do you help?

UBS provides life-saving blood products to area hospitals throughout the southwest region. Our programs exist to make a difference in people’s lives by inspiring individuals to donate blood, producing a safe and ample blood supply, advancing cutting-edge research, and embracing continuous quality improvement.

What makes your organization unique?The support we get from the Las Vegas community really makes United

Blood Services unique. Our success relies entirely on the generosity of our donors. We are able to supply the need for life-saving blood products in Nevada as well as throughout the southwest region thanks to the kindness of our donors.

What’s the most important part of yournonprofit organization?

The most important part of United Blood Services is ensuring a safe and ample blood supply for Southern Nevadans and any patient in need. Our No. 1 priority is keeping transfusion patients and blood donors safe. We always give donors detailed information on who can and cannot donate blood and ensure that they have a safe experience. To make sure our blood supply is safe we utilize nucleic acid amplification testing, a sensitive gene-based test to screen our blood supply for HIV, hepatitis C. Each blood donation is checked for HIV, hepatitis B and C, HTLV, West

Nile virus, Chagas’ disease and syphilis. Blood Systems Laboratories, our national laboratory, is one of the finest high-volume blood donor testing and infectious disease reference laboratories in the nation.

What is the hardest part about operating your nonprofitin Las Vegas?

The hardest part about operating United Blood Services is making sure we have the right amount of donors with the right blood types on any given day to meet the demands of the hospitals we serve, which fluctu-ates constantly.

What is the best part about operating your nonprofitin Las Vegas?

The best part about operating United Blood Service is that we make a difference in lives by helping a patient have a better quality of life and, in several cases, saving people’s lives.

What obstacles have your organization overcome?Blood donation requirements constantly change due to new types of

viruses, diseases and restrictions that are placed by governing agencies which sometimes makes it hard to find enough donors to keep up with the need. We at United Blood Services are leaders in research and being proactive to address new restrictions placed on blood donors.

How can individuals and businesses help you?Individuals can help by donating blood at least three times a year. Blood

donations only take a small portion of your day and one pint of blood can save up to three lives. Businesses and community organizations can also help by hosting blood drives or providing vouchers and coupons as rewards for donors.

What are some of your upcoming events or projects?Besides the wide variety of blood drives and promotions UBS hosts

throughout the year, one of our most exciting events is our annual Celebration of Life High School Awards and Scholarship Banquet. During this event, UBS awards thousands of dollars in scholarship funds to reward the highest contributing schools. No single group of donors contributes to

THREE SOUTHERN NEVADA CENTERS: • 6930 W. CHARLESTON BLVD. | LAS VEGAS

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877.827.4376 | UNITEDBLOODSERVICES.ORG/LV/

UNITED BLOOD SERVICES

50-51_HCQ022414_Nonprofit_Q&A.indd 50 2/13/14 6:08 PM

W I N T E R 2 0 1 4 H E A L T H C A R E Q U A R T E R L Y 5 1Photos by United Blood Services

At left, United Blood Services celebrates at its annual high school awards. Above, Metro Police, Clark County firefighters and UMC battled each other for a one-day “Heroes Challenge.”

UBS more than regional high school students. Approximately 8,250 units of blood were donated during the 2012-2013 school year by students in Clark County and neighboring school districts as part of the United Blood Services High School Blood Drive Program. That number accounts for nearly 30 percent of all blood collected by United Blood Services’ mobile blood drives in Southern Nevada during the school year. To thank these students for donating life-saving blood, United Blood Services awarded 16 scholarships to local schools at the 13th annual Celebration of Life Awards and Scholarship Banquet in May. Scholarships totaling $15,250 were awarded based upon the total number of blood units collected at each high school during the blood drives.

UBS is honored to help students further their education through its annual high school banquet and we are looking forward to hosting the 14th annual Celebration of Life Awards and Scholarship Banquet in 2014.

Anything else to add about your nonprofi t andthe work you’re doing?

For more than 50 years, United Blood Services has been part of the

Southern Nevada community with the commitment to making lives better

by providing blood products. We also make sure our donors and patients

are the top priority. It takes thousands of volunteer blood donors to en-

sure we have the products that hospitals and patients need every day.

There is no substitution for blood, so the critical needs of our community

are because of volunteer blood donors who unselfi shly take time out of

their lives to help others.

““Our No. 1 priority is keeping transfusion

patients and blood donors safe.”

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5 2 H E A L T H C A R E Q U A R T E R L Y W I N T E R 2 0 1 4 Photo by Sam Morris

V O L U N T E E R P R O F I L E

What is your favorite part about volunteering at Sunrise?My favorite part about volunteering at Sunrise is helping others. I know

that the people who I interact with are grateful that I am there.

How long have you been a volunteer at Sunrise?I have been a volunteer at Sunrise Hospital for fi ve years.

How many hours do you volunteer each week at Sunrise?Right now, I volunteer eight hours per week in the Human Resources

Department.

How can someone else become a volunteer there?You can fi ll out the application on our website, www.SunriseHospital.com.

How long do you plan to work as a volunteer there?I plan on volunteering at Sunrise for many years to come.

What makes for a good volunteer? I like being someone that people can depend on. I try to be caring and

friendly as well.

Do you have a full-time job? If so, where and doing what?I was a computer drafter for many years. I drew maps for a living. I now

work part-time during local conventions and volunteer part-time.

How long have you lived in Las Vegas?I have lived in Las Vegas for 11 years.

What volunteer activities do you take part in at the hospital?We have an annual volunteer luncheon and a holiday celebration that I

attend. I enjoy those appreciation events very much.

What types of things do you do during your shift atthe hospital?

I answer questions at the Human Resources front desk. I also assist with the fi ling and help set up various events around the facility.

What other activities are you involved in when you aren’tvolunteering at Sunrise?

I enjoy working on art projects with my husband.

What is the biggest reward from volunteering?Knowing that I have helped others and getting to work with all of

the great people at Sunrise Hospital is my biggest reward.

MICHEALANNE O’NEILLADULT VOLUNTEER AT

SUNRISE HOSPITAL AND MEDICAL CENTER

““Knowing that I have helped others and getting

to work with all of the great people at Sunrise

Hospital is my biggest reward.”

— Michealanne O’Neill

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H E A LT H T I P S

For many of us, we enjoy trying new foods and being around friends and family during dinner or a special meal. But for millions of Americans, the joys of eating can be quickly taken away by the

symptoms of heartburn.As a heartburn sufferer myself, I know firsthand that sometimes

the symptoms of heartburn can feel like you’re experiencing a heart attack. One in three Americans suffer from heartburn and chronic acid reflux. Many people actually suffer from a condition called Gastrointestinal Reflux Disease without even knowing it.

GERD is a chronic, often progressive disease resulting from a weak lower esophageal sphincter. The lower esophageal sphincter is a muscle at the junction of the esophagus and the stomach that functions as the body’s natural barrier to reflux. Normally, the lower esophageal sphincter closes immediately after swallowing, preventing reflux. In people with GERD, the lower esophageal sphincter is weak, allowing acid and bile to reflux from the stomach into the esophagus.

