Brilliant blue skies, a refreshing dip in the pool, and fresh-squeezed lemonade. These are images of summer at its best. Unfortunately, they’re not all the season has to offer. Summer can also present its hazards, making this a good time for a quick safety review from St. Rose Dominican experts.
Tips from an emergency room doctor – Lance Allgower, DO, Emergency Medicine Physician
Alcohol. Remember, it doesn’t mix with driving, boating, or swimming.
Bites and stings. To help keep bees and other stinging insects away, avoid wearing brightly colored clothing and don’t use perfume or scented soaps. Cover food and drinks at outdoor events. To protect yourself from mosquitoes, use an insect repellent containing DEET, especially at night. Follow the instructions on the label. If using an insect repellent on kids, keep in mind that it should only contain 30 percent DEET, and never use it on babies.
Dehydration. Stay hydrated by drinking plenty of fluid, and avoid caffeinated or alcoholic drinks that can act as diuretics.
Heat illness. For prevention, dress in lightweight clothes and do strenuous activities when it’s coolest (early morning and after sunset). Seek out air conditioning when you can. Consider postponing or canceling outdoor activities in extreme heat.
Life jackets. They are smart attire for all boaters, even those who know how to swim.
Swimming. Always swim with a buddy. Avoid swimming in canals or fast-moving water.
Tips from a nutrition expert – Sherry Poinier, Registered Dietitian
Grilling. Barbecue meat to an appropriate minimum internal temperature to kill bacteria (steak to 145 degrees; hamburger, 160 degrees; and chicken, 165 degrees).
Foodborne illness. Harmful bacteria can quickly multiply on food in summer’s heat. At picnics, keep foods you’d normally refrigerate on plenty of ice.
If possible, chill or freeze foods before packing them in a cooler. Be sure to pack cold and hot foods separately. And chill perishable food that’s been sitting out for more than one hour.
Tips from a pediatrician – Emily Peterson, DO, Dignity Health Medical Group
Water safety. Extra vigilance—it’s what’s required of adults when children are in or near water. Don’t take your eyes off them, even for a moment. Practice touch supervision with young kids—keep no more than an arm’s length away when they’re in the water.
Dehydration. It’s a particular concern for active kids. Make sure they drink between 5 and 9 ounces (about 10 to 20 gulps) of fluid every 20 minutes during vigorous activity.
Yard work. When mowing, keep children indoors to prevent injuries from flying debris. Never allow kids to ride as passengers on lawn mowers or garden tractors. Only kids 12 and older should use a walk-behind power mower or hand mower—for riding mowers, make that 16 or older.
Itchy skin. It’s a problem that can affect swimmers in parasite infested waters. Known as swimmer’s itch, it usually can be treated with corticosteroid cream, cool compresses, or anti-itch lotions.
Ticks. In some areas of southern Nevada, you may encounter ticks that can spread Lyme disease. If you find a tick on your body, remove it right away. Tweezers work best. You want to take care not to leave tick mouth parts in the skin.
After injuring her right knee, Linda Faiss tried everything her physicians initially suggested to relieve the pain in her knee. But nothing seemed to help.
“I was still basically hobbling around,” she says. “I couldn’t do many of the things I love, including walking my very large dogs—Kodiak, a 90-pound Malamute mix, and Riley, a 55-pound Australian Shepherd.”
Linda consulted board-certified orthopedic surgeon Roger Fontes, MD, to learn more about her options. Dr. Fontes recommended a partial knee replacement. He felt Linda was a very good candidate for the procedure because the iUni® unicompartmental knee implant he uses is custom fit to each patient’s exact bone structure.
“The iUni® implant allows us to preserve the parts of the knee that are not damaged,” he says. “It actually mimics the natural shape of the knee, which gives your knee the potential to feel and move more naturally.”
Giving it her all
Linda was determined to “do everything right,” she says. So she did what’s called “prehabilitation” to strengthen the muscles around her knee before her surgery.
Afterward, she was all in, too. She rode a stationary bike and swam every day. “The first time I tried the bike, I could barely make one rotation,” she says. “But I would crank up Donna Summer’s song ‘She Works Hard for the Money’ and pump away.”
Linda’s drive—and her new custom knee—have given her back her active life. It was just over five months after her surgery that Linda was able to take a 5-mile hike up to
A custom fit for success
Linda and Dr. Fontes aren’t alone in their appreciation of partial knee replacement. Robert Tait, MD, another board-certified orthopedic surgeon at St. Rose Dominican, agrees that not everyone needs their entire knee replaced. “If you only have damage to one compartment of the knee, a total knee replacement may not be the best option,” he says. “As patients are becoming and staying more active, the interest in the bone- and tissue-sparing partial knee replacements has increased dramatically.”
