Author: Roseman Medical Group

Essential Safety Tips to Enjoy Your Summer and Eliminate Stress

Posted on by Roseman Medical Group

Summer is approaching, which means more hours of sunlight, warmer temperatures, water adventures, and vacations. Summer 2020 came and went with little action due to the global pandemic. As Summer 2021 approaches, we’re starting to see the bright ray of sun peek through the dark clouds of the past year. In Las Vegas, Nevada the COVID-19 mandates are starting to lift, and the amount of administered vaccinations continues to grow which proves promising for summer time fun.

So just how can you protect yourself and your family during the summer? Check out our essential safety tips for an enjoyable, stress-free summer.

Protect Against the Sun

There’s just something about being outside and enjoying the bright, warm sun on a summer day. Longer days in the summer provides ample amount of daylight for outdoor activities. With this comes exposure to the sun’s intense rays and the possibility of damaging your body’s largest organ – the skin.

Left unprotected, this vital organ can become the victim of melanoma – a type of skin cancer caused by spending too much time in direct contact with the sun’s ultraviolet (UV) rays. According to the Skin Cancer Foundation, more than two people die of melanoma in the United States every year. Protect your skin against burns and melanoma with these preventative measures:

  • Apply sunscreen and lip balm of SPF 30 or higher every two hours
  • Wear a wide-brimmed hat and loose fitting, light colored clothing to prevent exposure
  • Wear sunglasses with a 50 or higher UV rating
  • Limit sun exposure from 10am – 4pm when the sun is at its strongest
  • Avoid prolonged exposure to the sun whenever possible
  • Avoid UV tanning beds
  • Examine your skin head-to-toe monthly and report anything new, changed, or unusual to your healthcare provider

Stay Cool in the Summer Heat

Summer definitely brings the heat with its warmer temperatures. In Las Vegas, NV the average temperature in the summer months is 102 degrees with some days seeing upwards of 113. Extreme heat like this could lead to heat-related illness such as heat exhaustion and heat stroke. Follow these helpful tips to protect yourself and your family from the intense summer heat:

  • Stay well hydrated – drink lots of water
  • Wear loose fitting clothing
  • Exercise in the early morning or evening
  • Avoid excessive or high-intensity exercise on days of high heat
  • Discontinue activity and move to a cooler environment immediately if nausea, dizziness, or lightheadedness occur

Water Safety

Whether playing in the pool, boating at the lake, or swimming in the ocean – water activities are some of the most common ways to stay cool in the summer. In fact, swimming is one of the most popular activities in the United States. According to the National Safety Council, an average of 10 people die from drowning every day in the U.S. Additionally, drowning continues to be the second leading cause of preventable death among children through age 15. It’s important to practice water safety while also enjoying the fun summer experiences.

Stay water safe with these tips:

  • Avoid going into the water unless you know how to swim
  • Find age-appropriate swim lessons
  • Swim in areas supervised by a lifeguard
  • Never swim alone
  • Never leave children unattended while swimming or near water
  • Make sure all children are wearing life vests
  • Keep rescue equipment nearby
  • Close and lock all pool gates and fences when unattended
  • When boating, never consume alcohol and make sure everyone is wearing a U.S. Coast Guard approved life jacket

Prepare for Summer Travel

Many Americans are eager to schedule a getaway after a year of uncertainty and confinement due to the COVID-19 pandemic. As vaccination rates continue to soar and the Centers for Disease Control and Prevention (CDC) eases guidance, many are starting to consider summer vacations. Whether you’re fully vaccinated or not, it’s important to take precaution this summer. Follow these tips for summer travel:

  • Follow the travel guidelines of the CDC
  • Follow state and local guidelines of the places you plan to travel
  • Choose safer travel options – travel with only members of your household, by car or RV, etc.

Roseman Medical Group provides quality, empathic, patient-centered care. Our primary care providers are dedicated to your health and well-being. Contact us at 702-463-4040 to schedule an appointment.

Article by Kristine Campo

Neuropathy – Damage of the Communication Highway in the Body

Posted on by Roseman Medical Group

Neuropathy, also known as peripheral neuropathy, affects an estimated 20 million people in the United States. According to the American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM), this debilitating condition is the leading cause of disability in the United States and one of the most common chronic neurological diseases. Due to a complex array of symptoms, neuropathy is often misunderstood, misdiagnosed, and inadequately treated.

Effecting the peripheral nervous system – the communication highway in the body – neuropathy can bring body functions to a screeching halt with a mild fender bender. Recognizing early signs/symptoms, receiving an early and accurate diagnosis, and providing proper treatment are critical to preventing and reducing the progression of this medical condition.

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What is Neuropathy?

Neuropathy is the damage or dysfunction of one or more nerves within the peripheral nervous system. Known as the two-way communication highway within the body, the peripheral nervous system is a network of nerves that send signals between the brain and spinal cord to other parts of the body and back again.

When neurons (nerve cells) becoming damaged or destroyed it causes a disruption in the communication highway. A disruption in nerve signaling can occur in various ways:

  • Loss of signals that normally occur (like a traffic light being out)
  • Inappropriate signaling when there shouldn’t be any signaling occurring (like a car coming in the wrong direction)
  • Errors that distort the message being sent (like a sun glare on a road sign)

Signs and Symptoms of Neuropathy

Signs and symptoms are determined by the type of nerves involved – motor nerves, sensory nerves, or autonomic nerves – as well as the locations of those nerves. Additionally, symptom onset is based on the classification of neuropathy – acute neuropathy and chronic neuropathy. Acute neuropathy has suddenly occurring symptoms, while chronic neuropathy consists of symptoms that develop slowly over time.