There is now a new solution for GERD patients called the LINX Reflux Management System. Developed by Torax Medical, LINX is a small bracelet of weakly magnetized beads held in a ring on titanium wire. The beads separate to allow food and drinks to pass and then contract again to keep stomach acid from entering the esophagus. LINX is the first procedure approved by the Food and Drug Administration for the treatment of GERD in more than 20 years.

As the only LINX-trained physician in Southern Nevada, I am excited to bring this innovative technology to our community in partnership with Sunrise Hospital & Medical Center. Sunrise is the only hospital to offer the LINX procedure in Southern Nevada.

I often meet with patients in my office who tell me that they have experienced the symptoms of GERD for decades. Until now, the only permanent solution for GERD was a procedure called Nissen Fundoplication, which was developed in the mid-1950s and involves wrapping a part of the stomach around the esophagus in an attempt to strengthen the muscle.

As you can imagine, the Nissen is a much more invasive procedure than LINX, which has persuaded many patients to hold off on or shy away from surgery in the past. These patients try to manage their symptoms with over-the-counter medications such as Zantac and Pepcid.

When these medications that are Histamine blockers no longer work, patients turn to Proton Pump Inhibitor medications such as Nexium or Prevacid. All of these medications only treat the symptoms rather than the underlying cause of the disease.

More importantly, studies have proven that reflux disease can progress even when PPI therapy has effectively eliminated GERD

NEW PROCEDURE OPENS DOOR TO LIVING LIFE WITHOUT HAVING TO DEAL WITH ACID REFLUX

By Dr. Shawn Tsuda

symptoms. Furthermore, daily PPI use has been associated with Barrett’s Esophagus (a pre-cancerous condition), an increase in bone fractures, a higher risk of pneumonia and increased risk of heart arrhythmias. Additionally, the cost associated with lifetime PPI management adds up quickly – ranging from $2,000 to $4,500 per year for brand-name prescription PPIs.

The LINX procedure takes less than 45 minutes and is performed laparoscopically. Four small incisions are made and the LINX device is placed above the lower esophageal sphincter. The LINX device augments the weak lower esophageal sphincter, reinforcing the body’s natural barrier to reflux. The magnetic attraction between the beads helps the lower esophageal sphincter resist opening to gastric pressure, preventing reflux from the stomach into the esophagus.

Swallowing temporarily breaks the band’s magnetic bond, allowing food and liquid to pass into the stomach normally. Magnetic attraction closes the lower esophageal sphincter after swallowing, reinforcing the body’s natural barrier to reflux. The recovery time for this procedure is minimal and, unlike other procedures, LINX is reversible.

Another benefit of LINX is that patients can still vomit, burp and swallow normally a short time after the procedure. This new treatment is an exciting option to patients suffering from GERD in the Southern Nevada region.

Dr. Shawn Tsuda is a board-certified general surgeon and assistant professor in the Department of Surgery at the

University of Nevada School of Medicine in Las Vegas. He is fellowship trained in laparoscopic weight loss surgery and is

chief of the school’s bariatric surgery division.

54-57_HCQ022414_HealthTips.indd 54 2/13/14 6:23 PM


DO YOUR HOMEWORK BEFORE CUTTING GLUTEN FROM DIET

I n the battle to get leaner and healthier, people have been targeting many different food groups over the years, from fats to carbohydrates. Now,

experts are weighing in on whether or not grains might be a culprit in the growing prevalence of certain diseases, including obesity and dementia.

Conflicting opinions on carbohydrates“Carbohydrates are awful for the brain,” said Dr. David Perlmutter, neu-

rologist and author of the new book “Grain Brain.” “Eating carbohydrate foods increases blood sugar levels, which causes inflammation and can lead to dementias.”

However, a recent study conducted by the University of Nebraska showed that eating whole grains, such as barley and brown rice, actually helped de-crease inflammation.

Carolyn O’Neil, a registered dietitian, also agrees with these findings that dispute the elimination of carbohydrates in one’s diet.

“Nothing could be further from the truth,” O’Neil said. “A study by Centers for Disease Control researchers projected that if grains were eliminated then diets would be extremely low in folic acid, iron and B vitamins.”

Experts weigh-inA growing number of people are being diagnosed with sensitivity to glu-

ten, which is a condition that can cause a range of health problems. Gluten found in wheat, barley, rye and in oats processed in the same mills as those grains, cannot be digested by those with celiac disease and can affect the health of those who are gluten intolerant.

According to the National Institute of Health, between 5 percent and 10 percent of all people may suffer from a gluten sensitivity of some form. One out of every 133 Americans (about 3 million people) have Celiac Disease.

With healthy dieting elements in mind, and by keeping yourself informed about the facts and benefits of foods, you can make the most educated de-cision when choosing what to feed your family.

— Courtesy of Family Features



WELLNESS ROUTINE HELPSSUPPORT A HEALTHY LIFESTYLE

I f the decadent dishes and busy schedules of the holiday season have set back your efforts towards a healthy lifestyle, fear not. With the right plan

in place, it’s easy to get back on track, re-energized and refocused.Shorter days and colder weather may seem to heighten the desire to in-

dulge in comfort foods, just as much as it can lessen the motivation to take part in physical activity, like hitting the gym or taking an afternoon stroll.

Health expert, author and registered dietitian, Patricia Bannan, shares a few simple changes to help re-charge your routine and get excited, no mat-ter what the thermometer reads outside:

Set realistic expectationsIf you haven’t been running in months and plan to jump on the treadmill

tomorrow, it’s important to take your new workout in stride. Having high as-pirations for your health is a wonderful thing, but there’s nothing wrong with starting small. Setting achievable goals – such as jogging or walking for a certain amount of time each day – will help to keep you working toward the goal of running a 10K in the long term.

Buddy up By now you’ve likely commiserated with friends about the lapse in your

health and wellness goals. This is the perfect opportunity to ask someone to partner up in your healthy pursuits. Ask friends, family, neighbors or co-workers if they are interested in joining a gym, taking a boot camp class, or participating in a healthy cooking course.

Swap out ingredientsHealthier alternatives exist for all of your favorite dishes. If you crave a

hearty bowl of chili, switch out ground beef for a leaner variety of ground turkey. Use whole-grain pasta in your favorite Italian dishes or whole-grain breads for sandwiches.

Supply your body with quality nutritionBeyond getting in your required fruits, vegetables, lean proteins, healthy

fats and whole grains through a balanced diet, taking a high quality supple-ment can help bridge any nutrient gaps.

By incorporating a few of these simple tips into your daily wellness rou-tine, you’ll be on the path to a healthier new you. For more information, visit www.naturemade.com.

