Roseman Medical Group, Author at Roseman Medical Group

Easy Ways to Move More

Posted on May 5, 2022May 5, 2022 by Roseman Medical Group

When life feels busy, exercise can fall off the to-do list. Don’t let it! We’re creature of habit, so inactivity easily leads to more of the same. It’s a cycle that can be hard to break, since inactivity makes us tired and uninterested in working out or moving.

But there’s good news! Just three days in a row of exercise can improve your energy levels and get endorphins flowing.

People need at least 150 minutes, or two and a half hours, of moderate aerobic activity per week. There are so many fun ways to get moving, especially during summer’s long days and more flexible schedules.

Make happy hour into activity hour. Get together with friends at the golf course or tennis court in the evening.
Choose small things that add up. Find little opportunities to squeeze in some exercise. Park farther away. Take the stairs instead of the elevator. Take a walk while you’re on the phone. Any movement matters!
Re-evaluate your schedule. Think about times that work best for you. Just because you see people posting about their morning workouts doesn’t mean you have to do the same. Let your personal energy levels be your guide.
Do something fun. Exercise doesn’t have to be hard or intense. If you feel like you’re in a rut, try:
- Doing yoga at home to center both mentally and physically.
- Organizing regular walks with friends or family.
- Signing up for a dance class – Zumba, tap, or whatever gets you going.
- Getting a group together to roller skate.
Change is normal. As people get older or experience different health and mobility issues, they may need to make adjustments to their exercise regimens. That’s okay! Be open to switching things up.

Your doctor can help figure out the right type of exercise for you. If you’re in need of a primary care provider, Roseman Medical Group’s providers are dedicated to delivering compassionate care to patients of all ages. Call (702) 463-4040 to schedule an appointment.

Roseman Adds Another Dental Practice to the Family

Posted on May 5, 2022May 12, 2022 by Roseman Medical Group

Roseman adds another Dental practice to the family – Roseman Dental in Summerlin – treating children with systemic disease and their families with compassion and care.

On a quiet floor in what is now a bustling building treating 100 pediatric patients a day, as well as opioid- and stimulant-addicted mothers and their children via Roseman’s Empowered Program, is the newly opened and highly anticipated Roseman Dental clinic, the clinical practice of Roseman University College of Dental Medicine. Roseman Dental serves pediatric patients of Cure 4 The Kids Foundation (C4K) who are coping with life-threatening conditions including childhood cancers, blood disorders and rheumatological diseases. Because families are also deeply impacted by a child with illness, Roseman’s clinic also sees families of patients. Non-profit and community-based, the clinic is the first of its kind in Nevada and provides specialized care and attention to patients who have complex medical cases and thus need a higher level of oral and dental care.

Overall health and wellness are closely linked to oral health. The mouth is a portal for infection, which can allow bacteria to enter the bloodstream. Conversely, systemic disease may include symptoms such as rapid tooth decay, or oral pain. For many people, grappling with acute systemic disease might deprioritize dental care and oral health, as patients may not have the emotional and physical energy or resources to tackle preventative care, or even severe/serious dental issues, and there may be fears in exposing a child to a busy dental clinic unfamiliar with the needs of children with acute illnesses.

Roseman Dental is a brand new, state-of-the-art clinic providing pediatric preventative care including cleanings and X-rays, anxiety management, composite restorations (fillings), pulp therapy, crowns, extractions, sedation dentistry and, through our clinic in Henderson, orthodontics including braces and retainers. The practice connects with the care team within C4K, offering an interprofessional approach to treatment. Breaking down barriers and silos that can exist in trying to coordinate complex care dramatically benefits the patient. In the case of Roseman Dental, providers can simply walk down the hall to discuss diagnosis, treatment plans, prescription interactions and psychosocial support for patients already being seen within C4K. The clinic is small, brightly lit, private, quiet and peaceful — truly a haven of calm in both its design, décor and in the tenor of the providers inside it.