The most common signs and symptoms are:

  • Numbness or tingling in hands or feet, which can spread into the arms and legs
  • Sharp, throbbing, stabbing, or burning pain
  • Extreme sensitivity to touch or an inability to feel pain, pressure, temperature, or touch
  • Loss of coordination or falling
  • Not being able to feel things in the feet or hands – like the feeling of wearing socks or gloves
  • Muscle weakness – difficulty walking or moving arms or legs
  • Muscle twitching, spasms and/or cramps
  • Loss of muscle control and/or tone, or inability to move part of the body (paralysis)
  • Pain during nonstrenuous activities – such as putting weight on the feet or when feet are under a blanket

Additional signs or symptoms when the autonomic nerves are affected are:

  • Low blood pressure or abnormal heart rate – causing dizziness when standing up, fainting, or lightheadedness
  • Excessive sweating or not being able to sweat
  • Issues with bladder, digestion, and bowels
  • Heat intolerance

What Causes Neuropathy?

Neuropathy does not have one direct cause. It can be caused by a variety of conditions or events. Most instances of neuropathy are acquired and are either symptomatic or idiopathic. Symptomatic instances are those resulting from another disorder or condition. Idiopathic have no known cause.

Symptomatic acquired causes include:

  • Trauma
  • Diabetes
  • Vascular and blood problems
  • Systematic autoimmune diseases
  • Autoimmune diseases
  • Hormonal imbalances
  • Kidney and liver disorders
  • Nutritional or vitamin imbalances, alcoholism, and exposure to toxins
  • Tumors
  • Medications
  • Infections

How is Neuropathy Diagnosed?

The complex array and variability of symptoms often leads to misunderstanding, misdiagnoses, and inadequate treatment. Diagnosis of neuropathy consists of several variables. The most common variables utilized to diagnose neuropathy include:

  • Medical history
  • Physical and neurological exams
  • Body fluid tests
  • Genetic tests

A healthcare provider may order additional tests to help determine the nature and extent of the neuropathy. These additional tests could include:

  • Physiologic tests of nerve function – nerve conduction velocity (NCV) and electromyography (EMG)
  • Neuropathology tests of nerve appearance – nerve biopsy and neurodiagnostic skin biopsy
  • Autonomic testing – quantitative sudomotor axon reflex (QSART)
  • Radiology imaging tests – magnetic resonance imaging (MRI) and computed tomography (CT)

Preventative Measures

Preventative measures can be taken to eliminate the possibility of neuropathy, as well as reduce the progression of the medical condition.

  • Reducing the possibility of injuries
  • Properly treating and managing existing medical conditions – kidney, liver, or thyroid disease; diabetes; alcoholism; and rheumatoid arthritis
  • Adopt healthy living habits – take care of feet and hands, eliminate tripping hazards by decluttering floors, stop smoking, maintain healthy lifestyle, and review medications
  • Limit exposure to toxins

Treatment Options

According to the National Institute of Neurological Disorders and Stroke (NINDS), more than 100 types of peripheral neuropathies have been identified. Therefore, treatments for neuropathy varies based on the type of nerve damage, symptoms, and location. Addressing the causes of a neuropathy and correcting them can result in the resolution of the neuropathy itself – allowing nerves to recover and regenerate. Medications, local anesthetics, lidocaine patches or creams, surgery, and transcutaneous electrical nerve stimulation (TENS) are all treatments that have been utilized to prevent and reduce the progression of neuropathies.

Are you experiencing signs and symptoms of neuropathy? Roseman Medical Group can help you identify the cause, as well as provide an individualized treatment plan. Our healthcare providers provide quality, empathic, and patient-centered care. Contact us at 702-463-4040 to schedule an appointment.

Article by Kristine Campo

May Health Monthly

Posted on by Roseman Medical Group

Welcome back to Roseman Medical Group’s Health Monthly Update. We hope this newsletter finds you healthy and well.

As of April 30th, roughly 1.4M doses of vaccine had been administered in Clark County, the majority of those being manufactured by Pfizer, then Moderna, and then finally, Johnson and Johnson. With the deployment now open to all age groups, 16 years old and up, we are also seeing our younger cohorts getting vaccinated, with roughly 35% of the population vaccinated of those ages 16-29, and at the other end of the spectrum, about 80% vaccinated of those aged 70 and older. Roseman University continues to provide vaccinations to the public through onsite PODS at various sites. We are incredibly proud and grateful for the countless students, volunteers and frontline workers who continue to put themselves on the frontlines to keep our communities safe.  We continue to encourage our patients to get their vaccines. For more information, please visit Southern Nevada Health District’s website.

Roseman University Vaccination Site Information

Over the past year, the majority of health care providers have found that their patients have lapsed in some of their primary preventative care. With increased levels of stress and isolation, it is more important than ever to stay current with all medical providers and care. Be sure to schedule your annual well visits and dental cleanings, and be sure to follow up on any imaging, bloodwork, or follow-ups needed. Read more about this topic, in this month’s edition and article below.

Many of you may be feeling the impact of our beautiful Spring flowers and the pollen they generate. Spring allergies are at an all-time high right now. Read more in this issue on some simple strategies to help reduce allergens in your home as well as some more advanced medical interventions that can significantly reduce symptoms and increase comfort.