— Courtesy of Family Features

H E A LT H T I P S

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90 | Book of BUSINESS lIStS 2012 VEGAS INC | 91

Rank HospitalOperating

revenueNet income

(loss)Licensed

bedsInpatient

daysOccupancy

rate Top executive

1 Sunrise Hospital & Medical Center 3186 S. Maryland Parkway

Las Vegas 89109

731-8000 • SunriseHospital.com

255,134,927 3,460,878 700 700 63.61 Sylvia Young

CEO

2 St. Rose Dominican Hospitals- Siena Campus 3001 St. Rose Parkway

Henderson 89052

616-5000 • StRoseHospitals.org

157,980,227 16,448,930 219 219 93.74 Rod A. Davis

president, CEO

3 Summerlin Hospital Medical Center 657 Town Center Drive

Las Vegas 89144

233-7000 • SummerlinHospital.org

149,536,267 8,619,762 455 455 60.00 Robert S. Freymuller

CEO

4 University Medical Center 1800 W. Charleston Blvd.

Las Vegas 89102

383-2000 • UMCSN.com

118,688,004 6,974,957 541 541 70.89 Brian Brannman

CEO

5 Valley Hospital Medical Center 620 Shadow Lane

Las Vegas 89106

388-4000 • ValleyHospital.net

113,867,837 (8,008,869) 404 404 57.39 Kevin A. Stockton

CEO

6 MountainView Hospital 3100 N. Tenaya Way

Las Vegas 89128

255-5000 • MountainView-Hospital.com

112,567,765 (1,903,540) 235 235 88.00 Will Wagnon

CEO

7 Spring Valley Hospital Medical Center 5400 S. Rainbow Blvd.

Las Vegas 89118

853-3000 • SpringValleyHospital.com

98,329,634 5,355,345 231 231 75.40 Leonard Freehof

CEO

8 Desert Springs Hospital Medical Center 2075 E. Flamingo Road

Las Vegas 89119

733-8800 • DesertSpringsHospital.com

84,265,760 (1,801,467) 276 276 50.62 Sam Kaufman

CEO

9 St. Rose Dominican Hospitals- San Martin Campus 8280 W. Warm Springs Road

Las Vegas 89113


77,564,851 (3,705,437) 147 147 68.19 Vicky VanMeetren

president, CEO

10 Centennial Hills Hospital 6900 N. Durango Drive

Las Vegas 89149

835-9700 • CentennialHillsHospital.com

60,449,760 (6,231,704) 171 171 58.87 Kevin A. Stockton,

CEO

11 St. Rose Dominican Hospitals- Rose De Lima Campus 102 E. Lake Mead Parkway

Henderson 89015


56,687,805 (6,733,352) 129 129 74.43 Allan M. Spooner

president, CEO

12 North Vista Hospital 1409 E. Lake Mead Blvd.

North Las Vegas 89030

649-7711 • NorthVistaHospital.com

44,987,109 2,199,906 177 177 70.84 Rick Kilburn

CEO

13 Southern Hills Hospital & Medical Center 9300 W. Sunset Road

Las Vegas 89148

880-2100 • SouthernHillsHospital.com

25,425,003 (4,827,813) 139 139 55.17 Kim Anderson

CEO

Sources: UNLV Center for Health Information Analysis and VEGAS INC research

Learn more about what Anthem Blue Cross and Blue Shield has to offer at anthem.com/connects2

Life and Disability products underwritten by Anthem Life Insurance Company. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWi), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation (Compcare), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.

Anthem Blue Cross and Blue Shield. Our network means your employees save from day one.

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0000097601-01.indd 1 11/25/13 5:25 PM59-74_ProfessionalFirms.indd 67 12/11/13 5:13 PM

VEGAS INC | 97

specialty hospitalsRanked by January-June 2012 operating revenue

Rank HospitalOperating

revenueNet income

(loss) Licensed beds Inpatient days Top executive

1 Kindred Hospital Las Vegas- Flamingo Campus 2250 E. Flamingo Road

Las Vegas 89119

784-4300 • KindredHospitalLVF.com

$20,328,440 $4,597,714 142 17,277 Jennifer Schomburg

CEO

2 HealthSouth Rehabilitation Hospital of Henderson 10301 Jeffreys St.

Henderson 89052

939-9400 • HealthSouth.com

$17,105,571 $6,781,399 90 11,500 Kenneth Bowman

CEO

3 HealthSouth Rehabilitation Hospital of Las Vegas 1250 S. Valley View Blvd.

Las Vegas 89102

877-8898 • HealthSouth.com

$15,671,298 $5,353,790 79 10,680 Farzin Farhang

medical director

4 Complex Care Hospital at Tenaya 2500 N. Tenaya Way

Las Vegas 89128

$14,989,002 $3,424,281 70 10,069 Timothy Deaton

administrator

5 Harmon Medical & Rehab Hospital 2170 E. Harmon Ave.

Las Vegas 89119

794-0100 • FundLTC.com

$13,493,464 $1,102,571 118 19,564 Bonnie Essex Hillegass

administrator

6 Kindred Hospital LV - Sahara Campus 5110 W. Sahara Ave.

Las Vegas 89146

871-1418 • KindredHospitalLVS.com

$11,658,957 $726,836 52 7,757 Kent Ashley

CEO

7 Montevista Hospital 5900 W. Rochelle Ave.

Las Vegas 89103

364-1111 • MontevistaHospital.com

$11,368,611 $2,461,704 90 13,625 Robert Marshall

CEO

8 Horizon Specialty Hospital - Las Vegas 640 Desert Lane

Las Vegas 89106

382-3155 • FundLtc.com

$8,547,962 $827,625 61 6,477 Dave Tupper

CEO

9 Spring Mountain Treatment Center 7000 W. Spring Mountain Road

Las Vegas 89117

873-2400 • SpringMountainTreatmentCenter.com

$8,436,521 $578,493 82 11,293 Darryl Dubroca

CEO, managing director

10 HealthSouth - Desert Canyon Rehab Center 9175 W. Oquendo Road

Las Vegas 89148

252-7342 • DCRH.net

$7,958,203 $3,364,865 50 7,651 Deanna Martin

CEO

11 Seven Hills Behavioral Institute 3021 W. Horizon Ridge Pkwy.

Henderson 89052

214-8099 • PsySolutions.com

$6,777,236 $732,910 58 9,119 John Hull

CEO

12 Kindred Hospital LV - St. Rose de Lima Campus 102 E. Lake Mead Pkwy.

Henderson 89015

$6,635,826 $274,793 28 3,902 Estrella Sutton

CEO

13 Progressive Hospital 4015 McLeod Drive

Las Vegas 89121

$4,006,807 $387,571 24 2,711 Rosemary Thiele

CEO

14 Spring Mountain Sahara Behavior Institute 5460 W. Sahara Ave.

Las Vegas 89146

216-8900 • SpringMountainSahara.com

$3,879,074 $1,378,492 30 4,407 Darryl Dubroca

CEO, managing director

15 Red Rock Behavioral Health Hospital 5975 W. Twain Ave.

Las Vegas 89103

214-8099 • PsySolutions.com

$2,696,957 $797,369 21 3,374 Robert Marshall

CEO

Sources: UNLV Center for Health Information Analysis and VEGAS INC research

At St. Rose Dominican Hospitals, we’re committed to excellence

and believe in delivering a higher standard of care. That’s why we

pay attention to every detail, for every patient, every single day.