When Dr. Tait first saw the design features of the implant, he said, “this was the first thing I had seen in 20 years that held out the hope that we could improve long-term patient satisfaction.”
And he’s been pleased with the results. With the iUni® implant, it’s now routine to have patients come back after six weeks with full range of motion in their knees and off any pain medication, he says.
Robert Grondel, MD, board-certified orthopedic surgeon, also performs partial knee replacements at St. Rose Dominican and recommends the procedure when he knows it will benefit his patients. “Since the iUni® implant is custom-made for each of my patients, it reduces the amount of bone preparation I need to do to make the implant fit. This preserves more of the patient’s natural knee and results in more natural function.”
To find an orthopedic surgeon who performs the Conformis iUni® procedure at St. Rose Dominican, call 702.616.4900.
The nose knows when seasonal allergies—or allergic rhinitis—come to call in southern Nevada. This very common condition affects 40 percent of U.S. kids and 30 percent of adults, causing inflammation inside the nose—and those telltale signs of sneezing, itching, dripping, and congestion.
It all starts with the body’s immune response to an allergen, such as pollen. The immune system tries to fight the foreign invader. Part of that reaction is the release of a substance called histamine—the trigger of those pesky (and often persistent) nasal symptoms, such as sneezing and nasal congestion. Other symptoms can crop up, too, such as:
- Itchy, watery, red, or swollen eyes.
- Sinus pressure and headaches
- Scratchy throat.
“Many residents here in the desert are surprised when they get seasonal allergies,” says Sean McKnight, MD, a board-certified Sean McKnight, MD, a Board-certified allergist and
clinical immunologist who specializes in treating allergies, asthma, and immunology conditions. “But we actually have long allergy seasons because of our warm climate. Spring allergies run rampant in the Las Vegas valley from March through June, with the main culprits being pollen from mulberry and olive trees. Then once the heat of the summer is over, we get another round when we experience our second allergy season in September and October.”
“Interestingly,” Dr. McKnight continues, “many of the allergen producing plants in Las Vegas are not native to the area. Rather, they are plants and trees brought in from other areas by our residents.”
Treat the sneeze
Several methods can help combat allergic rhinitis—and it often takes a combination to get symptoms under control. The first step is to figure out what allergen is causing the problem (your doctor can help with that) and then do your best to avoid it. You can also:
- Rinse your nasal passages with saline solution or use a saline spray to help rid your nose of allergens.
- Try over-the-counter or prescription medications.
- Consider allergy shots (immunotherapy). Given over a period of time (usually 3 to 5 years), immunotherapy actually modifies the immune system, helping reduce sensitivity to an allergen. Effective in 85 percent of patients, it reduces or even eliminates symptoms and can be a good option when medications aren’t providing relief.
Learn more about allergies at StRoseReach.org.
Sources: American Academy of Allergy, Asthma & Immunology; National Institutes of Health
If you or a loved one is in need of health insurance, contact one of our Exchange Navigators … representatives are available at any of our three WomensCare/Outreach Center locations. St. Rose was one of only two organizations awarded a grant from Nevada Health Link to provide Navigators in our community! Help us enroll the uninsured we serve in Medicaid, Nevada Check-up (for children), or a Qualified Health Plan. We even have a health plan available for our undocumented clients. Contact one of our Health Navigators for assistance.
Jennifer Findlay, EEF
WomensCare/Outreach Center – Henderson
98 E. Lake Mead Pkwy., Suite 301
Henderson, NV 89015
Aneel Flores, EEF (bilingual)
San Martín Campus
8280 W. Warm Springs Rd.
Las Vegas, NV 89113
Celyse Nsubuga, EEF
WomensCare/Outreach Center – Green Valley
2651 Paseo Verde Pkwy., Suite 180
Henderson, NV 89074
Jessica Pimentel, EEF (bilingual)
WomensCare/Outreach Center – West
7220 S. Cimarron Rd.,
Las Vegas, NV 89113
Representatives from Dignity Health Nevada, Steinberg Diagnostic Medical Imaging Centers, Quest Diagnostics, and local government officials participated in the groundbreaking of our new Medical Pavilion Tuesday, March 22.