This issue is full of helpful strategies and tips to keep you healthy, happy and connected.

We continue to be grateful to serve you and to be a part of your journey in good health.

May Health Monthly Articles

Let’s Talk Seasonal Allergies
Mental Health and Wellness
Delayed Care is a Big Concern
Shamine Poynor – May Clinic Spotlight
Roseman Dental – Saving Decayed Teeth

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Delayed Care is a Big Concern

Posted on by Roseman Medical Group

After reviewing The Washington Post article “After a year of pandemic-delayed medical treatments, doctors are seeing more cases of advanced illnesses”, it’s safe to say that delayed care due to the COVID-19 pandemic is a big concern. COVID-19 created unprecedented challenges for those patients seeking care for conditions not related to COVID-19.

As COVID-19 cases subside and vaccination efforts continue, many healthcare providers are encouraging patients to prioritize their health and seek timely treatment – including Roseman Medical Group and Roseman Dental & Orthodontics providers.

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Barriers Leading to Delayed Care

An article published in JAMA Health Forum outlined the results of several public opinion polls conducted during the pandemic to gain insight on whether individuals were able to access medical care during the COVID-19 pandemic. One study reported that one in five adults in the United States – roughly 20 percent – reported experiencing delayed care during the COVID-19 pandemic. In fact, 31-42 percent reported postponing health care for non-COVID-19 issues, such as dental care, regular check-ups, treatment for ongoing conditions, diagnostic or medical screening tests, vision care, and surgical procedures.

Barriers to care included:

  • Full out-of-pocket costs
  • Fear of COVID-19 exposure
  • Finding an available physician
  • Securing appointments for care
  • Accessing location where care would be provided
  • Positive COVID-19 tests for those slated for surgery

Consequences of Delayed Care

For those who reported postponing care due to the pandemic, 57 percent said they experienced negative health consequences as a result. The Washington Post pandemic-delayed care article cited several occurrences of patients experiencing adverse effects from postponing care, as well as new medical concerns.

A survey conducted by the American Dental Association found that over 70 percent of dentists reported an increase in patients grinding or clenching their teeth and 60 percent reported an increase in chipped or cracked teeth which are common stress-related conditions. Additionally, physical therapy needs are on the rise with pain and injuries related to remote work and optometrists and ophthalmologists are seeing an increase in eyestrain due to increased screen time.

The consequences of delayed care vary, depending on factors such as underlying health and the type of care avoided. Recent evidence shows that states with an increased number of COVID-19 deaths also experienced substantial increases in mortality due to other causes, such as diabetes and heart disease.

Delayed care can lead to numerable consequences:

  • Prolonged avoidance of primary and specialist care impacts chronic condition control, increases the probability of acute complications, and delays diagnosis of new conditions
  • Delayed preventative screenings could lead to undetected diseases such as diabetes, hypertension, heart disease, depression, cancer, and more
  • Forgoing pediatric visits could cause negative impacts on physical, mental, and social development of children
  • Skipping preventative dental care such as semi-annual exams and cleanings could lead to costly damage to oral health such as tooth decay and gum disease
  • Prolonged hospital stays and higher costs
  • Increased illness severity, morbidity, and mortality

Provider Perspective on Pandemic-Delayed Care

Roseman Medical Group Provider Perspective

Andra Prum, DO
Primary Care
Roseman Medical Group

“Upon review of the Washington Post article, I definitely agree with the importance of timely preventative, urgent and chronic medical care for patients. Unfortunately, I have seen many patients delay care during the COVID-19 pandemic and end up hospitalized for issues that could have easily been prevented on the outpatient basis. With this in mind, I encourage our RMG patients to schedule their annual physical, dental visits, follow up for chronic illnesses, and COVID-19 vaccination for those that qualify at this time.”

Roseman Dental & Orthodontics Provider Perspectives

Erin Greene, DDS
AEGD Program Director
Roseman Dental & Orthodontics

“As a dentist, I have certainly seen an increase in major dental issues since the COVID-19 pandemic began. With the shutdown, fears about going to the dentist, and people losing their jobs, many people had no choice but to ignore their dental health, unless they were experiencing significant pain. Unfortunately, by the time a tooth is hurting, it usually requires major dental work to treat. Small cavities that can be easily treated are usually present with no symptoms.  This is one of the reasons it is important to find a dentist that you trust and visit on a regular basis. Dental offices have taken extra precautions in order to provide care safely, and patients can feel confident in seeking dental care.”

Glen Roberson, DMD of Roseman Dental & Orthodontics

Glen Roberson, DMD
AEODO Program Director
Roseman Dental & Orthodontics

“A couple of things I have noticed in regard to orthodontic treatment and the quarantine period/COVID:

  1. It appears that due to the mask mandate, many people (particularly adults) have opted to undergo orthodontic treatment because nobody can see that they are wearing appliances
  2. People seemed to be brushing less, again likely because of the mask mandate, and perhaps because for the longest time, people didn’t leave the house. This has subsided (thankfully), but for patients in treatment, that can mean white spot lesions on their teeth where early demineralization has occurred.
  3. Some patients had appliance/wires, that continued to work even though we were not able to see them as often/readily. Those patients may have had teeth move more than we would have liked, or in directions we didn’t necessarily want. Thankfully, again, this type of movement was minimized because most treatment modalities have some built in stop-gaps.
    • Invisalign trays will only act as a retainer after the programmed tooth movement in any given tray.
    • Elastomerics deteriorate over time reducing the amount of force placed on the teeth.
  4. Because orthodontists were not able to regularly see their patients and continue treatment improvement, most patients saw their overall time in braces increase. There have been studies that have concluded that the degree of COVID-19 and the mortality can be directly correlated to oral health. So, keep brushing and see your dentist!