At the helm of the new clinic opening is Dr. Michael Cottam. With almost 20 years of experience, and specialty training in pediatrics and special needs care, Dr. Cottam has great expertise in treating children with medically complex cases. Dr. Cottam has a passion for treating children, patients who respond easily and profoundly to dental care, care that can set the course for a lifetime of good dental health. As Dr. Cottam got deeper into his career, he found himself more and more interested in treating children with complex medical situations. The complexity of treating patients with underlying disease is a challenge Dr. Cottam welcomes as it keeps him continually learning and growing as a practitioner. “Treating children with systemic maladies is complex, and there is always something new to learn, as well as the opportunity to be there for parents who really just need more support.”

There is another level of care that is needed in support of the patient and their family. Dr. Cottam explains this as a “need to talk, slow down, and to counsel,” as patients and their families navigate their way through uncharted territory. Sometimes it is a kind word or gesture that can make all the difference in letting patients know that you are there for them, as their advocates, and there for their families, as a guide or simply a support.

Interestingly, Dr. Cottam changed careers as a young ornithologist and wildlife biologist, deeply immersed in avian biology, behavior, and environment, a protector of sorts of fragile species. With a desire to be more present in his own family’s life, Dr. Cottam transitioned that passion and care to a career in pediatric dentistry, and to nurturing children with underlying disease. Dr. Cottam comes to Roseman from Nemours Children’s Hospital in Delaware, where, as the Program Director of the Pediatric Dental Residency, and Division Chief of Dental Surgery, he taught medical and dental residents and participated in hospital-based practice. Over 70 percent of his patients were medically complex cases. When the opportunity to collaborate with Roseman Dental presented itself, Dr. Cottam jumped at the chance to help shape and run the new clinic. Looking ahead a year from now, Dr. Cottam hopes to increase patient volume in the clinic and to offer more support to the patients of C4K and their families. The clinic accepts multiple insurances and aids those under or uninsured. Roseman University is incredibly proud to add this clinic to its growing dental practices in Nevada, Roseman Dental and Orthodontics, and in Utah, Roseman Dental. The clinic fulfills the mission of Roseman’s Dental clinics — to improve the oral health of the public with special attention to underserved populations in Utah, Nevada and the Intermountain West. This mission is achieved by educating healthcare professionals, conducting educational and clinical research, providing on-site and community-based health services, treating patients with high-quality, compassionate, affordable, evidence-based care and setting the standard for healthcare leadership. To learn more, go to www.rosemandental.com/home-sm/ or call 702-637-9259

May Events for ALS Awareness Month

Posted on May 5, 2022May 5, 2022 by Roseman Medical Group

May is ALS Awareness Month and we look forward to sharing the work of Dr. David Ginsburg and the Roseman Medical Group. The Roseman Medical Group ALS Clinic is one of two in southern Nevada that provides evidence-based, multidisciplinary ALS care and services in a supportive atmosphere with an emphasis on hope and quality of life. Dr. Ginsburg is dedicated to treating those diagnosed with ALS. Find out more about ALS on Good Things KTNV here:

Join this month’s Neighborhood Health Series on May 19 at 5:30 p.m. for an hour-long session learning about several patient journeys in “A Week Inside the ALS Clinic: A case-based view of the patient perspective in battling ALS.” Register today for this free event.

Summer Sun Safety Tips

Posted on May 5, 2022May 5, 2022 by Roseman Medical Group

Here in the southern Nevada desert, we’re pretty familiar with the sun – but it’s about more than bright days and tanning.

May is Skin Cancer Awareness Month. More people are diagnosed with skin cancer each year than all other cancers combined. In Nevada, men are nearly twice as likely to be diagnosed with melanoma, the most severe form of skin cancer, than women. Clark County is in the highest segment of counties receiving large amount of ultraviolet radiation per day, meaning a daily skin protection routine is incredibly important. This year alone, 770 Nevadans will be diagnosed with melanoma, along with thousands more diagnoses of basal and squamous cell carcinomas, skin cancers starting in the upper or lower parts of the skin’s top layer.

As summer approaches, it’s important to brush up on ways to keep your skin safe from those sunny rays. June and July are the strongest months for sun exposure in Las Vegas, so now is the right time to make sure you’re ready.

