It’s National Infant Immunization Week; children not vaccinated 23 times more likely to get whooping cough

April 21-28 is National Infant Immunization Week and the Latin Chamber of Commerce would like to remind parents to get their infants vaccinated. Why? Because each year children die from easily-preventable diseases such as pertussis (whooping cough) or pneumonia.

In fact, according to a May 2009 study led by a vaccine research team at Kaiser Permanente Colorado’s Institute for Health Research which ran in the June 2009 issue of the journal “Pediatrics,” children who aren’t vaccinated are 23 times more likely to get whooping cough compared to fully immunized children.

National Infant Immunization Week is an annual observance to promote the benefits of immunizations and to improve the health of children 2 years old or younger.

A onesheet of recommended vaccines – available in English and Spanish – can be found on the CDC’s website: http://www.cdc.gov/vaccines/events/niiw/ed-resources.html. The Latin Chamber recommends parents print out the onesheet and place it somewhere that’s easily findable to ensure their children don’t get behind on their vaccines.

Some of the recommended vaccines include: pneumococcal; Hepatitis B; measles, mumps, rubella; and Varicella.

According to the CDC’s website, this year’s National Infant Immunization Week will be celebrated as part of the first World Immunization Week, an initiative of the World Health Organization. During World Immunization Week, all six World Health Organization regions, including more than 180 member states, territories and areas, will simultaneously promote immunization, advance equity in the use of vaccines and universal access to vaccination services, and enable cooperation on cross-border immunization activities in April.

Author of ‘Conversations for Paco’ to sign books March 10

Inspired by a true story, ‘Conversations for Paco,’ dramatizes effects of profit-driven health care

LAS VEGAS – Physician and author Dr. James Lenhart will sign his book, “Conversations for Paco,” from 1 to 3 p.m. Saturday, March 10, at the Barnes & Noble located at 2191 N. Rainbow Blvd.

Inspired by a true account, the book juxtaposes the venerable institutions of medicine against the personal anguish of mysterious disease and dramatizes the consequences of health care driven by profit and physician indifference. Lenhart’s fictional work is inspired by true stories and real life characters gathered from 30 years of patient care, health care experiences and academic medical center rituals.

The United States spends more on health care than any country on earth, yet worldwide ranks 31st in healthy life expectancy and 41st in infant mortality. Fifty million working Americans lack access to care, and 19 percent of Nevadans go without health insurance.

Experts agree that many factors contribute to this reality. Lenhart’s book tackles two of them – the ethos and entrepreneurialism that characterize health care in the 21st century.

Inspired by the do-it-all physicians in his home state of Montana, Lenhart went on to study medicine at the University of New Mexico and Brown University. Modeling his own practice after the doctors who inspired him, Lenhart takes pride in his versatility and personal attention he gives while caring for patients.

Now a first-time author, Lenhart hopes to expand his ability to care for patients by writing about social policies on health care. His passion for helping people stay healthy has led to his hosting the “Healthline Today” segment on KSNV, Las Vegas’ NBC affiliate, and the writing of his first novel, “Conversations for Paco.”

Leadership Henderson develops business plan for underfunded school-based health center

Dr. Joel & Carol Bower School-Based Health Center has provided health care for underserved children ages 4 to 19 at Basic High School since 2004

HENDERSON, Nev. – While questions about health care grab headlines on a daily basis, one group of Henderson business leaders is providing answers for a local health care facility. In November, the Leadership Henderson class of 2012 began to develop a business and marketing plan to financially sustain the Dr. Joel & Carol Bower School-Based Health Center.

Located at Basic High School, the Health Center has addressed the needs of school-aged children (ages 4 to 19) in Henderson since 2004, but, like so many endeavors, it has been hit hard by the recession, leaving many families wondering where and how to meet the health care needs of their children. Since it opened, the center has served more than 5,000 students primarily from at-risk schools.

“We opened the center as a way to provide high quality, accessible health care to all children in Henderson schools, especially the uninsured, underinsured and vulnerable populations,” Dr. Joel Bower said. “Without a school-based health care facility such as this, students either forgo treatment all together or utilize local emergency rooms for their primary care. Both are systemic problems that we can help solve.” 

Bower, in partnership with Nevada State College and the Clark County School District, founded the health center in honor of his wife Carol.