As the clinical practices of Roseman University of Health Sciences, Roseman Medical Group and Roseman Dental & Orthodontics are dedicated to providing quality, empathic, and patient-centered care. Caring for the whole person is what we do!

Roseman Medical Group (RMG) offers primary care services to treat patients of all ages, to maintain health, treat illnesses, or manage chronic diseases. Contact RMG at 702-463-4040 to schedule an appointment.

Roseman Dental & Orthodontics offers affordable dental care and orthodontic treatment to the Las Vegas Valley. Contact Roseman Dental & Orthodontics at 702-968-5222 to schedule an appointment.

Article by Kristine Campo

Shamine Poynor – May Clinic Spotlight

Posted on by Roseman Medical Group

Meet Shamine Poynor, clinical research coordinator at Roseman Medical Group. Shamine plays a significant role at the clinic, coordinating the implementation of clinical trials which help identify safe and effective treatments for diseases such as Parkinson’s and Huntington’s.

We had the opportunity to learn more about Shamine, her role at the clinic, and how she approaches patient-centered care.

Q: Where are you from originally?
A: As a child I lived in Montana, Wyoming, and Colorado. Around the age of 12 my family moved to Salt Lake City, Utah.

Q: How did you end up in Las Vegas?
A: My husband at the time, had a job where he would have to travel from Salt Lake to Las Vegas. During his trips he passed through the small town of Logandale, Nevada which is about 55 miles north of Las Vegas. In 1999, we moved the two of us and our 4-year-old son from Salt Lake to Logandale. In 2006, I ended up moving to Henderson, Nevada which is where I currently reside.

Q: Describe your professional journey and how it led to your current position.
A:I used to work at the University of Utah Hospital School of Medicine in the Infectious Disease Clinic. When I found out that I was pregnant with my son I did not want to take a chance on a needle stick, so I became a Clinical Coordinator and then an Administrative Assistant at the University. One of the doctors noticed how detail oriented I was and suggested that I move on to a Clinical Research Coordinator (CRC) position. Once I moved to Logandale it was impossible to find a job as a CRC, so I became an EMT-B working at a local quick care and volunteering at the local fire station. The quick care closed its doors, however it turned out that the doctor I was working with knew the lead research doctor at Nevada Cancer Institute. I applied in 2006 and was back in research. When Nevada Cancer Institute closed in 2011, I relocated to the University of Nevada School of Medicine with Eric Farbman, M.D. and David Ginsburg, M.D. I made a few choices to not stay there and moved on. In 2018, Dr. Farbman called me saying that Roseman was wanting to start up a clinical research program and here I am! It is very surprising to sometimes see the old Nevada Cancer Institute buildings because now they are Roseman University of Health Sciences and Cure 4 The Kids.

Q: What do you do at work daily?
A: I coordinate the implementation and conduct of clinical trial projects. I take the study from the start-up level with the contracts, budgets, and regulatory items. Once that is completed, I maintain regulatory documents; handle data management; process IRB submissions; and report adverse reactions to the IRB, sponsor, and sometimes the FDA. I also see the subjects in the clinic that are on the clinical trials. Dr. Farbman and I introduce them to the trial and through Good Clinical Practice (GCP) guidelines we enroll the subjects in the trial. Once the subject is in the study, I do all the clinic work such as ECG’s, blood draws, and dispensing of study medication.

Q: What is your favorite part of your job?  
A: I love working with the patients. If I could take all the paperwork away, I would be so happy. I do all the hard work for the patients though, because without them we would not be here to dislike a simple thing like paperwork.

Q: Do you have a mantra or guiding life principle?
A: Make It Right! Never Give Up!

Q: What or who inspires you?
A: My mom has always inspired me. She unfortunately passed away in January from a long battle with kidney disease. She was so strong and fought every single day of her life to do her best. That is exactly the type of person that I hope I am.

Q: How do you make patients feel comfortable and well-taken care of at the clinic?
A: I make sure that they feel like they are the center of attention. I want to make sure that even if I have a bad day the patient never knows that. Before mask wearing was a thing, a smile went a long way, now I just make sure they hear the smile in my voice.

Q: Do you have a favorite hobby or pastime?
A: I love the outdoors – hiking, camping, off-roading, boating, horseback riding, and gardening.

Q: How have you been practicing your own self-care amidst a global pandemic?
A: I quit watching the news and have learned to meditate. It has done a world of good for me and I recommend it to all my friends and family.

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.

Let’s Talk Seasonal Allergies

Posted on by Roseman Medical Group

Spring has sprung. The trees are saturated green, and flowers are sprinkling bits of diversified hues among the spring foliage. It’s a beautiful time of year that boasts freshness and a change in scenery.

Seasonal allergies emerge with the changing of seasons as weather shifts and the various trees, flowers, grass, and weeds pollinate. According to Centers for Disease Control and Prevention (CDC), nearly 60 million Americans are affected by seasonal allergies every year leading to pollen-linked medical costs that exceed $3B with nearly half the costs going towards prescription medication.