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EVERY PATIENT MATTERS

Rose de Lima Campus • Siena Campus • San Martín Campus • 702-616-4900 • www.StRoseHospitals.org

EVERYKISSMATTERS

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The hiring of a lawyer is an important decision and should not be based solely upon advertisements. Before you decide, ask us to send you free written information about our qualifications and our experience. Prior results do not guarantee a similar outcome. Greenberg Traurig is a service mark and trade name of Greenberg Traurig, LLP and Greenberg Traurig, P.A. ©2012 Greenberg Traurig, LLP. Attorneys at Law. All rights reserved. Contact: Michael J. Bonner in Las Vegas at 702.792.3773. °These numbers are subject to fluctuation. *Operates as Greenberg Traurig Maher LLP. +Operates as Greenberg Traurig, S.C. ^Operates as a branch of Greenberg Traurig, P.A., Florida, USA. ~Greenberg Traurig’s Warsaw office is operated by Greenberg Traurig Grzesiak sp.k., an affiliate of Greenberg Traurig, P.A. and Greenberg Traurig, LLP. Images in this advertisement do not depict Greenberg Traurig attorneys, clients, staff or facilities. 20470

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0000103527-01_HCQ_L&MHealthcare_AD.indd 1 2/12/14 9:25 AM0000103527-01.indd 1 2/12/14 5:13 PM

5 8 H E A L T H C A R E Q U A R T E R L Y W I N T E R 2 0 1 4 Photos by United Blood Services

M A K I N G T H E R O U N D STo include your photos in the next issue, contact Rob Langrell at [email protected]

Entertainers Penn & Teller visited the headquarters of United Blood Services to kick off their “13 Bloody Days of Christmas” promotion. For the 13th consecutive year, the Rio All-Suite hotel-casino headliners partnered with UBS to raise awareness of the need for blood donations. Penn even donated blood to jumpstart the efforts. Donors received two complimentary tickets to Penn & Teller’s show.

Blood donations can be made year-round at two UBS locations: 6930 W. Charleston Blvd., Las Vegas, and 601 Whitney Ranch Drive, Henderson. Call (877) 827-4376 or visit UnitedBloodServices.org/LV for more information.

58-59_HCQ022414_Photo_pgs.indd 58 2/13/14 6:26 PM

0000103435-01_LVL_Mercedes_Ad.indd 1 2/10/14 5:05 PM0000103435-01.indd 1 2/13/14 9:58 AM


C A L E n d A RTo include your calendar items in the next issue, contact Rob Langrell at [email protected]

Cleveland CliniC lou Ruvo CenteR foR BRain HealtHAll educational programs are offered free of charge and are held at 888 W. Bonneville Avenue, Las Vegas. For additional information, contact Susan Solorzano at 483.6055 or [email protected]. Visit the patient and family services program calendar at www.keepmemoryalive.org

lunCH and leaRn eduCational SeRieS Wednesdays from noon-1 p.m.

feb. 26: testing the Brain: Why is My doctor Sending Me to a neuropsycholo-gist? Justin Miller , PhD, Neuropsycholo-gist, Cleveland Clinic Lou Ruvo Center for Brain Health. Find out how neuropsycho-logical testing can be useful for patients, their families & health care providers in making better decisions for care.

HealtHieR living Stanford School of Medicine’s Chronic Disease Self-Management Program, called Healthier Living, begins March 28. This workshop is designed for individuals with the illnesses we treat, other chronic illness and family caregivers. This free series is held at the Cleveland Clinic Lou Ruvo Center for Brain Health over six weeks. Each session has tools to help enhance your health and well being in the midst of stressful times. Contact Susan, 483-6055, [email protected] to sign up.

Multiple SCleRoSiS SuppoRt gRoup1st tuesday from noon-1 p.m.

March 4, april 8 & May 6. This group is for adult family members of individuals with MS. Open to the community and free of charge. For additional information contact Joanne at 483.6006 or [email protected].

MeMoRy loSS CaRegiveR SuppoRt gRoup Wednesdays from 1:15 p.m.-2:45 p.m.

This weekly group is held for adult family members who provide care and/or support for loved ones with memory loss. Facilitated by Donna Munic-Miller, PhD. For additional information, e-mail [email protected] or call 483.6035.

Huntington’S diSeaSe SuppoRt gRoup 4th tuesday from noon-1 p.m.

feb. 25, March 25, april 22 & May 27. The group is designed for gene positive individuals as well as adult family mem-bers and caregivers. Separate groups are held for gene positive individuals (as-ymptomatic and early stage) and adult family members. Interested individuals can contact Donna Munic-Miller, PhD at [email protected] or call 483.6035.

paRkinSon’S diSeaSe SuppoRt gRoup 2nd tuesday from 11:30 a.m.-12:30 p.m.

March 11, april 8 & May 13. This group is held for early stage individuals and adult family members who provide care and/or support for loved ones with Parkin-son’s disease. Separate groups meet at the same time. Phone screening for new early stage participants is required. For additional information contact Jenna at 483.6054 or [email protected].

natHan adelSon HoSpiCeneWly BeReaved gRoup Mondays from 11 a.m.-12:30 p.m.

Meets in the chapel at Swenson location at 4141 Swenson St.

neWly BeReaved gRoup Mondays from 1-2:30 p.m.

Meets in the medical office building at Tenaya location at 3150 N. Tenaya Way, Suite 350.

faMily and teen BeReaveMent gRoupEight-week session held quarterly. Meets at the Center for Compassionate Care, 4131 Swenson St. Call 796-3167 for more information.

paRent BeReaveMent gRoup Mondays from 1:30-3 p.m.

Meets in the chapel at Swenson location at 4141 Swenson St.

adult BeReaveMent gRoup Wednesdays from 5-6:30 p.m.

Meets in the large conference room at Swenson location at 4141 Swenson St.

adult BeReaveMent gRoup tuesdays from 3-4:30 p.m. & thursdays from 5-6:30 p.m.

Meets in the medical office building at Tenaya location at 3150 N. Tenaya Way, Suite 350.

SpaniSH adult BeReaveMent gRoup last thursdays from 6-7:30 p.m.

Meets at the Center for Compassion-ate Care, 4131 Swenson St. Child care is available.

teen BeReaveMent gRoup last thursdays from 6-7:30 p.m.

Meets at the Center for Compassionate Care, 4131 Swenson St.

veteRan’S SuppoRt gRoup 1st and 3rd Mondays from 6-7:30 p.m.

Meets at the Veteran’s Village, 1150 Las Vegas Boulevard South.

MountainvieW HoSpitalFor more information, visit our website www.SunriseHealthInfo.com. Call 233.5300 to register at least 48 hours in advance. Registration is required for all events.

lunCH and leaRn: u need to knoW SeRieS

Join Dr. Leslie Browder, assistant profes-sor of surgery at University of Nevada School of Medicine, specializing in the field of colorectal surgery. Dr. Browder will discuss treatment for disorders and diseases of the colon and rectum. These may include conditions such as incontinence, polyps, ulcerative colitis, hemorrhoids and similar complications. She will also explain about minimally invasive procedures, which includes laparoscopic surgery, by using this state-of-the-art technology can reduce damage to human tissue when perform-ing surgery. Free.Tuesday, March 11, 11:30 a.m.-1 p.m. H2U MountainView Office, 3150 N. Tenaya Way, Suite 114

60-69_HCQ022414_Calendar.indd 60 2/13/14 6:27 PM

SOUTHERN NEVADA’S MEDICAL SCHOOLEducating healthcare professionals to serve our community

Opened in 2004, this non-profit university has graduated: 651 physicians ~ 323 physician assistants ~ 359 nurses

63 physical therapists ~ 176 occupational therapists

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

please call 702.777.3100 or visit www.tun.touro.edu

874 American Pacific Drive, Henderson NV 89014Touro University Nevada is accredited by the Western Association of Schools and Colleges and licensed in Nevada by the Commission on Post-Secondary Education.