Reapply a broad spectrum SPF 30+ sunscreen every two hours. Putting on sunscreen isn’t a one-and-done for the day, especially if you’re swimming or sweating.

Take stock of your sunscreen situation. Keep it in your vehicles and most-used bags. As you’re getting prepped, take a look at expiration dates. Sunscreen must maintain their full strength for three years, but if you can’t remember when you bought that bottle, it’s probably time to restock.

Make sure everyone in your group wearing sunscreen. Kids, their friends, that one guy who thinks he doesn’t need it – everyone needs sunscreen. Make sure to have some on hand and pass around as a requirement, not an option. About 23% of lifetime sun exposure happens before kids are 18, so being vigilant about sunscreen use really does have lifelong effects.

Avoid spending lots of time outside when UV radiation is highest. That’s typically between 10:00 a.m. and 4:00 p.m.

Keep an eye on your skin. Evolving or itchy moles, newly appearing lesions, or darkening patches are important to notice, track, and have checked by a medical professional.

Skin cancer is highly treatable if caught early. If you’re concerned about an element of your health, get off the internet and talk to a healthcare provider. Call (702) 463-4040 to schedule an appointment with Roseman Medical Group. Our providers are dedicated to delivering compassionate, patient-focused, and evidence-based solutions.

April 2022 Health Monthly

Posted on April 7, 2022April 7, 2022 by Roseman Medical Group

Welcome to this edition of Health Monthly! Spring is officially here as evidenced by the desert plants in full bloom and the sniffling and sneezing associated with elevated pollen counts. Remember to get out and walk and enjoy the blissful temperatures but rinse off as you enter your home so the pollen you have picked up doesn’t come with you. It is also a great time to be running your indoor air purifiers with HEPA filters.

COVID-19 boosts are now becoming available. We would like tor to remind our patients who are eligible to get out and get your second boost. Find out who is eligible here: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/booster-shot.html

In this jam-packed edition, read about Parkinson’s Disease and find out how, Dr. Eric Farbman, one of our two neurologists at RMG, treats patients with hope and optimism. Also
read about the Social Determinants of Health (SDOH) and how variables like food availability, job pressures, transportation, and access to a clean environment impact our health even more than our DNA.

On World Health Day, learn more about our global health and how various countries are faring with different diseases and with dramatically different resources. Join us tonight as Roseman’s Neighborhood Health Series focusing on Global Public Health.

Learn more about GENESIS, which launched on March 30 and focuses on the SDOH of underserved populations, treating families with comprehensive services that address a variety of issues that impact health. This interprofessional model allows families to be treated in their homes.

Roseman Medical Group remains grateful to be your primary care provider of choice and we look forward to our continued partnership in health and wellness. Have a wonderful April!

In good health,

RMG

April 2022 Health Monthly Articles

What Are the Social Determinants of Health?

Understanding Parkinson’s Disease

Why Periodontal Health Is Important When Expecting

Understanding Parkinson’s Disease

Posted on April 7, 2022July 6, 2022 by Roseman Medical Group

Almost one million people in the United States live with Parkinson’s disease, with 60,000 new diagnoses every year. Parkinson’s disease is a progressive nervous system disorder that affects the body’s movement. The first symptoms may be subtle, first appearing as tremors in the hand or fingers, usually on just one side of the body initially. Symptoms can progress to muscle rigidity and slowness of movement, known as bradykinesia. These three symptoms are significant factors in a Parkinson’s diagnosis.

Getting to the root cause of symptoms that could indicate Parkinson’s is crucial. A prompt diagnosis can help treat its effects as efficiently as possible. Also, if the symptoms aren’t due to Parkinson’s, finding out why they’re occurring is equally vital.

Parkinson’s is typically diagnosed in people over age 60, and men are 50% more likely to be diagnosed than women. There isn’t a simple test to diagnose Parkinson’s. Instead, a diagnosis relies on physical symptoms and imaging scans.

For many people, the idea of a Parkinson’s diagnosis could seem daunting. This is partially due to the amorphous path each case can take. There isn’t one standard treatment plan and, as of yet, there isn’t a cure. However, multiple effective treatment options exist to mitigate its effects, symptoms, and progression.