What are Seasonal Allergies?

Seasonal allergies, also known as allergic rhinitis or hay fever, are often caused by allergic sensitivity to pollen from trees, grasses or weeds, and airborne mold spores. According to the American Academy of Allergy, Asthma & Immunology, approximately 8 percent of Americans experience hay fever.

Seasonal allergies occur when the immune system detects an airborne allergen, such as pollen, as a threat and responds by producing Immunoglobulin E (IgE). IgE are antibodies that bind to mast cells and basophils – normal white blood cells – activating the cells and causing the release of histamines. Histamines then produce the symptoms of an allergic reaction.

Signs and Symptoms of Seasonal Allergies

Seasonal allergy symptoms can affect your airways, sinuses and nasal passages, and skin. They can range from mild to severe. The most common symptoms of seasonal allergies are:

  • Itching of the nose, throat, or roof of mouth
  • Sneezing
  • Stuffy nose (congestion)
  • Runny nose
  • Red, watery, or itchy eyes (conjunctivitis)

Some symptoms of seasonal allergies are similar to those associated with the common cold, and COVID-19. If you’re unsure of what your symptoms are indicating, the below graphic can help differentiate seasonal allergy symptoms from other conditions, such as COVID-19.

Infographic identify seasonal allergies, common cold, and COVID-19 symptoms.

When do Seasonal Allergies Occur?

Pollen releases from trees, flowers, and grasses in the spring and summer months. However, airborne allergens produced by weeds can cause havoc in the fall.

During early spring and summer, Nevada encounters an increase in pollen counts due to Cedar, Elm, Ash, Mulberry, and Olive tree pollen, as well as grass pollen. As fall approaches, the combination of the warm days and cold nights give way to new airborne allergens from Sagebrush, Elm, grass, ragweed, and mold spores.

Although timing and severity of seasonal allergies varies across the United States, several factors can influence exposure and symptoms, such as temperature, rain, and wind. Temperature can influence how quickly allergy season approaches by causing plants to pollinate early and allergies to occur sooner in the year. Rain can increase pollen count by releasing smaller particles into the air, promote rapid plant growth, and lead to an increase in mold. Wind intensifies pollen counts as it keeps the lightweight pollen particles airborne and can carry them up to 500 miles.

Treatment of Seasonal Allergies

Although seasonal allergies cannot be cured, there are several measures you can take to help reduce your exposure to pollen and manage your allergies.

Environment

Taking control of your environment can help reduce your exposure to irritating allergens, as well as help alleviate symptoms.

  • Use a HEPA air filter and frequently clean to control mites and dust
  • Allow sunlight into the home, but keep the windows shut
  • Wear sunglasses when outdoors to block pollen from entering eyes
  • Wash hair and change clothes often to eliminate the transfer of pollen into the home and onto surfaces such as furniture and bedding items
  • Limit outdoor activity during the peak times – early morning or days that are windy, dry, and sunny
  • Monitor daily levels of local allergens

High-quality pollen counts are provided by certified counting stations throughout the United States. To monitor daily levels of allergens in your community visit American Academy of Allergy Asthma & Immunology National Allergy Bureau.

Medication

Medications have proven to help control symptoms. Various medications are available, but it’s best to try different over-the-counter medications to see which work best for you – as effectiveness varies by person.

Antihistamines such as Benadryl, Zyrtec, Claritin, and Allegra block histamine receptors. Prescription medications, such as steroid nasal sprays can help as well. Taking allergy medicines up to one to two weeks prior to the onset of pollen season can help prevent inflammation and ease symptoms.

In severe cases, your doctor may recommend immunotherapy (allergy shots). Immunotherapy has helped reduce hay fever symptoms in about 85% of people with allergic rhinitis, according to America College of Allergy, Asthma & Immunology. Allergen immunotherapy is conducted by a series of injections that expose you to small amounts of the allergen for your body to build tolerance.

Are you experiencing symptoms of seasonal allergies and having difficulty finding relief? Roseman Medical Group can help you find relief. Our healthcare providers provide quality, empathic, and patient-centered care for your overall health and well-being. Contact us at 702-463-4040 to schedule an appointment.

Article by Kristine Campo

Immunizations and Vaccines

Posted on by Roseman Medical Group

Immunizations and vaccines are modern medicine’s greatest success stories, preventing millions of deaths every year. According to World Health Organization (WHO), currently 2-3 million deaths are prevented through immunizations every year. As a cost-effective public health intervention, immunizations protect various age groups from diseases such as shingles, diphtheria, tetanus, pertussis (whooping cough), influenza, and measles.

What are Immunizations and Vaccines?

Immunizations – also known as vaccines – contain a small amount of a weakened virus or bacteria that imitate the virus. In some cases, such as with the COVID-19 vaccines, bits of lab-made protein are used to imitate the virus. Some vaccines only need to be administered once, while others require multiple administrations (boosters) to maintain immunization and sustained protection against disease.

How are Immunizations Administered?

Immunizations are typically administered by injection, but some are given orally or sprayed into the nose. When you receive a vaccine, you’re injected with the weakened form of a disease which triggers your body’s immune response. Your body then develops antibodies. Antibodies are proteins that neutralize or destroy disease-carrying organisms. Should you ever encounter the actual disease-carrying organism after an immunization, your immune system will be prepared to fight the battle.

What are the Types of Immunizations and Vaccines?

