Author: Roseman Medical Group

7 Healthy Holiday Tips

Posted on by Roseman Medical Group

This year, the holidays are likely different than years past. With travel restrictions and varying statewide measures in place, CDC guidance recommends limiting exposure by celebrating the holidays with only members of your household. Ongoing restrictions have been hard for many Americans struggling with isolation and loneliness amidst economic worries, joblessness and more. How can we enjoy the holidays safely, while focusing more broadly on our overall health and wellness as we bid farewell to 2020 and look forward to 2021 with hope?

1. Practice Self-Care

Focus on the positive, productive things you do for yourself that make you feel good and do them even if you are busy or feel more tired than usual.  Acts of self-care can be as large or as small as needed, whether it be enjoying 10 quiet minutes of meditation every morning, walking the dog, reading, calling a friend or family member, lighting a candle, working in the yard or taking a bath. These every day positive acts of self-care propel us forward, and give us small, achievable things to look forward to every day.

2. Stick to Healthy Routines

The holidays can interrupt our normal patterns, and not always in a positive way. Try to maintain sleeping habits, go to bed at the same time every night and wake at the same time, get enough sleep in general, and make time to exercise and eat well.

3. Connect with Family and Friends Safely

While not ideal, try to find ways to avoid feeling isolated by reaching out to friends and family by phone or virtually. The way you are feeling is often how someone else is feeling and there is power in shared feelings, even if your feelings aren’t as positive as usual.

4. Give Back

Many find joy in volunteering or donating to causes close to their hearts. While there may be fewer in-person volunteering opportunities this year, there are many ways to help. In Las Vegas, find out what organizations need help by viewing the several volunteering opportunities that Thrillist has compiled. You can give back in your own backyard, even if that means getting groceries for a neighbor, dropping off dinner for a friend, cutting someone else’s grass or donating items to shelters or food kitchen or supporting our healthcare heroes on the frontlines. Giving buoys us and strengthens the fabric of our communities. However small an act, in doing so, someone knows that someone else cares about them.

5. Find Gratitude

For many, this might be one of the hardest things to do amidst a tough year. Consider your year, what happened both good and bad? What good things may have come from the bad things? What have you learned? What relationships changed positively? What new skills did you learn? There is always positive. Being intentional about articulating the positive to yourself and to loved ones is a powerful driver of happiness.

6. As You Think Back, Also Look Forward

Even with the unknowns that surround us, what are you looking forward to? Fast forward six months, and imagine summer coming. What might the world look like then? How might things have returned to normal? Who do you want to see and where would you like to go? Think about and make a 2021 health plan — consider your well checks, follow-ups, Bloodwork, or vaccinations needed.

7. Give Yourself a Break

Many people feel fatigued physically and mentally around the holidays. Respect these feelings and allow for more rest and relaxation. Often holidays are full of activity and “to-do’s”. With the restrictions in place, let yourself have more time to rest and recuperate.

The staff of Roseman Medical Group (RMG) wish all patients and friends a very happy and healthy close of the year. RMG is here to serve patients with their healthcare needs.

Article by Vanessa Maniago

Free Presentations on Health and Well-Being Topics

Posted on by Roseman Medical Group

Now is the time to be informed on issues related to health and well-being. Roseman Medical Group (RMG), the medical practice of Roseman University of Health Sciences would like to introduce you to Roseman University Neighborhood Health Series (NHS). The NHS started in 2016 as a platform to bring together and educate the community through presentations related to health and well-being.

Each month, the NHS features expert speakers from Roseman University – including providers from RMG – that present on a variety of healthcare topics covering diseases, cardiovascular health, mental health, Medicare, and additional current healthcare topics. As a guest, you have the opportunity to learn alongside neighbors, friends and members of Nevada’s healthcare community during these free community events.

A beautiful auditorium full of inviting, friendly people is what you would typically encounter at an NHS event, but the events have shifted due to the COVID-19 pandemic. Rather than cancelling these informative presentations, the NHS has taken to a virtual setting to ensure the safety and well-being of our guests.

Visit speakers.roseman.edu to view upcoming events and RSVP today.

Past Neighborhood Health Series Events

Below are the full recordings of the last three NHS events. For full recordings of all previous events visit the Roseman University YouTube channel.

November 2020 - How Opioids Became a National Public Health Crisis

October 2020 - Help with Open Enrollment: The ABC's of Medicare

September 2020 - A Doctor and the Patient: Dual Perspectives on Hip Replacement Surgery

Staying Informed

RMG is passionate about educating the community on topics of health and well-being. Stay informed by attending one of the free Neighborhood Health Series events or browse our blog for more healthcare topics.

 

Article by Kristine Campo

Winter Wellness

Posted on by Roseman Medical Group

The Winter season brings a great amount of joy and excitement – with the thought of the holidays and preparing for a new year. With all the events and preparation for the holidays, there are plenty of distractions that keep us from focusing on our health and wellbeing.