Medications can minimize and reduce some symptoms. Exercising also helps with balance, coordination, muscle strength, and flexibility. In fact, people with Parkinson’s who exercise for a minimum of two and a half hours per week have been proven to experience slower declines in their quality of life. The Parkinson’s Foundation has extensive information about the best ways to exercise.

Only a healthcare provider can diagnose Parkinson’s. If you or a loved one is experiencing symptoms, please reach out to Roseman Medical Group for screening, diagnosis, and an individualized treatment plan. Our highly qualified providers are eager to deliver compassionate care for individuals living with Parkinson’s.

What Are the Social Determinants of Health?

Posted on April 7, 2022April 7, 2022 by Roseman Medical Group

Dr. Marin Gillis
Professor & Senior Executive Dean for Faculty Affairs & Learning Innovation
Interim Chair, Department of Justice & Health Humanities
Roseman College of Medicine

Often in America, health is thought of as the absence of disease or infirmity. However, for decades the World Health Organization, among others, has advocated for a more holistic understanding of what it means to be healthy, and seeks to change how we think about what health is. In the preamble to their constitution, WHO defines health as a complete state of physical, mental, and social well-being. If this is what health is, then the goals of therapeutics should not only be curative and rehabilitative, but also preventive and palliative, in the sense of managing the symptoms of chronic and life-limiting illness.

What many think of as the prime determinants of health (for example, genes, cells and biology) account for approximately 20% of health risks and outcomes. The remaining 80% is determined by:

Access to quality healthcare
A person’s behavior
Social, economic, and environmental factors

Health, good or bad, is the result of actions and interactions throughout each day. The majority of these aren’t happening in what are commonly thought of as healthcare environments, but rather in the places where people live, work, and play. These factors are collectively known as the Social Determinants of Health (SDoH). Someone’s ZIP code is more of a determining factor of their health quality and lifespan than their genetic code.

The consequence of this misplaced emphasis on the biological determinants of health is evident in our health outcomes as a country. Compared to the world’s highest income nations, the U.S. has:

Among the highest number of hospitalizations from preventable causes
The highest rate of avoidable deaths, including suicides
The highest chronic disease burden
An obesity rate that is two times higher than peer nation averages
An extremely high rate of healthcare spending – Americans spend twice as much of their income on healthcare as do citizens of our peer nations (Tikkanen 2020)

Americans spend significantly more and are less healthy largely due to a lack of understanding and emphasis on what will actually make America healthier. Hospitals largely address sickness and injury. If healthier people and better health outcomes are the goal, it is imperative to start by understanding the genesis of health as a complex of interactions between a person, their household, the communities in which they live, work and play, and policies that shape them.

The following chart shows the social and economic factors that drive health outcomes, where health outcomes are understood as mortality and morbidity, life expectancy, healthcare expenditures, and health status.

Adapted from “Health Disparities are a Symptom of Broader Social and Economic Inequities” by S. Artiga, 2020, Kaiser Family Foundation, ‘Figure 2’ (https://www.kff.org/policy-watch/health-disparities-symptom-broader-social-economic-inequities/#).

The social determinants of health are foundational concepts in Roseman University’s program development. The university is committed to transforming medical education and the health of our communities by addressing Nevada’s critical shortage of physicians through development of a revolutionary medical school. Together with his team, Dr. Pedro “Joe” Greer Jr., Presidential Medal of Freedom winner and recipient of the MacArthur Fellows Genius Grant, envisions a medical curriculum that delivers at the street level, in neighborhoods, and most importantly, in individual households. Our pioneering approach – called household centered care – gives medical students early experience in the most essential of all settings: the home.

Roseman’s College of Medicine will produce the physicians of the future, developing clinically excellent and community-based physicians. Graduates will understand the complexities of communities and how the social determinants of health impact both individual and population health. Communities will be partners in teaching and learning, giving a voice to perhaps the greatest and wisest teacher: our patients.