There are various types of vaccines. Each one is designed to teach your immune system how to fight off certain kinds of viruses and the diseases with which they are associated. Scientists consider many factors when creating a vaccine. They consider how your immune system responds to the virus, who needs to be vaccinated against the virus, and the best technology or approach to create the vaccine. The various types of vaccines include inactivated; live-attenuated; messenger RNA (mRNA); subunit, recombinant, polysaccharide, and conjugate; toxoid; and viral vector.

Inactivated vaccines are those that use a killed version of a virus that causes a specific disease. When a killed version of a virus is used, the vaccine may require several doses over time – also known as booster shots – to provide ongoing immunity against a disease.

Inactivated vaccines fight against:

Live-attenuated vaccines use a weakened form of a virus that causes a specific disease. These types of vaccines create a strong immune response because they are very similar to the natural infection. Most live-attenuated vaccines can provide you a lifetime of protection against a disease with one or two doses.

Live-attenuated vaccines fight against:

  • Chickenpox (Varicella)
  • Measles, Mumps, and Rubella
  • Rotavirus
  • Smallpox
  • Yellow fever

mRNA vaccines are the types of vaccines being administered for COVID-19. mRNA vaccines use bits of lab-made protein to teach the cells in your body how to make a spike protein. A spike protein is a small, harmless piece of the virus that activates your body’s adaptive immune system. Unlike traditional vaccines – which can take up to 10-15 years to develop – mRNA vaccines are quickly designed, tested, and mass produced because they do not contain live viruses.

mRNA vaccines fight against:

Subunit, recombinant, polysaccharide, and conjugate vaccines use either the protein, sugar, or capsid of a virus. These vaccines provide a very strong immune response and can be administered to almost anyone who needs them.

Subunit, recombinant, polysaccharide, and conjugate vaccines fight against:

  • Hepatitis B
  • Hib (Haemophilus influenzae type b)
  • HPV (Human Papillomavirus)
  • Meningococcal
  • Pneumococcal
  • Shingles (Herpes Zoster)
  • Whooping Cough (Pertussis)

Toxoid vaccines use a toxin made by the virus that causes a specific disease. These types of vaccines create immunity to parts of the virus that cause a disease rather than the whole virus itself. Similar to other types of vaccines, toxoid vaccines may require booster shots to provide ongoing immunity against a disease.

Toxoid vaccines fight against:

  • Diphtheria
  • Tetanus (Lockjaw)

Viral vector vaccines use a modified version of a dissimilar virus as a vector (carrier of disease) to provide protection. Viruses used as vectors include influenza, vesicular stomatitis virus, measles, and adenovirus.

What are the Most Important Vaccines?

Vaccines are important to your overall health and well-being. They protect you from harmful diseases and prevent the spread of disease to others. Additionally, vaccination is cost-efficient as it helps prevent a disease rather than acquiring considerable costs to treat a disease.

Common infectious diseases such as measles, mumps, and whooping cough have been diminished over the years by way of immunization. Additionally, diseases such as smallpox and polio have been eliminated or are near the brink of eradication.

The American Academy of Pediatrics (AAP) recommends the following vaccinations to help children create immunity to life-threating diseases.

  • Chickenpox (Varicella)
  • Diphtheria, tetanus, and pertussis (DTaP)
  • Hepatitis A (HepA)
  • Hepatitis B (HepB)
  • Hib
  • Human papillomavirus (HPV)
  • Influenza
  • Measles, mumps, and rubella (MMR)
  • Meningococcal
  • Pneumococcal
  • Polio (IPV)
  • Rotavirus

Visit the Centers for Disease Control and Prevention (CDC) for immunization schedules and talk to your healthcare provider or child’s pediatrician to discuss which vaccines may be right for you and your family.

3 reasons vaccines are important infographic made by Roseman Medical Group

Need updated vaccinations or have questions? Roseman Medical Group is here to help. Our healthcare providers provide quality, empathic, and patient-centered care for your overall health and well-being. Contact us at 702-463-4040 to schedule an appointment.

Article by Kristine Campo

Mental Health and Wellness

Posted on by Roseman Medical Group

Mental health is connected to your overall health and well-being. Many factors such as genetics, environment, events, brain chemistry, life experiences, and unhealthy habits can affect your mental health. Studies have shown that 46 percent of Americans will meet the criteria for a diagnosable mental health condition in their life with half of those people developing conditions by the age of 14 and three-quarters by age 24.

Mental health fact infographic provided by Mental Health America.
Infographic by Mental Health America. Published on https://www.mhanational.org/issues/state-mental-health-america.

What is Mental Health?

Mental health includes emotional, psychological, and social well-being. It often affects the way we think, feel, and act. Additionally, it determines how we handle stress, relate to others, and make choices. It is an essential part of our overall well-being.

Why is Mental Health Important?

Mental health is critical to overall health. It is vitally important as it affects the way you:

  • Cope with the stresses of life
  • Stay physically healthy
  • Have good relationships
  • Make meaningful contributions to your community
  • Work productively
  • Realize your full potential

What are the Causes of Mental Health Conditions?

Mental health conditions may be caused by early adverse life experiences, other ongoing chronic medical conditions, biochemical imbalances, or a combination of these. Additionally, conditions may be related to excessive stress due to a particular situation or series of events – such as a pandemic, losing a loved one, or financial hardship.