Given the weather of the Winter season, whether greeted by snow or just the brisk cold breeze, the usual evening jog might fall by the wayside as the toasty fireplace and comfy couch call your name. As the colder weather approaches and the days grow shorter, finding the motivation to stay healthy and fit can be difficult.

During this Winter season it’s more crucial than ever to focus on taking care of ourselves and protecting others. We’ve compiled some winter wellness tips that will help keep your immune system in tip-top shape, as well as combating the winter blues.

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6 Winter Wellness Tips

1. Keep Moving

There are many benefits to physical activity. According to the Centers for Disease Control and Prevention (CDC), physical activity improves brain health, helps with weight management, reduces disease, strengthens bones and muscles, and improves the ability to do everyday activities.

Although it may be cold outside, it’s still a good idea to get outside and enjoy the fresh air. Walking, jogging, and biking are perfect outdoor activities that can be enjoyed year-round. If the cold becomes an issue, take to the indoors for exercise. Visit a local gym or take the workout to the living room, garage or basement. Search for workout videos or exercises online – YouTube and Pinterest are great resources. These resources offer a variety of workouts including yoga, aerobics, strength training, and body-weight exercises. Worried about equipment? If equipment is required, simple household items might do the trick, such as canned foods, paper plates, full milk jugs and more.

Furthermore, physical activity helps improve mental health. According to Mayo Clinic, regular exercise may help ease depression and anxiety by releasing feel-good endorphins and taking the mind off worries. Both of which are very beneficial during the Winter season.

2. Bundle Up

Winter brings colder temperatures, and depending on geographic location, possible snow and ice. It’s important to keep the body warm. The human body consists of some vulnerable areas when it comes to frigid temperatures. The ears, nose, fingers and toes have a high number of nerve endings that help with temperature detection. These nerve endings help to move blood away from the hands and feet, toward the core, so the body maintains heat and blood flow in cold weather. Therefore, it’s important to protect these vulnerable areas. Wearing toasty mittens and socks helps keep the blood moving and ultimately makes the whole body warm.

In addition, during the cold winter months, it’s important to layer up. Wearing multiple layers allows the body to stay completely warm and protect the body’s largest organ – the skin. If you’re looking to enjoy the snowcapped mountains or an area prone to wet winters, opt for water-resistant outer layers, such as a coat and shoes to keep your body both dry and warm.

3. Protect Your Skin

Skin is the body’s largest organ and during the Winter season it needs a little extra TLC. Between the cold air, low humidity, and frequent hand washing, skin can become dry, itchy, and irritated. According to Mayo Clinic, ignoring dry skin can ultimately lead to bigger health risks, such as dermatitis – which can leave skin dry, cracked and prone to infection.

Keep skin hydrated during the winter by using an oil-based moisturizer. Using an hypoallergenic lotion is best especially after frequent hand washing and bathing. In addition, consider using a humidifier in the home to help offset the hot, dry air of central heating.

4. Healthy Treats

During the holidays, it’s not uncommon to eat unhealthy foods at family gatherings or while balancing all the events of the season. Try to eat healthy treats, such as fruits and vegetables that are in season during the winter months. Dark leafy greens, winter squash, citrus fruits, and pomegranate contain nutrients, antioxidants, and fiber that increases energy and keeps winter-weight at bay.

5. Boost Vitamin D

Vitamin D is a nutrient needed to maintain strong bones and a healthy immune system. This nutrient helps the body absorb calcium to eliminate soft, thin, and brittle bones. In addition, it helps the immune system fight off invading bacteria and viruses – which is crucial during flu season and the current COVID-19 virus. According to a recent study of 489 patients at UChicago Medicine, those with a vitamin D deficiency were more likely to test positive for the COVID-19 virus than those who had sufficient levels of vitamin D.

The body makes vitamin D when the skin is directly exposed to the sun. Decreased sun exposure in the winter can lead to lower levels of vitamin D – putting the immune system in jeopardy. Leaving the immune system in this state could make you more prone to the flu, colds, and stomach bugs.

Luckily, there are other ways you can boost your vitamin D when the sun is in hiding. Adding vitamin D rich or vitamin D fortified items to the grocery list can really help boost your levels. Foods such as salmon, mushrooms, and canned tuna all supply natural vitamin D. Whereas milk, soy milk, yogurt, and orange juice are fortified with vitamin D.

6. Combat Germs

Germs are a given at any time of year but can be more prominent during the winter. According to National Institutes of Health, colder temperatures allow a virus’s outer cover to harden to a rubbery gel which acts as a protective shield for the virus as it passes from one person to another. Therefore, viruses such as the flu or COVID-19, can withstand the elements and is more easily passed during the winter months.

During a time when the flu is more prominent and we’re fighting against COVID-19, it’s important to combat germs. There are many ways to combat germs during the winter.