“We welcome the expertise of our local business leaders to create a long-term plan that will sustain the center for years to come,” said Dr. Sherrilyn Coffman, health center director and nursing professor and assistant dean at Nevada State College. She said she aims to have the health center self-sufficient by 2015.

“We’ve touched so many young lives thus far and I can’t imagine not being a part of the health and wellness of this community,” she added.  

The health center is dedicated to treating the whole child and provides primary care, management of chronic illness, health promotion, wellness counseling, treatment of injuries, routine physical examinations and pre-participation sports physicals.

“Having the Leadership team address this unmet need gives hope to all school-aged children and their families in Henderson,” said Scott Muelrath, executive director/CEO of the Henderson Chamber of Commerce, the founding organization of Leadership Henderson. “Like previous Leadership classes, we feel it is our civic duty as business leaders to affect positive change in the community we call home.”

In the past, the health center has received funding and support from Nevada State College, the Nevada State College Foundation, the Nevada State Health Division Trust Fund, the City of Henderson Redevelopment, St. Rose Dominican Hospital, Catholic Healthcare West Foundation, and many other individuals and community agencies, but the state budget crisis and economic downturn has taken its toll.

Due to the lack of resources, the health center had to close its lab in May. The closure caused nurse practitioners at the clinic to give prescriptions based on prognosis, or to refer patients somewhere else for testing. The center needs $200,000 a year to maintain its current level of services and, if funding is available, would add mental and dental services as well.

“Given the economic uncertainty and continued need for the health services provided by the School-Based Health Clinic, the Henderson Leadership Class of 2012 has stepped up to the plate to develop a plan to make the health center self-sustaining by 2015,” said Michael Westra, chairman of Leadership Henderson. “The united leadership exemplified by this diverse group of talented Henderson businessmen and women truly demonstrates what it means to be a part of the community.”

Charities, Henderson schools and government agencies have been the recipients of time, talent, fundraising and resources of the previous 11 Leadership Henderson classes. Leadership Henderson will hold a press tour of the facility in the months to come and will host a grand reopening in May 2012 when the plan is complete and ready for implementation. 

“There are so many good causes in the Henderson community, and we are glad to offer this unique opportunity every year as part of our program,” said Rebecca Fay, director of Leadership Henderson. 

Leadership Henderson is a nonprofit organization under the Henderson Chamber of Commerce Foundation. The program is an eight-month course devoted to educating and empowering civic-minded professionals with a goal of building and maintaining a strong network of effective community leaders. Through panel presentations by community leaders and experts, simulations, plus hands-on experiences, participants learn about current issues pertaining to local economy, government, social services, health, gaming, business and education that affect Henderson residents and businesses.  

Since its inception in 2004, the School-Based Health Center (SBHC) has served more than 5,000 students primarily from at-risk schools including Basic High School, Brown Junior High School and Sewell and Robert Taylor elementary schools but is open to all Henderson schools. The SBHC provides primary care, management of chronic illness, wellness counseling, treatment of injuries, routine physical examinations and pre-participation sports physicals. The SBHC is located at Basic High School in Henderson. The center is administered by Nevada State College (NSC) in collaboration with Basic High School and the Clark County School District (CCSD).  The director and administrative staff are employees of NSC, and the NSC School of Nursing has direct oversight over the center. Nurse practitioners staff the center four days per week during the regular school year, and two days per week during the summer. The health center, located at 400 Palo Verde Drive in Henderson, can be reached by calling 702-799-0508.

For more information on the business and marketing plan for the health center, or in Leadership Henderson, call Rebecca Fay at 702-992-7272. Applications for the next Leadership Henderson class can be filled out online at www.hendersonchamber.com/leadership_community.php.

Gov. Sandoval proclaims November Lung Cancer Awareness Month

In Nevada in 2011, approximately 1,510 people have been or will be diagnosed with lung cancer; lung cancer the leading cause of cancer death

CARSON CITY, Nev. – In Nevada in 2011, approximately 1,510 people have been or will be diagnosed with lung cancer, and it is estimated that 1,290 will die from the disease.

Because of this, Gov. Brian Sandoval has named November 2011 Lung Cancer Awareness Month. The proclamation came thanks to the diligent efforts of the Nevada Tobacco Prevention Coalition to raise awareness of lung cancer and its effects.