COVID-19 has created uncertainty, grief, fear, stress, and worry for many. At the onset of the pandemic, routines were disrupted as the nation went into lockdown. Social interaction became obsolete as we were asked to socially distance from friends and family. Amid the pandemic, we had to learn to adjust to an everchanging environment – masking became the new norm, as did use of hand sanitizer and limiting capacities in public settings. As the pandemic continued through the remainder of 2020 and into 2021, many wondered if there was an end in sight.

Millions of people in the United States are affected by mental health conditions every year. Although the complete impact of COVID-19 on the mental health of the United States is still unknown, it’s important to note that even before the pandemic hit, mental health conditions were among the most common health conditions in the U.S. Therefore, it’s important as caregivers, parents, teachers, family members, friends, and doctors to identify possible warning signs and symptoms.

Warning Signs and Symptoms

Knowing the signs and symptoms of a potential mental health condition can be crucial in saving your life or the life of someone you know. The National Alliance on Mental Illness has indicated that the following signs may indicate the need for help from a healthcare professional.

  • Excessive worries or fears
  • Prolonged sadness
  • Confused thinking or problems concentrating and learning
  • Feelings of extreme highs and lows
  • Strong feelings of irritability or anger
  • Social withdrawal
  • Difficulties understanding or relating to other people
  • Dramatic changes in eating or sleeping habits
  • Difficulty perceiving reality (delusions or hallucinations)
  • Inability to perceive changes in one’s own feelings, behavior, or personality
  • Substance use
  • Frequent unexplained physical ailments
  • Increasing inability to cope with daily problems or activities
  • Suicidal thoughts

For immediate help in a crisis contact the National Suicide Prevention Lifeline at 1-800-273-8255 or the Crisis Text Line by texting HOME to 741741.

Mental health conditions can occur at any age. According to the Children’s Mental Health Network, 80 percent of mental health disorders begin in childhood with 50 percent beginning by age 14 and 75 percent beginning by the age of 24. Warning signs and symptoms can vary by age and younger children may not be able to explain their feelings or why they are behaving a certain way. Below are indications a child may need help from a healthcare professional.

  • Decrease in school performance
  • Poor grades despite strong efforts
  • Persistent worry or anxiety
  • Repeated refusal to attend school or take part in normal activities
  • Hyperactivity or fidgeting
  • Constant nightmares
  • Continual disobedience or aggression
  • Frequent temper tantrums
  • Depression, sadness, or irritability
  • Attempts or thoughts of suicide

Ways to Improve Mental Health

While all mental health issues can’t be prevented, there are many different things you can do to improve your mental health.

It is important to try to have a positive outlook. It’s normal to feel negative emotions such as sadness and anger, but you don’t want those emotions to take over. Finding balance between positive and negative emotions can help create balance for your mental health.

Practicing gratitude is the act of being thankful for the good things in your life. Practicing this daily, either by thinking about what you are grateful for or writing it down in a journal can really help center you and garner positive emotions. It’s important to allow yourself a moment to enjoy the positive experiences you’ve encountered – whether big or small.

Taking care of your physical health can reduce stress and improve your mood. Ensure that you stay physically active – a daily walk, trip to the gym, or a workout video session could do the trick. Additionally, eat a well-balanced diet and make sure you get quality sleep every night.

It’s important to have strong, healthy relationships with others as it builds a support system. From family and friends to those you meet in the community, those you connect with help bust stress and boost well-being. In fact, 71 percent of people turn to friends or family in times of stress, according to a survey by Mental Health America.

Coping skills are methods utilized to deal with stressful situations. Coping skills may help you face a problem, take action, or be flexible. Writing, physical activity, shifting your thinking, and getting support are all coping mechanisms that can help in dealing with stressful situations.

Meditation is a mind and body practice where you learn to focus your awareness and attention. It usually involves a quiet location, comfortable posture, focus of attention, and an open attitude. Studies show that meditation offers help with anxiety and depression, as well as help with cancer, chronic pain, asthma, heart disease, and high blood pressure.

Relaxation techniques allow the body to naturally relax – slowing down your breathing, lowering your blood pressure, and reducing muscle tension and stress. Types of relaxation techniques include progressive relaxation, guided imagery, biofeedback, self-hypnosis, and deep breathing exercises.

It’s important to recognize when you or someone you know needs help. Contact your healthcare provider if you’re concerned with your mental health. Your healthcare provider can provide an accurate diagnosis or develop a treatment plan that could include medication, therapy, or other lifestyle changes.

If you have concerns with your own mental health, the healthcare providers at Roseman Medical Group are here to help. Schedule an appointment with one of our providers by calling 702-463-4040.

For immediate help in a crisis contact the National Suicide Prevention Lifeline at 1-800-273-8255 (en espanol: 1-888-628-9454) or the Crisis Text Line by texting HOME to 741741.

Article by Kristine Campo

Life After Diagnosis – Information is Power

Posted on by Roseman Medical Group

March 18 Roseman University Neighborhood Health Series (NHS) presentation on Dementia and how to protect our loved ones, by Eric Farbman, M.D. and Michael Kling, J.D., LL.M., CPA, CFP

On Thursday, March 18, Eric Farbman, M.D. teamed up with attorney and estate planner Michael Kling of Kling Law Offices to deliver a unique presentation on understanding Dementia. Dr. Farbman offered insight and learning on Dementia and associated diseases, detection, prevention, and treatment while Mr. Kling covered the basics in Estate Planning, and how to protect the wishes of loved ones who are healthy or facing illness.  The presentation offered an empathic and empowered perspective for caregivers, family members and those supporting someone who may be newly diagnosed. With deep and different subject matter expertise, Dr. Farbman and Mr. Kling’s presentations were complementary and together offered an information-packed 90 minutes.