  • Wash your hands often with soap and water for at least 20 seconds
  • Utilize an alcohol-based hand sanitizer when soap and water aren’t readily available
  • Cover coughs or sneezes with tissue, then throw away the tissue and wash your hands
  • Wear a mask over your nose and mouth while in public
  • Stay home when sick

Staying healthy and fit is important year-round, but it’s even more important in the Winter season where motivation can be lacking, the winter blues could hit, and those pesky viruses are shielded by the cold elements. Utilize these 6 winter wellness tips and be sure to stay on-top of annual check-ups by contacting Roseman Medical Group at 702-463-4040.

 

Article by Kristine Campo

A Safe Thanksgiving during COVID-19

Posted on by Roseman Medical Group

If a muralist was to paint a portrait of the 2020 Thanksgiving celebration, it may look a little different from that of the first feast shared between the Pilgrams and Native Americans in 1621 or even your own feast in 2019.

As the United States continues an upward trend of COVID-19 cases during the month of November, experts are cautioning traditional Thanksgiving celebrations of large gatherings. According to the Nevada COVID Map and Case Count by the New York Times, on November 19 Nevada reported the highest count since the beginning of November with 2,128 cases. Over the past week (11/13/2020-11/19/2020), Nevada has reported an average of 1,839 cases per day which is an increase of 87 percent from the average two weeks earlier.

Dr. Bruce Morgenstern, the senior executive dean for clinical affairs at Roseman University College of Medicine and practicing physician at Roseman Medical Group (RMG), recently shared tips for Thanksgiving preparations during the coronavirus pandemic with KTNV Las Vegas.

For those planning a traditional Thanksgiving during COVID, the Centers for Disease Control and Prevention (CDC) has some recommendations to minimize the risk of having COVID-19 as an additional guest during Thanksgiving dinner.

6 Tips for a Safe Thanksgiving during COVID

If planning to travel out of state, Dr. Morgenstern suggests getting a flu vaccine before your trip as an added barrier. Whether celebrating close to home or far away, taking necessary precautions could help reduce the risk of COVID-19 or other harmful viruses from affecting you and your loved ones. Call RMG at 702-463-4040 to schedule your flu vaccination today!

Article by Kristine Campo

Patient-centered Care Starts at the Front Desk

Posted on by Roseman Medical Group

Patients’ experiences at the front desk of any medical practice color their expectations of their experiences with the physician and with the practice overall. The front desk staff greet patients, answer questions, ask questions, and ensure that the appointment gets off to the right start. Front desk staff do much more though—using good people skills and emotional intelligence—to reassure nervous patients, create a calm environment, and make people feel at home.  Daedre Beaumont brings a customer-centric approach to practice management. She reflects the patient-centered approach to care at the core of Roseman Medical Group (RMG).

Meet Daedre Beaumont - Front Desk Supervisor, Roseman Medical Group

Q: Where are you from originally?
A: I am a native of Las Vegas. I’m an alumni of the original Las Vegas High School and earned a bachelor of arts in music from University of Nevada – Las Vegas (UNLV).

Q: Describe your professional journey and how it led to your current position.
A: I have worked in the medical field for the past seven years with many years of customer service experience before that. Until now, my background has been in elective medicine and there was a major emphasis on exceptional customer care. I have brought that mindset with me to RMG and believe that every patient deserves to have a great patient experience no matter why they are being seen. That kind of patient care is what will set us apart from other clinics.

Q: What is your favorite part of your job?  
A: I love helping people and feel like the most rewarding part of my work is when I am able to make someone feel comfortable and welcome at our clinic.

Q: Do you have a mantra or guiding life principle?
A: I have adopted my Dad’s favorite quote, “keep smiling.” A smile is such a beautiful thing! It is amazing how this simple gesture can turn someone’s day around. It is a universal way of passing hope and happiness on to those around you. You can even hear a smile in the voice of someone over the phone. Smiling even when you don’t feel like it can lighten the toughest days.

Q: How do you make patients feel comfortable and well-taken care of at the front desk?
A: People want to be heard and understood. Listening is a very important skill not only at the front desk, but throughout the clinic. Even if you can’t personally help someone, once you know their concerns you are better prepared to point them in the right direction. Due to the pandemic, some of our patients have had very limited contact with others and may just need to talk to someone. Taking the time to listen to a patient can help develop that relationship of trust that is essential between a patient and the clinic.

Q: What does RMG do that is above and beyond other practices?
A:  We offer patient-focused care and have a caring staff that truly loves the patients that we serve.

Q: Do you have a favorite hobby or pastime?
A:  When time and weather permit, I love being outdoors. I enjoy hiking and exploring in nature with my family.

Q: How have you been practicing your own self-care amidst a global pandemic?
A: As an essential worker, I have continued to work every day throughout the pandemic. I use my commute time to get my mind in the right place before and after work so that I’m not bringing work or home issues with me. Music is a powerful tool, and I listen to a wide variety of music styles to redirect my thoughts. Upbeat music on the way to work can help you feel more positive, motivated, and ready to tackle the day. A slower tempo on the way home can quiet your mind and help you to release the stress of your day.