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School of Nursing

School of Nursing

School of Nursing

0000103525-01.indd 1 2/10/14 4:17 PM


C A L E n d A R

Lunch and Learn:You need to Know about covered Medicare Preventive ServiceS

Join us for an informative lecture on Medicare Preventive Services: the best way to stay healthy is to prevent or early detection of diseases. Medicare Preventive Services is designed to help you achieve this goal by providing exams, shots, lab tests and screenings. Medicare also includes programs for health moni-toring, counseling and education to help you take care of your own health. Free.Tuesday, March 20, 11:30 a.m.-1 p.m.H2U MountainView Office, 3150 N. Tenaya Way, Suite 114

weight LoSS SurgerY SeMinar Learn everything you wanted to know about weight loss surgery from an experienced surgeon. MountainView Hospital is a Bariatric Surgery Center of Excellence. Free.Saturdays, March 8, April 12 and May 10, 10-NoonWednesdays, March 19, April 23 and May 21, 6-8 p.m. MountainView Hospital, Lobby Class-room, 3100 N. Tenaya Way

bariatric SuPPort grouPJoin the bariatric support group as mem-bers are encouraged to continue to make healthy changes and choices in their lives.Mondays, March 24, April 28 and May 19, 7-9 p.m. MountainView Hospital, Lobby Class-room, 3100 N. Tenaya Way

aLzheiMer’S care giverS SuPPort grouP

This support group provides an opportu-nity for family, friends, caregivers and oth-ers to meet regularly for mutual emotion-al support and to exchange coping skills with one another in matters relating to Alzheimer’s disease. This support group meets the third Tuesday of every month.3rd Tuesdays, 10-11 a.m. H2U MountainView Office, 3150 N. Tenaya Way, Suite 114

StroKe SuPPort grouPJoin fellow stroke survivors and caregivers and share your experiences and insight on living and coping with life after stroke.Tuesdays, March 4, April 1 and May 6, 2-3 p.m. H2U MountainView Office, 3150 N. Tenaya Way, Suite 114

bLood PreSSure ScreeningTuesdays, 10-11 a.m. H2U MountainView Office, 3150 N. Tenaya Way, Suite 114. Free, but reserva-tion is required.

aarP driver SafetY cLaSSBring your AARP card, driver’s license and something to write with. Attend this class and receive a discount on your automobile insurance. Reservation required. $15 for AARP members and $20 for non-members. Checks or money orders only – no cash.Tuesday, March 18, April 15 and May 20, 11:45 a.m.-4 p.m. H2U MountainView Office, 3150 N. Tenaya Way, Suite 114

o2 on the go SuPPort grouP The 02 on the Go Support Group is made up of knowledgeable and supportive members who are versed in the area of various respiratory illnesses. They are not medical professionals, but fellow suffers who over time have gained information on living and coping with these chronic diseases. Fridays, March 21, April 18 and May 16, 10 a.m.-noon.H2U MountainView Office, 3150 N. Tenaya Way, Suite 114

free Joint rePLaceMent education SeMinar

Join Dr. James Manning for an informational lecture on what it entails to have a total joint replacement. This is a free event and lunch is provided.Wednesday, April 2, Noon-1 p.m. MountainView Hospital, Lobby Class-room, 3100 N. Tenaya Way

free heart MurMur cLinic Wear comfortable loose clothing for the screening. By appointment only.Wednesday, April 16. MountainView Cardiovascular & Thoracic Associates, 3150 N. Tenaya Way, Suite 140, on the first floor of the Medical Office Building next to MountainView Hospital

free diabeteS overview cLaSS Diabetes can lead to complications such as blindness, heart disease, stroke and even death. Learning how to manage your disease is the first step in living a happy, healthy life. The class is one in a three-part series of informational classes for diabetic adults. Classes are taught by hospital staff.Tuesday, May 6, 10-11:30 a.m. MountainView Hospital, Lobby Class-room, 3100 N. Tenaya Way

diabeteS and nutrition Diabetes can lead to complications such as blindness, heart disease, stroke and even death. Learning how to manage your disease is the first step in living a happy, healthy life. The class is one in a three-part series of informational classes for diabetic adults. Classes are taught by hospital staff.Thursday, May 8, Noon-1 p.m. MountainView Hospital, Lobby Class-room, 3100 N. Tenaya Way

MaternitY unit tourThe Maternity Unit Tour gives expectant parents and family an opportunity to view the private birthing suites, nurseries and post-partum rooms. A brief explanation of MountainView’s delivery procedures, visitor rules and items to bring are included. Free.Wednesdays, March 5, 12, 19 & 26 and April 9. 16 & 23 and May 7, 14, 21 & 28, 7:30-8:30 p.m.Saturdays, March 1, 15, April 12 and May 3, 1-2 p.m.Mountain View Hospital, Main Lobby, 3100 N. Tenaya Way


This is our home and home is what you’ll find in THE SUNDAY.

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C A L E n d A R

Free Diabetes MeDication class & “brown bag” MeDication review

The class is one in a three-part series of informational classes for diabetic adults. Bring your questions and your medications for a review with our knowledgeable pharmacy staff. This class is for adults only; you are welcome to bring a guest.Wednesday, May 21, 10-11:30 a.m. MountainView Hospital, Lobby Class-room, 3100 N. Tenaya Way

breast is best (breastFeeDing class)This class is to help expectant parents learn tips and tricks for successful breastfeeding, the benefits of breast milk and positioning and latching techniques. Participants will benefit by bringing a baby doll or stuffed animal that is ap-proximately the size of a newborn for practicing different techniques. The cost of this class is $25. Saturdays, March 8, April 12 and May 10, 12:30-2:30 p.m.MountainView Hospital, First Floor Class-room, 3100 N. Tenaya Way

natural chilDbirth Four-week classThis four-week class is to prepare parents for natural childbirth, using holistic meth-ods and Lamaze breathing. Breathing and relaxation techniques, as well as optimal positions for labor will be discussed. Class is limited to six couples. Cost is $80 for all four classes.Tuesdays, March 11, 18, 25 & April 1 and Wednesdays, April 8, 15, 22 & 29 and Tuesdays, May 7, 14, 21 & 28, 6-8 p.m. MountainView Hospital, 1 South Class-room, 3100 N. Tenaya Way

chilDbirth classThe class is designed to assist expectant parents in a better understanding of the third trimester of pregnancy and through-out the labor and delivery process. The cost of this class is $40. Saturdays, March 22, April 26 and May 24, 9 a.m.-1:30 p.m. MountainView Hospital, First Floor Class-room, 3100 N. Tenaya Way

what to expect when you are Done expecting

This class provides information for all parents in knowing how to care for a new-born as well as caring for the mother after delivery, or the fourth trimester. Please bring a baby-size doll or stuffed animal to practice infant care techniques. The cost of this class is $25. Thursdays, March 27, April 24 and May 22, 6-8 p.m. MountainView Hospital, Lobby Class-room, 3100 N. Tenaya Way

DaDDy boot caMp: basic training For new DaDs

This class is designed to prepare new dads to assist in the care of mom and baby after leaving the hospital. Cost of class is $25.Tuesday, March 18, 6-8 p.m. MountainView Hospital, Lobby Class-room, 3100 N. Tenaya Way

sibling classThis class is geared to the 2- to 10-year-old sibling of a new infant. The purpose is to acquaint children with the hospital envi-ronment prior to the delivery of the baby. Responsibilities of being an older sibling, along with special characteristics of a new-born, are presented in a playful way. The cost is $15 per family group.Tuesdays, March 11 and April 8, 6-7:30 p.m. MountainView Hospital, Lobby Class-room, 3100 N. Tenaya Way

st. rose DoMinican hospitals For more information, visit www.strosehospitals.org, or call 616-4900 for class reservations and to learn about other programs.