The coalition includes organizations such as American Lung Association in Nevada; Nevada State Medical Association; American Heart Association; American Cancer Society/Cancer Action Network. The Nevada Radiologic Society and Nevada Oncology Society have worked closely with the coalition on its efforts as well.

Lung cancer is the leading cause of cancer death for both men and women, according to the American Cancer Society. Within every ethnic population, in Nevada, the United States and the world, lung cancer kills more Americans than breast, prostate, colon, liver and kidney cancers combined.

In the United States in 2011, an estimated 221,130 people (115,060 men and 106,070 women) have been or will be diagnosed with lung cancer, and an estimated 156,940 people (85,600 men and 71,340 women) will die from lung cancer, accounting for about 27 percent of all cancer deaths.

For people diagnosed with any stage of lung cancer, the five-year survival rate is only 16 percent. For the 56 percent of people who are diagnosed with advanced stage lung cancer, the five-year survival rate is less than 4 percent.

Smoking is the No. 1 cause of lung cancer, contributing to 80 percent and 90 percent of lung cancer deaths in women and men, respectively. Other causes of lung cancer include exposure to cancer-causing substances or carcinogens, such as asbestos, radon, uranium, arsenic and certain petroleum products.

The proclamation cites increased awareness and coordination among all stakeholders, including federal and state governments, public health authorities and health care providers, medical researchers, civic leaders and organizations, businesses and the general public, as critical to promoting access to the prevention, diagnosis, and treatment of lung cancer.

The mission of the Nevada Tobacco Prevention Coalition is to bring together a diverse group of community leaders to promote healthy lifestyles for all Nevadans, by empowering the state, its communities and its citizens to significantly reduce negative impacts of tobacco use among youth and adults in Nevada.

The members of the Nevada Tobacco Prevention Coalition believe that reduction in the use of tobacco will create healthier lifestyles, longer lives, and a healthier environment for the people of Nevada.

For more information on the Nevada Tobacco Prevention Coalition, visit www.tobaccofreenv.com.

St. Luke’s Humphreys Diabetes Center raises awareness of diabetic peripheral neuropathy; at least 8 percent of Idahoans have diabetes

DPN is the leading reason for leg amputation

BOISE, Idaho – To raise awareness of Diabetic Peripheral Neuropathy (DPN), Gov. Butch Otter has signed a proclamation naming Nov. 1, 2011, Diabetes Awareness Day in Idaho.

DPN is a serious condition that damages nerve fibers as a result of disease of the small arterial blood vessels and is often attributed to prolonged exposure to high amounts of glucose in the bloodstream.

The leading reason for leg amputation, DPN is life-threatening and debilitating. It causes a wide variety of potentially disabling symptoms, including intense pain described as aching, tingling, burning and numbness with loss of protective sensation to the feet.

“We are grateful Governor Otter has signed this proclamation to help raise awareness about diabetes in Idaho and the complications that can arise from the disease,” said Lisa Gonser, director of marketing & community relations for St. Luke’s Humphreys Diabetes Center. “Hopefully we can help individuals living with diabetes prevent these complications and prevent a lower limb amputation.” 

Eight percent of Idahoans have been diagnosed with diabetes; it is important they are aware of the dangers and warning signs of DPN.

St. Luke’s Humphreys Diabetes Center, Idaho’s diabetes center of excellence, provides education in diabetes self-management and prevention to people with or at-risk for diabetes, their families and health care professionals.

“Our entire goal at the Diabetes Center is to teach our patients about how to manage their diabetes to help prevent complications such as DPN. It can be a very traumatic condition – both physically and emotionally,” said Judy Davis, RN, FAADE, CDE, program director for St. Luke’s Humphreys Diabetes Center.

Trusted by over 600 Treasure Valley referring physicians, the Center provides services to more than 5,000 clients each year. Working with the organization’s experienced Certified Diabetes Educators, clients learn how to manage diet, exercise and medication to stay healthy and prevent complications such as heart attacks, strokes, blindness, kidney failure, and amputations. St. Luke’s Humphreys Diabetes Center programs are recognized by the American Diabetes Association.

St. Luke’s Humphreys Diabetes Center also participates in national research trials for both Type 1 and Type 2 diabetes. A community program of St. Luke’s Health System, St. Luke’s Humphreys Diabetes Center is one of the largest free-standing diabetes centers in the United States.