Lending an ear, sharing a smile, and caring for your well-being is what we do. Our friendly, caring staff and providers are here for you. Call 702-463-4040 to schedule an appointment today.

Family Nurse Practitioner: National Health Professions Week

Posted on by Roseman Medical Group

National Health Professions Week is a chance for aspiring healthcare professionals to explore careers in the health professions through reliable, accessible resources. This year we are providing an inside look into the profession of Family Nurse Practitioner for all those aspiring nurses, or patients wanting to know more about the profession and person behind their care.

What is a Family Nurse Practitioner?

A Family Nurse Practitioner (FNP) is an advanced practice registered nurse with specialized educational and clinical training in family practice. Because patients at a family practice can be extremely diverse, the scope of practice for a family nurse practitioner is quite broad. An FNP focuses on comprehensive healthcare for patients of all ages and delivers a range of acute, chronic, and preventative healthcare services. In order to qualify as a Family Nurse Practitioner, a practicing nurse must have a Master of Science in Nursing or a Doctor of Nursing.

Get an inside look at the educational journey of becoming a family nurse practitioner and how a family nurse practitioner takes a holistic approach to patient care with Roseman Medical Group’s Dr. David Navarro, DNP.

The Education & Experience of a Family Nurse Practitioner

Q: Where did you attend school? 
A: I attended the College of Southern Nevada (CSN), University of Nevada- Las Vegas (UNLV) and University of Nevada-Reno (UNR).

Q: How has earning your BSN, MSN, and DNP changed your life?  
A: It has provided me great professional growth and satisfaction.

Q: Which has been more valuable in your career, your education or your experience?  
A:  I would say both my education and experience have been valuable to my career. The education I’ve received is of value for it has given me knowledge and granted me access to a variety of settings within nursing which has given me a substantial amount of experience.

Q: How long have you worked in this industry? 
A: I have worked in the healthcare industry within the field of nursing for over 15 years.

Patient-centered Care

Q: What is your favorite part of your job? 
A: My favorite part of being a nurse practitioner is working with patients and helping them achieve and maintain optimum health.

Q: What do you do at work on a daily basis? 
A: As a nurse practitioner I assess, diagnose, treat health conditions, and educate patients. In addition, I provide primary preventive care (e.g., immunizations and age applicable screenings). Lastly, I help patients attain, maintain, and recover optimal health as well as quality of life.

Q: Who or what inspires you?  
A: What inspires me most is being part of a profession that makes a difference in individuals, families, and communities.

Q: How has the industry changed since you started? 
A: Since I’ve started in the industry, Nevada joined other states in giving nurse practitioners full practice authority. Therefore, nurse practitioners in the state of Nevada can evaluate patients; diagnose, order and interpret diagnostic tests; and initiate and manage treatments.

Q: What has been your biggest success factor?
A: Dedication to patient care and quality of care based on evidence-based practice. Also, having the intellectual curiosity to keep up with state-of-the-art care via formal education and self-directed learning activities. Being a life-long learner will continue to be a factor in my success. There is no age limit or depth of knowledge that can restrict one from growing or learning.

In-depth Information for Aspiring Pharmacists

Q: What advice would you give to an aspiring nurse or nurse practitioner?  
A: Nursing is a highly regarded profession – pursue your dreams. Reach out to a nurse or nurse practitioner to have an in-depth discussion about what they do before applying to nursing school to be sure it matches your interest.

Q: What hard skills and soft skills should someone in your field have?  
A: There are a multitude of soft skills and hard skills that an individual should have when entering the healthcare industry as a nurse or nurse practitioner.

  • Soft Skills: Effective communication skills, critical thinking, time management, strong ethics, and dependability.
  • Hard skills: Patient safety (e.g., preventing errors), technology skills (e.g., working with electronic medical records [EMR]), and patient and family education.

Q: What skills have you found vital to your job?
A: Assessment skills, understanding of disease processes/ trajectory and treatment options. “Being present” in each patient interaction. Attention to details.

Q: What should an aspiring nurse or nurse practitioner be doing to improve their career prospects? 
A: Get involved in local, regional, and national nursing organizations. These build your resume and provide you opportunities to build upon your knowledge and experience.

Q: Where do you see the industry going in the future?  
A: As it stands, the United States continues to see a growing need for professional nurses and nurse practitioners. As veteran nurses retire and healthcare needs continue to diversify and grow, the industry will need highly qualified, empathic nurses to fill the void.

Q: What professional associations are you a member of?
A: American Association of Nurse Practitioners (AANP) and The Nevada Advanced Practice Nurses Association (NAPNA)

To make an appointment with Dr. Navarro, call 702-463-4040.

Visit Roseman University College of Nursing for more information on acquiring a Bachelor of Science in Nursing (BSN) or Master of Science in Nursing Family Nurse Practitioner (MSN/FNP) and how you can help fill the growing need for highly qualified, empathic nurses.