MoveMent DisorDer seMinarDr. James Forage and Dr. R.E. Nagy talk treatment therapies including deep brain stimulation for Parkinson’s Disease and essential tremors.Thursday, April 3, 7-9 p.m. Siena Campus, 3001 St. Rose Parkway, MacDonald Room

Diabetes alert Day At-risk for diabetes? Get the facts and take the test! A Diabetes Risk Test (or take it online at www.stopdiabetes.com), Lab screenings: HbA1c ($10); glucose ($5); cholesterol ($5), blood pressure checks; BMI and weight checks; exercise demos; healthy cooking demo; opportunity to talk with Dr. Leon; educational resources; and door prizes. Reserve your spot 616-4900.Tuesday, March 25, 8-11 a.m. WomensCare Center, 2651 Paseo Verde Parkway, Henderson

nevaDa health link workshopLearn what new insurance plans have to cover (e.g. doctor visits, hospitalizations, maternity care, emergency room care, and prescriptions) and if you quality for insur-ance assistance. Call 616-4900 to reserve your spot.Wednesday, March 5; 5-6:30 p.m. WomensCare Center, 7220 S. Cimarron Road, Las Vegas

Diabetes For caregiversGrandparents, family, friends and babysit-ters: learn how to care for a child with Type 1 Diabetes! Registration required 616-4904.Wednesday, March 19; 6-9 p.m. WomensCare Center, 7220 S. Cimarron Road, Las Vegas

kiDs rockKids struggling with extra weight or Type 2 Diabetes are invited to a morning of fun-filled activities to help you feel better and live healthier. Ages 10+. Parents must be present. Registration required 616-4904.Saturday, March 22; 9 a.m.-Noon. WomensCare Center, 2651 Paseo Verde Parkway, Henderson

Dash away FroM hypertension Learn the Dietary Approaches to Stop Hypertension for lowering blood pressure from Vanessa Borja, R.D.Thursday, March 13; 10 a.m.-Noon. WomensCare Center, 2651 Paseo Verde Parkway, Henderson


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C A L E n d A R

CardiaC NutritioNLearn to eat for heart health from Sharon Nasser, R.D.Wednesday, April 23; 10-11:30 a.m. WomensCare Center, 2651 Paseo Verde Parkway, HendersonThursday, March 20; 3-4:30 p.m. WomensCare Center, 7220 S. Cimarron Road, Las Vegas

Lower ChoLesteroL with tLC(therapeutiC LifestyLe ChaNges)

Get your numbers right through nutrition, exercise, relaxation, and supplementation from Sherry Poinier, RD, CDE.Thursday, March 6; 9-11 a.m. WomensCare Center, 2651 Paseo Verde Parkway, Henderson

freedom from smokiNg Kick the habit with this supportive, seven-week American Lung Association program. Free.Tuesdays, April 1-May 13 andThursday, April 24; 5:30-7 p.m. San Martin Campus, 820 W. Warm Spring Road, Las Vegas

got sNap? suppLemeNtaL NutritioN assistaNCe program

Three Square will help you complete and submit your SNAP application free of charge. Call 616-4905 for an appointment.Saturdays, 8 a.m.-noon. WomensCare Center, 2651 Paseo Verde Parkway, Henderson

eatiNg oN the ruNSherry Poinier, RD, CDE teaches cooking demo and tips for eating healthy on the go. Tuesday, March 18; 10:30 a.m.-Noon. WomensCare Center, 2651 Paseo Verde Parkway, Henderson

miNdLess eatiNgDr. Dominic Ricciardi uncovers common weight-loss pitfalls and tips to maintain healthy eating habits. Wednesday, April 2; 6-7:30 p.m. WomensCare Center, 7220 S. Cimarron Road, Las Vegas

aarp smart driver programReduce your insurance rates with AARP’s Smart Driver program. $20 for members, $15 for non-members. Check only. Mondays, March 10 or April 14; 9 a.m.-1 p.m. and Fridays, Feb. 28, March 28 or April 25; 1-5 p.m. WomensCare Center, 2651 Paseo Verde Parkway, Henderson

mediCare aBCdsLearn to decipher the Medicare maze and maximize Medicare benefits for you and your family.Tuesdays, March 11 and April 8; 9-10 a.m. WomensCare Center, 2651 Paseo Verde Parkway, Henderson

safe sitterYouth ages 11-16 learn safe, nurturing childcare techniques and medical emer-gency management. $20 (includes lunch).Monday, April 14; 9 a.m.-4:30 p.m. WomensCare Center, 2651 Paseo Verde Parkway, Henderson

fit 4 BaByJoin Fit 4 Mom Las Vegas for an interval-based prenatal fitness class that com-bines cardio, stretching and balancing exercises. Register at lasvegas.fit4mom.com or 882-1795. Ten classes for $110.Saturdays, 10-11 a.m. WomensCare Center, 2651 Paseo Verde Parkway, Henderson

stroLLer stridesJoin Fit 4 Mom Las Vegas for a total body workout while engaging baby through songs and activities. Register at lasvegas.fit4mom.com. Ten classes for $110.Wednesdays, 1-2 p.m. WomensCare Center, 2651 Paseo Verde Parkway, Henderson

iNfaNt deveLopmeNtJoin Family to Family for this development playgroup for babies up to age 1.Mondays, 2-3 p.m. WomensCare Center, 2651 Paseo Verde Parkway, Henderson

southerN hiLLs hospitaLAll programs are subject to change. Southern Hills Hospital is located at 9300 W. Sunset Road, Las Vegas. For more information, visit SouthernHillsHospital.com and click Community Info/H2U. Call 880.2700 to register at least 48 hours in advance. Registration is required for all events.

LuNCh aNd LearN: CariNg for a heaLthy CoLoN

Join board-certified, fellowship-trained colorectal surgeon, Dr. Roger Hsiung as he educates attendees on diagnosis and treatment of colon cancer. Lunch will be provided free for all attendees. This event is open to the public.Tuesday, March 18, Noon-1:30 p.m.