Medical students will join students from Roseman’s nursing, pharmacy and dental programs to address Nevada’s health inequities and lack of access to care through the GENESIS program. Launched in spring 2022, GENESIS is an educational, research, community development and healthcare delivery system. It re-conceptualizes health-aligned sectors like healthcare, public health and social services as one coordinated health ecosystem focused on the home. This patient-centered model helps students and providers track patients’ social determinants of health and connect them with direct and immediate access to care.

Learn more about the College of Medicine

Learn more about GENESIS

References

Graham, G. N. (2016). Why your ZIP code matters more than your genetic code: promoting healthy
outcomes from mother to child. Breastfeeding Medicine, 11(8), 396–397.

Tikkanen R, Abrams MK. U.S. Health Care from a Global Perspective, 2019: Higher Spending, Worse Outcomes? The Commonwealth Fund Issue Brief Jan 30, 2020.

World Health Organization (WHO). (1946). Constitution of the World Health Organization.

World Health Organization (WHO). (2020). WHO Conceptual Framework for Action on the Social Determinants of Health.

March 2022 Health Monthly

Posted on March 3, 2022March 18, 2022 by Roseman Medical Group

Welcome to the March issue of Health Monthly!

Spring is in the air, and the trees are displaying colorful and delicate buds and flowers. Perhaps one of the most beautiful seasons in the Mojave desert, Nevada’s plant life emerges from wintertime with purpose and a freshness not seen in the dog days of summer.

Perhaps also felt in the air is the sense of hope and optimism as COVID-19 cases in our state reach new lows and mask mandates are lifted across the state. We continue to urge our patients to get vaccinated and boosted and to decide for themselves if they’d like to continue to wear a mask.

As Black History Month comes to a close, we would like to recognize the countless Black Americans that have contributed to healthcare through patient care, discovery and innovation. Black History month also offers an opportunity to take an up-close look at Black Health and Wellness. As many know, COVID-19 has disproportionately affected our Black community members. At the same time, the Red Cross is also experiencing one of the worst blood shortage crises in over a decade. It recently launched a sickle cell initiative providing free sickle cell screening on all donations from self-identified African American donors. The Red Cross will offer free mini-health screenings to encourage new donors and to increase the number of African American blood donors. The BeTheMatch Foundation, a national marrow registry that matches transplant donors and recipients, is actively seeking donors to help sustain life for people facing blood cancers and disorders like sickle cell anemia. According to the Foundation, only 8% of the foundation’s US registry is comprised of African American donors, making a match even more difficult. The registry hopes to increase its diversity through recruiting via social media and community outreach. Find out more at bethematch.org.

On another but related note, Roseman’s partner, Cure For the Kids Foundation, will be presenting a free webinar at the Neighborhood Health Series on the topic of hemophilia and blood diseases. Join us at speakers.roseman.edu and register today for the March 24 presentation by Dr. Joe Lasky.

We hope you enjoy this month’s Health Monthly. Learn more about nutrition, diabetes, and the importance of oxygen. We also wish to let all of our patients know about Roseman’s Empowered Program. If you know a mom or expecting mother grappling with opioid or stimulant use, please let them know about Roseman’s Empowered Program at empoweredmoms.org. We wish all of our patients good health and wellness this spring!

In good health,

RMG

March 2022 Health Monthly Articles

Ways to Boost Your Nutrition

Why Diabetes is Worth Your Attention

Oxygen – Our Lifeblood – Recognizing When It Might Be Low

3D Printing at Roseman Dental & Orthodontics

Oxygen – Our Lifeblood – Recognizing When It Might Be Low

Posted on March 3, 2022March 3, 2022 by Roseman Medical Group

Those who have visited Roseman University’s Nevada and Utah campuses may have felt the impacts of elevation. Our South Jordan campus sits at 4400 feet above sea level, Henderson at 1867, and Summerlin at 3500. Pressure in the atmosphere decreases as one gains elevation, and the volume of air breathed contains less oxygen in each breath. For many people, these changes are negligible, and not even noticed. For others, even subtle changes in elevation can be felt.

Oxygen is our lifeblood – almost all living things need it to survive. Oxygen gives our cells the ability to break down food to create energy, it powers our brains which need a lot of energy to function, and it circulates in our bloodstream to power our organs and body tissues. Oxygen deprivation for just 5 minutes can cause the brain cells to die, resulting in brain damage.