Article by Kristine Campo

Clinical Pharmacist: National Health Professions Week

Posted on by Roseman Medical Group

National Health Professions Week is a chance for aspiring healthcare professionals to explore careers in the health professions through reliable, accessible resources. This year we are providing an inside look into Clinical Pharmacy for all those aspiring pharmacists, or patients wanting to know more about the profession and person behind their care.

What is a Clinical Pharmacist?

Pharmacy is practiced in a variety of settings. Regardless of the setting, pharmacists work in concert with patients and their healthcare providers to promote health; prevent disease; and assess, monitor, initiate, and modify medications.

Clinical Pharmacists work in hospitals and other health care settings, such as family practices. They partner with doctors and other providers as a critical part of the care team providing medication therapy and management for clients who have complex chronic conditions such as diabetes and heart disease. Because these diseases require multiple prescriptions with potential drug interactions, clinical pharmacists play a vital role in the patient’s overall treatment and health outcomes.

Get an inside look at the educational journey of becoming a clinical pharmacist and how a clinical pharmacist streamlines care and allows for treatment of the whole patient with Roseman Medical Group’s Clinical Pharmacist, Dr. KayLynn Bowman, a graduate of Roseman University of Health Sciences Doctor of Pharmacy Program, class of 2007.

The Education & Experience of a Pharmacist

Q: What drew you to the field of pharmacy? 
A: I wanted to work in the health field and the pharmacy program at Roseman had an innovative educational design that met my professional needs.

Q: How has earning your PharmD changed your life? 
A: I am able to work at the top of my field by earning a PharmD.  I enjoy attending conferences and participating in local and national pharmacy organizations.

Q: Which has been more valuable in your career, your education or your experience?  
A: I have always enjoyed educational opportunities and achieving my PharmD was a career goal, however the experiences I gain as a pharmacist are what make me unique and allow me to stand out from others.

Q: How long have you worked in this industry? 
A: I have been a licensed pharmacist in Nevada for 13 years.

Q: What skills did you develop early in your career?  
A: I learned to apply learning in class to helping patients in the pharmacy setting.  There must be a time when all the book work must be transitioned to real world experiences.  I learned early on to be myself and that it was alright take the time to look up information in order to answer a patient’s question correctly.  Patients know when you care and that starts with being the best version of yourself.

Patient-centered Care

Q: What is your favorite part of your job? 
A: Working with patients by educating them on how medications work and how to make healthier choices is my favorite part of being a pharmacist.

Q: What do you do at work on a daily basis? 
A: As a community pharmacist I spend much of my day reviewing provider medication orders, verifying medications are labeled and packaged correctly, counseling patients on drug therapies, answering health questions, providing immunizations and precepting pharmacy students.  Part of my day includes talking with patients about medication adherence, medication synchronization, and providing medication reviews.

Q: Who or what inspires you?  
A: I am inspired by always asking questions and wanting to know more, including where the field of pharmacy is heading in the future.  I want to be a part of making a difference and changing the lives of people, and communities, for the better.

Q: How has the industry changed since you started? 
A: There is a greater focus on patient care outcomes and not just the number of prescriptions filled each day.  There is still work to be done by the pharmacy profession.

Q: What has been your biggest success factor?
A: I measure success when patients thank me for my help and when they ask for me personally because of the difference I made in their lives.

In-depth Information for Aspiring Pharmacists

Q: What advice would you give to an aspiring pharmacist? 
A: Be ready to be flexible and spend time asking questions about what pharmacists are doing and where the field of pharmacy is going in the next five, 10, 15 years down the road.

Q: What hard skills and soft skills should someone in your field have?  
A: Skills needed include having a strong science background in biology and chemistry along with strong skills in math (including Calculus).  Other skills include the ability to communicate well both written and verbally.  Learning to work with others and networking will help when applying for a residency or employment.

Q: What skills have you found vital to your job?
A: Learning how to communicate with others in a positive and empathetic manner.  Being able to solve problems in an efficient and effective manner.  Having a lot of patience when dealing with others that are not at their best.

Q: What should an aspiring pharmacist be doing to improve their career prospects?
A: Students aspiring to enter the field of pharmacy need to be aware of the many opportunities that are out there to provide care beyond a dispensary function.

Q: Where do you see the industry going in the future?  
A: There needs to be a time when pharmacists are acknowledged as providers of care and compensated for our clinical skills and abilities.

Q: What professional associations are you a member of?
A: American Pharmacists Association, American Society of Consultant Pharmacists, and Nevada Pharmacy Alliance

Have you been diagnosed with diabetes, high blood pressure, high cholesterol and are using prescription or nonprescription medications, herbal products, and other dietary supplements? Do you need help in understanding your medications, controlling costs, and improving your overall health outcome? Dr. KayLynn Bowman in conjunction with Roseman Medical Group’s caring providers are here to help. Call 702-463-4040 to schedule an appointment today.