JoiNt eduCatioN CLassA joint replacement education classes prepares patients and their caregivers for upcoming hip and knee replacements. This session provides details on what to expect before, during and after surgery. It also provides an opportunity for patients and their caregivers to ask questions prior to surgery and pre-register, making surgery day as smooth as possible. Free.Friday, March 14, 2-3 p.m.

prepared ChiLdBirth CLassesClass is designed to prepare parents for birth of a baby. Discussion will include: breathing techniques; labor/delivery, cesarean section, pain management options, post-partum, baby care/feeding. For practice, bring pillow, small blanket or towel. We will tour our Labor and Delivery suites and Maternal Infant Unit . The class cost is $45 per couple, which is payable to hospital cashier prior to class. The class is limited to the first 10 couples only. Registration required.Saturdays, March 1 and 8 (two-part class), 8 a.m.-Noon, and Wednesdays, March 12, 19 & 26 (three-part class), 6-9 p.m. Southern Hills Hospital, Second Floor Childbirth Classroom, 9300 W. Sunset Road



Free Tour oF Women’s servicesThis tour will be conducted by a regis-tered nurse and will last approximately 30 minutes depending on questions asked. This tour is designed to acquaint mothers-to-be with hospital services. Registration is required; call 880-2700 to register.Saturdays, March 1 and 8, 12:30-1 p.m.Southern Hills Hospital, Second Floor in lobby of Women’s Services, 9300 W. Sunset Road

BreasTFeeding classClass informs and supports mom in suc-cessful breastfeeding. Dads are welcome. Bring a baby doll or small stuffed animal to practice feeding positions. $15 per couple is payable to hospital cashier prior to class. Class is limited to first 10 couples. Registration required.Thursday, March 17, 6-8 p.m. Southern Hills Hospital, Second Floor Childbirth Classroom, 9300 W. Sunset Road

aarP driver saFeTy classBring your AARP card, driver’s license and something to write with. Attend this class and receive a discount on your auto-mobile insurance. Reservation required. $15 for AARP members and $20 for non-members. Checks payable to AARp accepted at the door; no cash.Thursday, March 13, 9 a.m.-1 p.m. Southern Hills Hospital, First Floor Education Room, 9300 W. Sunset Road

adulT diaBeTes class: overvieW and nuTriTion

Join Southern Hills Hospital’s Director of Education, Karen Greenberg, RN and Reg-istered Dietitian, Joy DeGuzman as they provide basic education for the newly di-agnosed adult diabetic patient. This class covers the basics of diabetes and dietary needs. Free and open to the public.Wednesday, March 26, 2-3 p.m. Southern Hills Hospital, First Floor Education Room, 9300 W. Sunset Road

adulT diaBeTes class: medicaTionsJoin Southern Hills Hospital’s Registered Pharmacist, David Barati to learn about medications and their actions and effects on the diabetic patient. Free and open to the public.Thursday, March 27, 11:30 a.m.-12:30 p.m. Southern Hills Hospital, First Floor Educa-tion Room, 9300 W. Sunset Road

sunrise HosPiTal and sunrise cHildren’s HosPiTal

PHysician lecTure WiTH dr. micHael seiFF

Join us for a free lecture with Dr. Michael Seiff as he discusses a wide variety of spine issues. A light dinner will be served, but registration is required.Wednesday, March 19, 5:30-7:30 p.m. Sunrise Hospital Auditorium, 3186 S. Maryland Parkway

HealTHy living uP 2 meIf you or a loved one is living with a chronic condition – including diabetes, arthritis, anxiety, COPD, heart disease, sleep disorders, high blood pressure –at-tend this Stanford University Chronic Disease Self-Management Program. The program is a six-week program that teaches applications how to set personal goals and develop the skills needed to overcome the barriers to achieve them, along with improving communication skills, relaxation techniques, community resources, practical exercises and ways to optimize your patient/doctor relationship. Registration is required.Tuesdays, March 4, 11, 18 & 25, 12:30-3 p.m. Sunrise Hospital H2U Office, 3131 La Canada St., Suite 107

Free maTerniTy uniT TourTour the Labor and Delivery suites and Level III NICU.Sundays, 2-3 p.m. Meet in the Sunrise Children’s Hospital Lobby. Park in the south parking lot and follow the signs to the hospital.

PrePared cHildBirTH classThe class is designed to acquaint expect-ant parents with everything they need to know about the third trimester of pregnancy, labor and delivery, cesarean section, postpartum and newborn care. A tour of Labor and Delivery and the Maternal Infant Unit is available at the completion of the class. NICU tour avail-able upon request. Class cost is $45. To register, call 233-5437.Saturday, March 8 & 22, 8:30 a.m.-12:30 p.m. Breast Cancer Center at Sunrise Hospital, 3006 S. Maryland Parkway, Suite 250. Located in the diagnostic center on the north end of the Sunrise campus.

Free PrenaTal BreasTFeeding classClass is designed to educate expectant mothers on the benefits and rewards of breastfeeding. Registration is required and space is limited. Call 233-5437 to register. A complimentary tour of the Maternal Infant Unit is available at the completion of the class. Expecting moms who have pre-registered at Sunrise are eligible to enroll in the class and the cost is included in their delivery fees. The fee for the breastfeeding course is $30 to mothers who wish to take part in our education offerings but have not yet pre-registered to deliver at Sunrise.Monday, March 3, 11 a.m.-Noon. Sunrise Children’s Hospital, Maternal Infant Unit Classroom, Third Floor, 3186 S. Maryland Parkway

eFFecTive nuTriTion

Join Paul Watts as he discusses essential and effective nutritional tools to assist in achieving your New Year’s Health and Wellness Resolution. This event is free; reservations are required.Friday, March 14, 11:30 a.m.-1:30 p.m. Sunrise Hospital H2U Office3131 La Canada St., Suite 107

Free car seaT cHeckWednesday, March 19, 5-7 p.m. Children’s Hospital Circular Driveway, 3186 S. Maryland Parkway

C A L E n d A R



Free Car Seat CheCkSaturday, March 15, 10 a.m.-Noon. The District at Green Valley Ranch, 2225 Village Walk Drive, Henderson

adult Outpatient diabeteS ClaSS: Overview and MediCatiOnS

This class provides an introduction to the diabetes disease, process and the actions and effects of medications on the diabetic patient. This class is for adults only; you are welcome to bring a guest.Tuesday, March 4, 2-4 p.m. 3121 S. Maryland Parkway, located across the street from Sunrise Hospital, two building south of Denny’s

adult Outpatient diabeteS ClaSS: nutritiOn

This class will provide an introduction to the dietary needs of the diabetic patient and the benefits of diet and exercise. This class is for adults only; you are welcome to bring a guest.Wednesday, March 5, 2-4 p.m. 3121 S. Maryland Parkway, located across the street from Sunrise Hospital, two building south of Denny’s

aarp driver SaFety ClaSSBring your AARP card, driver’s license and something to write with. Attend this class and receive a discount on your automobile insurance. Reservation required. $15 for AARP members and $20 for non-mem-bers. Checks payable to AARp accepted at the door; no cash.Wednesday, March 12, Noon-4:15 p.m. Sunrise Hospital H2U Office3131 La Canada St., Suite 107

yOung SurvivOr’S breaSt CanCer SuppOrt grOup

This free breast cancer support group is offered to all women 40 years old and younger who have been diagnosed with breast cancer. No RSVP required. For more information, call 784-1947.Wednesday, March 12, 6-7:30 p.m. Breast Cancer Center at Sunrise Hospital, 3006 S. Maryland Parkway, Suite 250

OnCOlOgy nutritiOn ClaSSThis is a free class led by Judy Reinhardt, Registered Dietitian and Certified Nutrition Support Clinician at Sunrise Hospital and Medical Center. Cancer survivors and their loved ones are invited to learn about healthy eating after a diagnosis of cancer.Wednesday, March 19, 6-7:30 p.m. Breast Cancer Center at Sunrise Hospital, 3006 S. Maryland Parkway, Suite 250

lOOk gOOd, Feel betterThis class helps individuals with cancer look good, improve their self-esteem and manage their treatment and recovery with greater confidence. To RSVP, call 784-1947.Thursday, March 27, 10 a.m.-Noon. Breast Cancer Center at Sunrise Hospital, 3006 S. Maryland Parkway, Suite 250

epilepSy SuppOrt grOupMeet other people with seizures. Meets in the Sunrise Hospital Auditorium, 3186 S. Maryland Parkway2nd Wednesdays at 5:30 p.m.

univerSity MediCal Center / Children’S hOSpital OF nevadaClasses held in the Family Resource Center, 1120 Shadow Lane, Las Vegas. Call 702.383.2229 for more information.