Despite crazy winds, more than 100 people attended the groundbreaking, showing there is a great deal of interest in the services that will be offered at the Medical Pavilion. The new Pavilion will increase access to primary, urgent, and diagnostic health care services once it opens in early 2017.
The Medical Pavilion will include the first Dignity Health Urgent Care location in Nevada, a Dignity Health Medical Group Nevada clinic staffed by primary care physicians, a Steinberg Diagnostic Imaging center, and a Quest Diagnostics location along with other services.
Dignity Health-St. Rose Dominican is celebrating with the groundbreaking of its first neighborhood hospital in North Las Vegas, an area of southern Nevada in need of improved access to health care. The new neighborhood hospital is expected to create more than 100 permanent jobs in North Las Vegas
The groundbreaking will be held Wednesday, March 2, at 11 a.m. on the northwest corner of Craig Rd. and Camino Al Norte. Dignitaries will include Mayor John Lee of North Las Vegas, executives from Dignity Health-St. Rose Dominican and from Emerus.
Board-certified physicians, experienced nurses and other clinical specialists will staff the new neighborhood hospitals. The first level of each of the multi-million dollar hospitals will feature a comprehensive emergency department, an inpatient wing, imaging and quick-access lab services. In addition to Dignity Health Medical Group practices, other floors will house St. Rose community outreach programs, additional physician offices and other ancillary clinical services to support community health needs. All neighborhood hospitals will operate 24 hours a day, 365 days a year, offering patients the highest levels of care in a smaller campus setting.
Dignity Health-St. Rose Dominican, which operates three acute-care hospitals in Henderson and Las Vegas – the Rose de Lima Campus, the San Martin Campus, and the Siena Campus, will be building four new neighborhood hospitals in the greater Las Vegas area within the next two years. These neighborhood hospitals are designed specifically to increase access to high-quality emergency care in underserved metropolitan areas.
Board-certified physicians, experienced nurses, and other clinical specialists will staff the new neighborhood hospitals. The first level of each of the multi-million dollar hospitals will feature a comprehensive emergency department, an inpatient wing, imaging and quick-access lab services. In addition to Dignity Health Medical Group clinics, other floors will house St. Rose community outreach programs, additional physician offices, and other ancillary clinical services to support community health needs. All neighborhood hospitals will operate 24 hours a day, 365 days a year, offering patients the highest levels of care in a smaller campus setting.
The first of the four locations to open is the North Las Vegas Campus, which is scheduled for opening in the first quarter of 2017. The North Las Vegas opening will be followed by three sites in Las Vegas: Blue Diamond Campus, West Flamingo Campus and Sahara Campus, with all sites in operation by summer 2017. Two additional valley locations are also under consideration.
As part of this expansion, St. Rose Dominican has a joint-venture agreement with Emerus, a nationally recognized innovator in the delivery of efficient medical care, to build and manage these sites and to lay the groundwork for additional facilities through the region. This highly efficient model has been successful in both Colorado and Texas, creating shorter wait times in their fully functioning emergency departments, while decompressing the current burden of current ERs.
Brian Brannman, senior vice president of operations for Dignity Health Nevada. “By partnering with Emerus and building these neighborhood hospitals, we will be expanding our services to the community in convenient locations with compassion, efficiency and excellence, while maintaining our high standards for quality, safety and service. With several of our new locations in areas of redevelopment and growth, such as the North Las Vegas and Sahara/Decatur campuses, we will be the neighborhood choice. St. Rose is proud to work with Emerus to bring this highly-efficient health care model to Nevada.”
“We are honored to partner with Dignity Health-St. Rose Dominican, an organization that values excellence, compassion and collaboration,” said Dr. Toby Hamilton, MD, FACEP and CEO of Emerus. “Dignity Health-St. Rose Dominican hospitals will continue to grow as the Las Vegas region grows. They are positioned to be the region’s leader in the delivery of efficient, value-driven, community-based health care now and into the future.”
A groundbreaking celebration for the North Las Vegas Campus will be held March 2. Construction on the initial four hospitals is expected to begin shortly. Once open, each hospital is expected to create more than 100 permanent jobs in the greater Las Vegas area.
In addition to creating additional access for high-demand, lifesaving emergency care, these neighborhood campuses will also extend access to primary care. Nevada ranks 46th in the nation for its share of primary care doctors, family care specialists and pediatricians. Each neighborhood campus will include a new Dignity Health Medical Group primary-care clinic, which will help ease the burden on primary-care physicians currently in practice.