Visit Roseman University College of Pharmacy for more information on acquiring a PharmD and becoming a part of this evolving industry.

Article by Kristine Campo

Alzheimer’s Disease Awareness Month

Posted on by Roseman Medical Group

National Alzheimer’s Awareness Month brings awareness to a disease that affects nearly 5.8 million Americans over the age of 65. Understanding the disease and knowing the signs can be crucial factors in an early diagnosis.

What is Alzheimer's Disease?

Alzheimer’s is a progressive brain disease that causes difficulties with memory, thinking, and behavior. The disease slowly progresses in three general stages: early, middle, and late (also referred to as mild, moderate, and severe in medical context). Memory loss is mild in the early stages of Alzheimer’s. As the disease progresses into the later stages, it can affect a person’s ability to respond to their environment, to carry on a conversation, and to control movement. Since the disease affects people in different ways, each individual may experience symptoms – or progress through the stages – differently.

Increasing age is the greatest known risk factor for Alzheimer’s. Most diagnoses take place in individuals 65 or older, but there are an estimated 200,000 Americans under the age of 65 who have early-onset Alzheimer’s.

Although there is no current cure, treatments for symptoms are available and research continues. Worldwide efforts continue in finding better ways to treat the disease, delay its onset, and prevent it from developing.

Facts about Alzheimer's Disease

  • More than 5 million Americans are living with Alzheimer’s
  • Alzheimer’s is the 6th leading cause of death in the United States
  • The disease kills more people than breast cancer and prostate cancer combined
  • Approximately 1 in every 2 families are affected by the disease
  • 16 million Americans provide unpaid care for people with Alzheimer’s allotting to an estimated 18.6 billion hours of care valued at nearly $244 billion
  • 50% of primary care physicians believe the medical profession is not ready for the growing number of people with Alzheimer’s or other dementias

What is the Difference Between Dementia and Alzheimer's?

Dementia and Alzheimer’s are not one in the same. Alzheimer’s is both a type and cause of dementia. Dementia is not a disease. It is the general term used for symptoms in which cause a specific disease. Alzheimer’s is the most common cause of dementia as it accounts for 60-80% of dementia cases.

Dementia Defined

Dementia is not a single disease; it’s an overall term that covers a wide range of medical conditions. Dementia is a general term for a decrease in mental ability – memory, reasoning, or other thinking skills – severe enough to interfere with daily life. Many types of dementia exist such as Alzheimer’s, Lewy Body, Vascular, Frontotemporal, Parkinson’s, Huntington’s and Mixed. All disorders grouped under the general term “dementia” are not a normal part of aging and are caused by abnormal brain changes. All of these diagnoses reflect impaired thinking and behavioral changes.

Alzheimer's Defined

Alzheimer’s is a progressive brain disease that is caused by complex changes in the brain following cell damage. It accounts for most dementia cases and leads to dementia symptoms that worsen over time. As the disease advances, symptoms become more severe.

Signs of Alzheimer's

Alzheimer’s is not a normal part of aging. According to the Alzheimer’s Association, there are 10 warning signs and symptoms to look for. If you or someone you know has several of these signs or symptoms schedule an appointment with your health care provider to determine the cause.

  1. Memory loss that disrupts daily life: forgetting newly learned information, important dates and events, asking similar questions over and over, and gradually needing to rely on reminder notes or electronic devices.
  2. Changes in planning or solving problems: having difficulty concentrating and taking much longer to do things that one has done before such as following a recipe or keeping track of monthly bills.
  3. Difficulty completing familiar tasks: trouble driving to a familiar location or remembering the rules of a favorite board game.
  4. Confusion with time or place: losing track of dates, seasons, and the passage of time.
  5. Trouble understanding visual images and spatial relationships: vision problems which lead to difficulty with balance, trouble reading, or problems judging distance and determining color or contrast.
  6. New problems with words in speaking or writing: having trouble with following or joining a conversation. Most commonly stopping in the middle of a conversation and having no idea how to continue or repeating oneself.
  7. Misplacing things and losing the ability to retrace steps: putting things in unusual places or accusing others of stealing.
  8. Decreased or poor judgement: using poor judgement when dealing with money or paying less attention to hygiene.
  9. Withdrawal from work or social activities: having trouble holding or following a conversation leading to withdrawal from hobbies, social activities or other engagements.
  10. Changes in mood and personality: becoming confused, suspicious, depressed, fearful or anxious.

How is Alzheimer's Diagnosed?

An early diagnosis of Alzheimer’s can provide a range of benefits. There is no single diagnostic test that can determine if a person has Alzheimer’s. Therefore, a physician utilizes medical history, mental status tests, physical and neurological exams, diagnostic tests, and brain imaging to make a diagnosis.

In some cases, a physician may diagnose “dementia” and not specify the type due to the overlap of certain symptoms in various forms of dementia. If this becomes the case it may be necessary to see a specialist, such as a neurologist whom specializes in the diseases of the brain and nervous system.