But what happens to our bodies with prolonged, more subtle declines in our blood oxygen levels?

Hypoxia, low levels of oxygen in our blood, can be very dangerous and cause damage over time. There are multiple causes of hypoxemia, namely sleep apnea, chronic obstructive pulmonary disease, anemia, congenital heart defects, interstitial lung disease and asthma.

When our blood oxygen levels dip below normal levels (95%+) we may feel drowsy or sluggish. We might see skin color changes, experience confusion, rapid heart rate, shortness of breath, slow heart rate, sweating, wheezing and coughing. Hypoxemia can lead to low oxygen in the tissues, which is hypoxia, a much more acute and life-threatening event.

Sleep apnea affects 100 million people, with men more susceptible than women, and age and obesity as risk factors. Sleep apnea can lead to oxygen desaturation – a significant decrease in blood oxygen levels. Apnea can cause a person’s oxygen to drop by 3-4% and in severe cases, much more dramatically. Those who wake with headaches or gasping for breath may want to consider purchasing a pulse oximeter. These inexpensive devices measure 02 levels from simply inserting a finger into the device for a few seconds. Painless and inexpensive, pulse oximeters are an important part of a household medicine cabinet as they allow tracking of 02 levels while awake, sleeping or when someone is sick in the house (02 levels can drop during times of common respiratory infections).

Consult with your RMG primary care provider if you suspect your oxygen levels are low during daytime or overnight hours. They may refer you to a pulmonologist, cardiologist or to a sleep disorders specialist.

Why Diabetes is Worth Your Attention

Posted on March 2, 2022March 2, 2022 by Roseman Medical Group

Diabetes is an increasingly common disease in the United States. It’s caused when blood sugar level become too high. Typically, the pancreas produces insulin to moderate any spikes in blood sugar levels, but when blood sugar remains high for a prolonged period of time, the pancreas may become insulin resistant and stop working. This causes sugar to build up in the bloodstream and damage the body’s organs.

One in ten Americans have been diagnosed with diabetes. An additional one in five has yet to be diagnosed. Another one in three Americans has prediabetes, a slippery slope condition where the body isn’t able to completely produce or use insulin.

There are two kinds of diabetes:

In type 1 diabetes, the body simply doesn’t produce the insulin required to keep blood sugar levels in the right range. People with type 1 diabetes take a dose of insulin every day to maintain healthy blood sugar.
In type 2 diabetes, the body doesn’t properly use the insulin it produces. Unlike type 1 diabetes, type 2 diabetes can be postponed or prevented entirely with lifestyle modifications.

People diagnosed with diabetes often are dealing with concurrent health issues like high blood pressure (69%) or high cholesterol (44%). Weight is often a factor in a type 2 diabetes diagnosis.

Diabetes affects the whole body. It can lead to chronic kidney disease and damage to the nerves, eyes, and feet. Oral health problems and diabetes are also closely linked. Its effects can be mental as well. People with diabetes can also be up to three times more likely to have depression and 20% more likely to struggle with anxiety.

A diabetes diagnosis might seem daunting, but it’s far better than living with the condition undiagnosed. Symptoms of both type 1 and type 2 diabetes might include frequent urination, fatigue, blurred vision, thirst, and excessive hunger. The symptoms of type 2 diabetes can emerge slowly, while type 1 diabetes symptoms may appear suddenly. Diabetes is relatively easy to detect with the right diagnostic testing. Testing for diabetes can include a full blood panel and fasting glucose tests.

With the right care and attention, diabetes can be managed. Medication is generally involved, sometimes full-time and other times at first to efficiently regulate blood sugar levels. Two important components of diabetes management are diet and exercise. These lifestyle changes help the body control blood sugar and respond more sensitively to insulin.

If you or someone you know is concerned about diabetes, make an appointment to speak with a medical professional. Roseman Medical Group’s providers can walk with you through a full analysis of your personal health situation.

Author: Roseman Medical Group

May Events for ALS Awareness Month

April 2022 Health Monthly Articles

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