For more information on St. Luke’s Humphreys Diabetes Center, visit http://hdiabetescenter.com/ or call 208-331-1155 for their Boise location, 208-884-4220 for their Meridian location or 208-884-4220 for their Nampa location.

Nearly 40 individuals form Clark County Alzheimer’s Action Network to make Alzheimer’s disease a community priority

Committee’s project launch to take place Nov. 15; Commissioner Susan Brager and nationwide Alzheimer’s expert Dr. Jeffrey Cummings to kick things off

LAS VEGAS – November is National Alzheimer’s Awareness Month. The impact of Alzheimer’s disease on Clark County is great and growing at an unprecedented rate.  Every 69 seconds, someone develops Alzheimer’s disease in the United States.  In Nevada, a popular retirement destination, it is expected that by 2025, there will be twice the number of people with Alzheimer’s disease than there were in 2000.

Because of this, nearly 40 individuals representing numerous health care-related organizations, companies and non-profits have partnered together to organize the Clark County Alzheimer’s Action Network to make Alzheimer’s disease a community priority. Their ultimate goal: to provide High quality care and services for those who need it most and to collaborate to promote a cure for this devastating disease.

The committee’s official launch will take place Tuesday, Nov. 15, at the Cleveland Clinic Lou Ruvo Center for Brain Health – located at 888 W. Bonneville Ave., just east of I-15. The launch is not open to the public.

Dr. Jeffrey Cummings, one of the country’s leading Alzheimer’s experts, will kick off the project at 9 a.m., at which time he will discuss the organization’s purpose, goals and more.

At 9:10 a.m., Clark County Commissioner Chair Susan Brager will speak. The nearly 40 individuals representing businesses and organizations of all sizes and in all areas of health care will be in attendance as well.

Alzheimer’s disease is the most common cause of dementia and accounts for 60-70 percent of all cases. Alzheimer’s disease and other dementias are progressive, degenerative illnesses that attack the brain. They affect people’s abilities, impacting on all aspects of their life and upon others in their lives, particularly those who care for them.

“Clark County, with leading health advocates, visionary public health officials and an engaged Alzheimer’s stakeholder community, has the opportunity to reduce the impact and improve the quality of life for those affected by Alzheimer’s disease and all Clark County citizens,” Cummings said. “Attention to this rapidly growing problem needs to improve so that those affected do not suffer without help, or hope.”

The Clark County Alzheimer’s Action Network (CCAAN) is committed to making this change in order to transform the quality of life of people with Alzheimer’s disease and related dementias in the community. The organization is beginning to build a large group of supporters and will continue to engage more. Rather than duplicate existing efforts, the group is in the process of identifying resources that currently exist within the community.

To make Alzheimer’s disease a priority in the community, CCAAN plans to drive awareness of Alzheimer’s disease to increase community focus and actions; empower Alzheimer’s providers to recognize and deliver Alzheimer’s-centered continuum of care; and serve as a catalyst to create a robust, interconnected Alzheimer’s providers community, strengthening the health professional network to ensure Clark County residents impacted by Alzheimer’s disease receive best-in-class care, support and access to research.

For more information on the Clark County Alzheimer’s Action Network, call 702-483-6026.

Colors of Lupus urges Congress to protect Medicare, Medicaid

Prevention allows those with lupus to halt the disease’s progression; if Medicare/Medicaid coverage lost, many with lupus would get irreversibly worse

LAS VEGAS – Colors of Lupus, a Nevada-based 501(c)(3) organization, today urged Congress to protect the country’s most vulnerable citizens by rejecting cuts to Medicare and Medicaid.

The U.S. Congress Joint Select Committee on Deficit Reduction, also known as the “Supercommittee,” was created by the Budget Control Act of 2011 and is tasked with recommending $1.2 trillion in deficit cuts by Nov. 23. Health care programs such as Medicare and Medicaid are likely targets for cuts, which would be devastating for American’s most vulnerable citizens, such as those with lupus.

“With lupus, there is no cure, so early diagnosis is critical,” said Hui-Lim Ang, executive director for Colors of Lupus. “If you diagnose it early, you can take preventative measures, and it will not progress. But to get to that point, there’s test after test after test. Without coverage, people can’t afford these tests, and, as a result, their disease will go undiagnosed, untreated and become more and more debilitating. This cannot be allowed to happen. Every life is important.”

The first of its kind in Southern Nevada, Colors of Lupus Nevada seeks to dispense, deliver and provide immediate physical services and support for those affected with lupus.