Raising Awareness for Alzheimer's Disease

While there is currently no cure for Alzheimer’s disease, there are many ways to raise awareness and help in finding a cure for the disease.

  • Honor a Caregiver: Alzheimer’s and Dementia are very difficult on family members. Join the Alzheimer’s Association and CVS Health in honoring the millions of family members and friends that serve as caregivers for those with Alzheimer’s disease during National Family Caregivers Month. Share a personal tribute or take time to read through the stories of other caregivers to understand more about the sacrifice’s caregivers are making for loved ones with Alzheimer’s and dementia. Check out more at alz.org/events/nadam.
  • The Longest Day: June 20 is the summer solistice and is the day with the most light. Therefore, the Alzheimer’s Association invites people to help in the fight the darkness of Alzheimer’s through a fundraising activity of their choice on the day with the most amount of light. Create your own The Longest Day event to shine a light on the fight against Alzheimer’s.
  • Walk to End Alzheimer’s: Many communities host “Walks to End Alzheimer’s” during the month of November. As the world’s largest event to raise awareness for the disease, walks are held in more than 600 communities across the country. Find a walk near you using the Alzheimer’s Association walk locator.
  • Wear Purple for Alzheimer’s Awareness in November: Purple is the official color of Alzheimer’s Awareness. Wearing this vibrant color and encouraging others to do the same is a great conversation started that can raise awareness. Show your support by sporting a fun #ENDALZ shirt. Check out the Alzheimer’s Association’s gear for more fun ways you can gear up for the fight against Alzheimer’s.
  • Donate Towards Alzheimer’s Research and Other Causes: Join the Alzheimer’s Association in the fight against Alzheimer’s by donating today. Your donation helps in the continued work of providing Alzheimer’s care and support, and accelerating research to find a cure.

 

Care at Roseman Medical Group

Roseman Medical Group (RMG) takes an individualized approach to caring for adults with Alzheimer’s or dementia. RMG provides personalized, dedicated, quality care through the interprofessional collaboration of family physicians, neurologists, and a pharmacist. It is our goal to provide empathic, patient-centered, evidence-based medicine to all our patients.

If you or someone you know is facing any of the signs or symptoms listed in this article, schedule an appointment with one of our providers today. Getting checked by a doctor can help determine if the symptoms being experienced are due to Alzheimer’s or possibly some other – perhaps even treatable – condition.

For more information on dementia and Alzheimer’s visit the Alzheimer’s Association at www.alz.org.

 

Article by Kristine Campo

Holiday Mental Health

Posted on by Roseman Medical Group

Thanksgiving is approaching and the days are getting shorter. The air has a fresh chill that is at times energizing and is at times more conducive to pulling up a warm blanket and reading a book or watching TV with a warm cup of tea or coffee. As with so much in 2020, Thanksgiving is likely to be different than in any other year; getting in the holiday spirit will take some creativity! Holiday decorations are out in the stores, but many people are doing less in-person shopping and so are missing the pumpkins, scarecrows, and lighted trees that appeared even when it was still 90 degrees outside. Now, with the cooler weather and Thanksgiving on the way, my thoughts are turning toward holidays that represent family, friends, comfort, and cheer to so many of us. How will Thanksgiving be different this year?

COVID-19 Concerns

As I write this in late October, coronavirus cases are increasing in much of the US, and concerns are being raised about winter and flu season. People are more reluctant to travel and are worried about possibly exposing others, especially elderly family members. Financial concerns are stressing many beyond what they ever anticipated. And for those who have lost family members this year, whether to Covid-19 or other causes, sadness will accompany celebrations. Gatherings are more complicated as people try to decide – should family get together? Should we isolate? Should we fly or drive? Or Zoom? How can my loved ones and I stay safe?

Mental Health Misconceptions

All these holiday decisions can increase stress beyond what people may typically experience in bringing family together, when the biggest worry might be getting a big meal on the table with perfect timing while navigating family dynamics. But generally speaking, do the holidays increase stress, anxiety, and depression? There is a common misconception that depression and anxiety increase during the holidays, and that suicide rates go up. National data indicates the opposite; in past years that have been studied, rates have gone down over the winter holidays. That does not mean, however, that everyone experiencing stress or isolation will feel better during the holidays; in fact, some people may feel worse. With the changes brought about by the coronavirus this year, mental health professionals are seeing an increase in stress and in symptoms of anxiety and depression. As a psychiatrist, I am very aware that increased stress can exacerbate symptoms of depression or anxiety, particularly for someone who is already dealing with a mental health condition. I also know that family support, focus on gratitude, and the holiday spirit of Thanksgiving can give people a needed break from the stressors they are facing.