Childbirth ClaSSThis is a three-part class designed to teach parents about the birth process, including breathing techniques, comfort measures and relaxation. You should complete your Childbirth class in your 7th or 8th month of pregnancy. If you are delivering at another hospital there is $35 fee.Wednesdays, March 5, 12 & 26, 6-9 p.m., and April 16, 23 & 30.

inFant and Child CprThis course is ideal for schools and stu-dents, new parents, grandparents, babysit-ters and others interested in learning how to save a life. Requires a $10 deposit, refunded when you attend the class. Thursday, March 13, 2-5 p.m.

breaStFeeding preparatiOnOne of our certified lactation specialist leads this discussion on the benefits of breastfeeding and provides expectant and new mothers with the skills they may need to successfully breastfeed. Birth partners and other family members are welcome to attend. Class should be completed prior to delivery and adults only, please. Free. Tuesdays, March 11 and April 22, 6-8:30 p.m.

baby baSiCS & pOSt-partuM CareLearn the basics of newborn baby care. Some topics include: baby behavior, temperament and personality, crying and calming, growth and development. You will also learn how to properly care for yourself after you deliver. Free. Thursday, April 3, 6-8 p.m.

baby baSiCS ii: SOOthing & SleepingReceive more information and prepara-tion for your new baby. This is the second part of a “Free Baby Basics” education for new parents or parents who need a refresher. Free. Tuesday, April 8, 6-8 p.m.

i’M gOing tO be a big brOther/big SiSter: Sibling ClaSS

This class is designed to ease siblings into welcoming a new member of the family. Children should be between 3 and 10 years old. Free. Thursday, April 24, 4:30-6 p.m.

walk with a dOCThis monthly event focuses on getting people moving, interested and engaged in their health. Each 30- to 45-minute walk opens with a 3- to 5-minute health talk and is facilitated by volunteer physicians who answer questions throughout the walk. Walks occur the 3rd Thursday of each month at the Springs Preserve and coincide with the on-site Farmer’s Market. Free and open to the public.Thursdays, March 20, April 17 and May 15, 10-11 a.m. Springs Preserve, 333 Valley View Blvd.

C A L E n d A R


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B Y T H E N U M B E R S

26.5 million Number of noninstitutionalized adults in the United States who have been diagnosed with heart disease.

1,660,290 Estimated number of new cancer cases in the United States in 2013.

100 Estimated number of deaths due to ovarian cancer in Nevada last year, according to the American Cancer Society.

23 percent Percentage of adults in Nevada who say they don’t exercise. This is on a par with the national average of 23.9 percent.

20.7 Nevada’s drug poisoning death rate per 100,000 members of the population. The Silver State has the fourth-highest rate of drug poisoning deaths in the country.

2.2 million Number of Americans who suffer from glaucoma. There are many more individuals who have the disease but haven’t been diagnosed, according to the Eye Diseases Prevalence Research Group.

35,000 The number of people with Alzheimer’s disease expected to live in Nevada by 2020. The most recent numbers from the Alzheimer’s As-sociation show 29,000 Nevadans suffered from the disease in 2010.

4 percent Percentage of people with Parkinson’s disease who are diagnosed before the age of 50, according to the Parkinson’s Foundation.

276,900 Number of nursing home residents with anemia. These individuals make up 18.6 percent of the nursing home population.

16.9 percent Percentage of individuals ages 2 to 19 considered obese in 2009-’10, according to data from the National Center for Health Statistics.

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Dr. Stephen C. Rose graduated from the University of the Pacifi c School of Dentistry in 1979 and was inducted into Tau Kappa Omega and Omnicron Kappa Upsilon. Upon graduation, Dr. Rose completed a one-year general practice residency at the VA hospital in Portland, OR. In 1980, he opened his practice in Las Vegas.

Dr. Michael S. Rose graduated from the University of the Pacifi c, Arthur A. Dugoni School of Dentistry in 2008. Upon graduation he moved home to Las Vegas to start practicing with his father. Dr. Mike is fl uent in Spanish after living in Venezuela for two years. He is Invisalign certifi ed and has been DOCS Education certifi ed in oral conscious sedation.

Stephen C. Rose, DDS | Michael S. Rose, DDS4230 E. Charleston Blvd. Las Vegas, NV 89104 | P: (702) 459-8998 | E: [email protected]

O ce Hours: Monday - Thursday | 7 am – 4:30 pm

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CAST OF CHARACTERSBy Rebecca Clifford-Cruz

L O O K I N G B A C K

In the early 1970s, Sunrise Hospital laid roots for Sunrise Children’s Hospital when they opened the fi rst neonatal intensive care unit in the Las Vegas valley. What began as a 10-bed ward, in a corner on the fourth fl oor of the hospital’s South Tower, has evolved into a world-class pediatric facility o� ering services including cardiology, dialysis, oncology, hematology and emergency services. While children recover from illnesses and surgeries, they are surprised with visits by characters ranging from technology savvy robots to friendly furry personalities.

Above right, Vincent Taormina, 16, shakes hands with Millennia the robot during Millennia’s visit to Sunrise Children’s Hospital in June 2004. Millennia, a product of International Robotics, is in town with Alcoa’s Wheel & Forged Products division at The Trucking Show. Photo by Steve Marcus/Las Vegas Sun

Middle right, Aaron Methvin, dressed as the Teenage Mutant Ninja Turtle Michelangelo, steps off the elevator to visit with patients at Sunrise Children’s Hospital in July 2009. Photo by Leila Navidi/Las Vegas Sun

Below right, Brock Cuellar, 11, suffering from osteosarcoma – a type of bone cancer – receives a hug from Sesame Street characters Elmo and Cookie Monster during their visit to Sunrise Children’s Hospital in April 2010. Photo by Leila Navidi/Las Vegas Sun

Below, The Easter Bunny delivers a basket to Denysha Clark, 3, at Sunrise Children’s Hospital in April 2011. The visit was courtesy of E-BUNNY, a volunteer organization that provides Easter baskets to disadvantaged children in the Las Vegas Valley. Photo by Steve Marcus/Las Vegas Sun

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From left to right: Matthew H.C. Otten, D.O.; Xin Nick Liu, D.O.; Thommam Kuruvilla, D.P.M.; Timothy James Trainor, M.D; Randall E. Yee, D.O.; Sep Bady, M.D.

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2014-02-24 HealthCare Quarterly

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Transcript of 2014-02-24 HealthCare Quarterly