In Nevada alone, there are 13,500 people diagnosed with lupus. Lupus is an auto-immune disease that attacks the soft tissue of the body – including everything from major organs such as hearts, kidneys, to the eyes, to the brain, to blood cells, and there’s no telling when or where it will attack next.

Known as a “silent disease” or “a disease with 1,000 faces,” lupus already doesn’t receive the attention or urgency it deserves, Ang said.

“People suffering from lupus look normal, but they’re being killed inside,” she said. “They take two, three hours to get ready in the morning just to look and feel ‘normal.’”

Cuts to Medicare and Medicaid would be devastating, as they provide patients with the preventative care that keeps more serious, and costly, conditions at bay.

Medicare Part D, for example, reduces federal spending by $12 billion by covering medications that are currently keeping seniors out of the emergency room. Medicare Part D gives more than 29 million Americans access to prescription drugs at prices they can afford. Before the creation of Medicare Part D in 2006, many treatments were too expensive for as much as a third of the elderly population. Without Medicare Part D, many seniors would have forego such medications, in which case it’s only a matter of time before they end up in the hospital, driving costs up for taxpayers.

Harry Reid, D-Nev., has done much on behalf of Nevadans to protect Medicare Part D.

“Those of us advocating on behalf of those victimized by this silent killer, lupus, and other debilitating autoimmune diseases, thank Senator Reid for his efforts to protect our vital access to treatment and for the medicines critical to sustaining quality lives and saving lives of those most vulnerable,” Ang said. “Without access or means for affordable treatments as provided by Medicare Part D, there is no hope, and without hope those afflicted and suffering from grossly debilitating diseases such as lupus are, and will continue, to be cast aside, alone, defeated and scared.”

In the case of lupus, this kind of preventative care keeps the disease from irreversibly taking a turn for the worse. Because lupus is relatively unknown and not understood, Colors of Lupus constantly loses out to more well-known health issues such as cancer and autism when applying for grant money. The organization would not be able to fund all patients’ tests and medications if they lost their Medicare and Medicaid coverage.

“While research is being conducted to find the cause and cure, lupus patients are left alone to deal with all the financial and social predicaments that haunt them. We catch the people who literally fall through the cracks of the system by providing support and services that are crucial to get them back on their feet,” Ang said. “But we just don’t have the funding to offset the debilitating loss that Medicare and Medicaid cuts would cause.”

An all-volunteer-run organization, Colors of Lupus Nevada is the first of its kind in Nevada. Established in 2007, its mission is to reclaim the lost quality of life stolen by the lupus disease by providing an establishment staffed with a permanent, compassionate and knowledgeable workforce to ensure continuous and sustainable support for those diagnosed, or soon to be diagnosed, with lupus. 

For more information on Colors of Lupus, visit www.colorsoflupusnevada.org or call 702-608-COLN (2656).

Lenhart discusses good health in a down economy Nov. 12 as part of Henderson Libraries’ 60 Days to Better Health series

Series at Green Valley Library includes 20 programs on health for all ages

HENDERSON, Nev. – Henderson Libraries’ 60 Days to Better Health series continues with guest speaker Dr. James Lenhart, host of KVBC Channel 3’s Dr. Jim Healthline Today, from 3:30 to 4:30 p.m. Saturday, Nov. 12, at the Green Valley Library – located at 2797 N. Green Valley Parkway, near Sunset Road.

During his talk, Lenhart will discuss how the economy has affected our health and what steps residents can take to ensure good health in times of stress and economic hardship. The event is free and open to the public.

The 60 Days to Better Health series began its third year in September and will conclude in November. The series includes 20 programs for all ages as well as Spanish programming at two of the Henderson Libraries’ six locations. This year’s 60 Days to Better Health series is funded by a grant from the Institute of Museumand Library Services (IMLS), an independent federal agency that grows and sustains a “Nation of Learners,” because lifelong learning is critical to success.

Lenhart graduated from the University of New Mexico School of Medicine, took residency in family medicine at BrownUniversity, and completed an academic medicine fellowship at the University of North Carolina-Chapel Hill. Most recently, he earned a master’s of public health from the University of Liverpool, England where he researched the social determinants of health and health policy. He was board certified in family medicine in 1979 and sports medicine in 1999. He served as vice chancellor for Health Sciences in the Nevada System of Higher Education from 2007-2009.