Depression Explained

What do I mean by depression? A healthcare professional such as a psychiatrist, psychologist, or primary care provider may make a diagnosis of major depression if a person has experienced, for more than two weeks, depressed mood or loss of interest, and difficulty with several aspects of life including sleep, appetite, energy, concentration, and feelings of guilt. Other mental health conditions, such as generalized anxiety disorder, panic disorder, and posttraumatic stress disorder, can also be exacerbated by depressive symptoms. But even without all the symptoms of major depression, people can experience adjustment symptoms of depression or anxiety that can be overwhelming. Feelings of helplessness, hopelessness, or worthlessness can seem unmanageable. If you are feeling depressed or suicidal, please reach out to your health care provider and/or the hotlines available in the excellent resource “Coping with Stress” created by the Center for Disease Control and Prevention (CDC) accessible at https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html. Our healthcare providers at RMG are available to help!

Writing a blog about stress during the holidays is challenging because each person’s experience is so individual. I encourage you to create some joy and cheer this Thanksgiving, whether by video call or in person, whether alone or with others, whether there are new stressors that make it difficult to do so or not. Think about those you love; we are all in this together, and with friends, neighbors, family, or sympathetic strangers, we will find a reason to give thanks. People will make individual choices about whether to travel or gather; let us all try not use differences of opinion about those choices to drive us apart, but rather provide information when useful and proceed with respect. Go outside, take a walk, carve a pumpkin, talk to family and friends. Get a flu shot. Wear a mask and stay safe!

Have a Happy Thanksgiving!

Karin Esposito, MD, PhD

Your mental health is important. Our providers are here to care for your mental health, as well as physical health. If stress is getting in your way for several days in a row schedule an appointment with Roseman Medical Group at 702-463-4040.

For immediate help in a crisis contact the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) for English or 1-888-628-9454 for Spanish.

For more information on coping with stress during the COVID-19 pandemic visit https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html.

About Karin Esposito, MD, PhD

Dr. Karin EspositoDr. Karin Esposito is an experienced psychiatrist with a PhD in biochemistry and molecular biology, as well as an MD, from the University of Miami. She completed her residency training in psychiatry at Jackson Memorial Hospital and her research interests have spanned basic and clinical research, education research, and hospital-based quality improvement research at various times in her career. Dr. Esposito’s current role is within the Roseman University College of Medicine as the Senior Executive Dean for Academic and Student Affairs. Learn more about Dr. Esposito and how the Roseman University College of Medicine plans to deliver an inclusive and collaborative environment for innovative learning, healthcare and research.

November Health Monthly

Posted on by Roseman Medical Group

Hello and Welcome back to our monthly Roseman Medical Group (RMG) newsletter!

I’d like to welcome our many new patients to our practice and thank you for trusting RMG with your health.

October was a busy month.  We enjoyed seeing many of our colleagues and their families at our annual flu shot clinic in Summerlin. This year, it is even more important to get your flu shot. The flu and COVID-19 have some overlapping symptoms and as such, COVID-19 can go undiagnosed.  It isn’t too late to get vaccinated.

Dr. Hunt and I had a great time as the team physicians for the Shriners Hospitals for Children Annual Golf Tournament. We really enjoy giving back to this worthy cause, while supporting the pro golfers and their support staff.

We eagerly await participating in the Annual Walk to Defeat ALS (amyotrophic lateral sclerosis or Lou Gehrig’s disease) on Sunday, November 8.  It will be a “virtual” walk due to COVID-19, but our RMG team will make sure we will be out walking to support our many ALS patients and their families.  Dr. Ginsburg and our RMG team work diligently to assist ALS patients in our Las Vegas community through their medical journey.  If you would like to sign up to walk with our Roseman team, visit http://web.alsa.org/goto/roseman for more information.

I would also like to congratulate Dr. David Ginsburg and the many Roseman team members who all worked to achieve “Exemplary Status” by the AANEM for our EMG laboratory. This accreditation reflects the quality and high standards of this lab and is an exceptional honor. David Ginsburg has dedicated his life’s work in caring for his neurology patients, and this honor reflects this dedication. Dr. Ginsberg is caring for many patients that have a range of neurologic diseases and the EMG laboratory is critical in helping make early and accurate diagnoses.

Finally, I’d like to welcome Dr. KayLynn Bowman to our practice. Dr. Bowman is a Roseman University graduate and is a PharmD. As a clinical pharmacist, she will work alongside RMG practitioners in providing interprofessional care, supporting the whole patient. In many cases, patients are prescribed multiple prescriptions in complex regimens without understanding of the drug interactions that could occur, especially in the case of patients with diabetes, high blood pressure, or high cholesterol.  When pharmacists work collaboratively with patient’s providers, patients benefit through improved therapeutic outcomes.  Welcome KayLynn!

We hope you enjoy this month’s informative articles and we look forward to serving you and your family in our clinic.

In good health,

Andra Prum, D.O.

November Health Monthly Articles

Holiday Mental Health
COVID-19 Vaccine – A Powerful Tool in our Public Health Arsenal
Featured Physician – Dr. David Ginsburg

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