Overview of Dementia

As a neurologist, Dr. Farbman often sees patients with Dementia, as does David Ginsburg, M.D., another neurologist in the RMG practice. Dr. Farbman reviewed the tell-tail signs of Dementia, and how physicians come to a Dementia diagnosis. Sadly, roughly 80% of those presenting with Dementia have Alzheimer’s disease for which there is still no cure. While there are clinical trials to advance our understanding of this disease, and medications that can be used to slow the progression of symptoms, families know all too well the devastation of a Alzheimer’s diagnosis, and how it impacts their loved one and family.   There are other diseases for which Dementia is a primary symptom, and among them, those very rare diseases or conditions that may be treatable.  When asked how to prevent Dementia, Dr. Farbman offered the most powerful preventative tool in our healthcare arsenal — a healthy diet, exercise, management of disease like high blood pressure, regular sleep, and reducing stress as much as possible.

Protecting Loves Ones Diagnosed

Mr. Kling offered guests a short list of legal protections that all families should have in place, regardless of whether or not there was an ill member of the family. He also outlined the kinds of authority that can be placed in the hands of an attorney and advised guests to examine these choices carefully and be wary of an attorney suggesting authority meant for family members. On his short list, Mr. Kling reviewed the Will, Living Trust, Power of Attorney for Health and Financial decisions, and Guardianships, and shared options depending on different situations and individual needs. Perhaps most importantly, the discussion underscored the need to have an Estate Plan in place while healthy, while also allowing for periodic review of these documents as life progresses. Also critical was the need for families to have difficult discussions among themselves to allow individuals to make their wishes known to avoid future conflict, disagreements or Probate. Mr. Kling also noted that laws vary state by state. The NHS audience asked many good questions, underscoring the fact that in addition to being sensitive, legal topics may also be intimidating. Mr. Kling’s presentation offered both accessibility and reassurance about a difficult topic while offering some examples of real-life situations that may have been avoided with the proper preparation.

Learn more by viewing the event in its entirety at speakers.roseman.edu.

The NHS Series was designed to offer our community information and insight on important healthcare topics. This event proved that “information is power” and that bringing experts and guests together to learn, share and be inspired benefits everyone and connects us to one another.

Roseman Medical Group 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.

Explore NHS Events

Article by Vanessa Maniago

April Health Monthly

Posted on by Roseman Medical Group

Welcome to the April Edition of RMG’s Health Monthly.

I hope the coming of Spring finds our patients and friends well, and optimistic for brighter days ahead.

The Southern Nevada Health District is reporting administration of nearly 1M doses of COVID-19 vaccine in Clark County, and as of April 5, has expanded access to additional priority groups including those 16 years or older.  We are seeing national and statewide declines in COVID-19 infections and hospitalization rates, and despite new COVID-19 variants, vaccination continues to prove to be successful in offering protection against the virus. If you have not yet been vaccinated, visit Southern Nevada Health District for more information. Roseman University has been part of the Vaccine effort, and has offered weekly vaccination clinics in our state, administering more than 5,000 vaccinations thus far. 

Roseman University Vaccination Site Information

Perhaps not coincidentally, as of Tuesday, April 6, our public schools have advanced their reopening plans to allow some grade levels back to school for full-time in-person education, while other grades will remain on a hybrid schedule.  This is wonderful news for students, many of whom struggled with isolation, family stress and the inherent challenges with online education.  Hopefully we can move toward vaccinating our kids as well in the near future.

Americans are travelling more – this past week, with Spring Break across schools nationally, the U.S set a pandemic-era record with TSA screening more than 1.5 million people at airports.

This is a transition time for many, requiring us to again be flexible and adaptive to new situations. Children returning to school and adults returning to more regular work hours is a change, and change, even if positive, requires adaptation to new schedules and situations. Remain aware of how these changes impact you and your loved ones, and how new freedoms and routines can be managed.

This month is Parkinson’s Awareness month. Approximately 60,000 Americans are diagnosed with Parkinson’s Disease a year, and there are roughly 15,000 Las Vegans living with the disease. Read more about Parkinson’s in this Edition. Our practice is fortunate to have Eric Farbman, M.D. on staff. Dr. Farbman specializes in Movement Disorders, including Parkinson’s and Huntington’s Disease. Find out more about Dr. Farbman in a profile featured on the RMG blog.

This month, Roseman University’s Dental and Orthodontic Clinic (Roseman Dental) is running specials that further reduce the cost of orthodontic services. Our clinic already discounts these services for patients, and the spring discounts further reduce these fees. Get in to Roseman Dental for a consultation and see our beautiful and state-of-the-art clinic in Henderson. Read more about the discounts in this Edition.

With that, the staff and providers at Roseman Medical Group wish you a happy and healthy April. We are most grateful for our patients and look forward to continuing to provide you with the highest quality, patient- centered care.

In good health,

Andra Prum, D.O.

April Health Monthly Articles

Everything You Need to Know About Parkinson’s Disease
Donate Your Brain for Research
Life After Diagnosis – Information is Power
Jessica Peralez – April Clinic Spotlight
Roseman Dental – Spring into a Fresh Smile with Spring Discounts

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Las Vegas, NV 89118

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