Established in 1943 as a single library in Downtown Henderson, Henderson Libraries operates six locations throughout Henderson. Henderson Libraries cooperates with other public libraries in Southern Nevada, the Nevada System of Higher Education, the Clark County School District and all other libraries around the state to provide quality service forNevada’s residents.

For additional information on Henderson Libraries, visit www.mypubliclibrary.com or call 702-492-6581.

Innovative Union Village discussed at Henderson Chamber lunch

Union Village partner to discuss world’s first integrated health care village;

new executive director introduced at Oct. 20 event

HENDERSON, Nev. – The Henderson Chamber of Commerce will introduce Scott Muelrath, its new executive director and CEO, and present David Baker, partner with Union Village, a health village, during a luncheon on Thursday, Oct. 20 at the Ravella at Lake Las Vegas – Montelago Room, 1610 Lake Las Vegas Parkway in Henderson.

Baker will be the featured guest speaker. Additionally, Muelrath will discuss creating synergy with the Henderson business community and the chamber’s role in helping to develop a prosperous future for Southern Nevada.

Networking will begin at 11:30 a.m., and lunch will be served at noon. Ticket price is $35. The deadline to make reservations and purchase tickets is Monday, Oct. 17. There will be no tickets available for purchase or reservations made after that date.

Union Village is set up to be the first integrated health care village in the world, combining a world-class hospital complex, residential, entertainment and specialty retail space; a senior retirement community and cultural arts center integrated into a master-planned community. The first phase consists of 171 acres and will include Union Centre, consisting of a hospital and health care complex; Union Place,  home to Senior Village and Union Park, which will serve as the village’s cultural center complete with the Henderson Space and Science Centerand possible performing arts theater.

The Henderson Chamber of Commerce is a nonprofit, voluntary organization committed to promoting and supporting member businesses and economic development.

For more information, call the Henderson Chamber of Commerce at 702-565-8951 or visit www.hendersonchamber.com.

For additional information, or to make a reservation and pay for tickets, call the Henderson Chamber of Commerce at 702-565-8951.

Book signing for ‘Conversations for Paco’ takes place Oct. 7

Author James Lenhart’s first book inspired by a true story; author’s debut novel dramatizes the consequences of health care driven by profit, physician indifference

LAS VEGAS – Marché Bacchus French Bistro will host a book signing for Dr. James Lenhart’s first novel, “Conversations for Paco” from 5-7 p.m. Friday, Oct. 7. Marché Bacchus is located at 2620 Regatta Drive, just off West Cheyenne Avenue and North Buffalo Drive. An open discussion of the book will begin at 6 p.m.

Inspired by a true account, “Conversations for Paco” juxtaposes the venerable institutions of medicine against the personal anguish of mysterious disease and dramatizes the consequences of health care driven by profit and physician indifference. Lenhart’s fictional work is inspired by true stories and real life characters gathered from 30 years of patient care, health care experiences and academic medical center rituals.

Lenhart began writing “Conversations for Paco” in 2007. Two parts social criticism, one part medical suspense, “Conversations for Paco” follows the story of Paco Sánchez and his wife Sarita as they desperately battle Paco’s perplexing disease. It opens in 2002 when an intern stymied byHumanitarianHospital’s uninsured patient policy “treats and streets” Paco for a sore throat. The young doctor asks, “Who for God’s sake wields the power to make taking care of patients some sort of charade or an entrepreneurial hoax? Who? What about the patient?” By the time Paco is admitted to a hospital that can help him, it might be too little, too late.

“While ‘Conversations for Paco’ is fictional, it is based on fact,” Lenhart said. “It is tempting to assume that the richest, most developed countries on the planet would boast the world’s best health results. Alas, such is not the case. The U.S. spends more on health care than any country on earth, yet worldwide ranks 31st in healthy life expectancy and 41st in infant mortality. Fifty million working Americans lack access to care, and 19 percent of Nevadans go without health insurance.”

Experts agree that many factors contribute to this reality. Lenhart’s book tackles two of them – the ethos and entrepreneurialism that characterize health care in the 21st century.

“Conversations for Paco” retails for $18.95 for paperback and $34.95 for hardcover and is available on Amazon.com and is soon to be released in electronic formats. For more information, visit http://jameslenhart.net or www.facebook.com/drjimshealthline.