Nevada, like many other states in the West, just endured its hottest June. The broken records indicate yet another summer of extreme heat, and could be cause for concern as July and August are typically the hottest months of the year. Clark County alone saw a total of 294 heat-associated deaths last year, according to the Southern Nevada Health District. And that's a number health experts fear may rise.

Dr. Sunita Kalra, a family physician at Intermountain Health, said they've seen a consistent flow of patients suffering from dehydration, which can affect people of any age.

"So we've seen a lot of dehydration; in some really extensive cases, we have seen some heat exhaustion and other-related illnesses that require hospitalization. The extreme heat especially that we are experiencing is very serious, and it can really affect everybody that's exposed to it," she explained.

Kalra said it's important to take precautions like drinking plenty of water, about 60 to 90 ounces a day. Eating a proper diet can also go a long way and avoiding strenuous activity during the hottest part of the day, from about noon to p.m., is a smart idea. She encourages everyone to apply sunscreen to protect their skin and check in often on people who are older or medically vulnerable, as well as pets.

Donna O'Shea with UnitedHealthcare said for those who do experience heat-related illness or injuries, a virtual doctor visit can be the first step in assessing what types of care will be needed, and added that it also lets patients make informed decisions with their health-care providers from the comfort of their own home.

"Most of the time if it's related to hydration or a heat stroke, if you're able to keep fluids down, virtual care can help you determine how much and how long to wait before you go to the emergency room. Same thing even for sunburns or for bike safety, 'Do I need to go in? Do you think I need stitches?' And we don't think about that," she said.

O'Shea said virtual care can grant individuals, parents and families the reassurance they need to make informed medical decisions. She adds, in many situations, it is also the less expensive and more time-efficient option.

Health-care advocates are vowing to continue their fight to expand Medicaid in Kansas - despite this week's election, which expanded the Republican supermajority.

Gov. Laura Kelly, D-Kansas, supports expanding the program to more low-income families under the Affordable Care Act - but conservative lawmakers passed a law forbidding the move.

April Holman, executive director of the Alliance for a Healthy Kansas, is among those calling for change.

"I think the bottom line is we have really been focused on building a grassroots movement that is too large and too loud for policymakers to ignore, and that's what we're going to continue to do, even with the most recent election results," she said.

Data from the Kansas Department of Public Health shows a maternal mortality rate of 11 deaths per every 100,000 live births. The agency found 13 maternal deaths from 2016 to 2018 and found all but one were preventable. And two-thirds of mothers were racial and ethnic minorities.

Holman noted that more than 14% of babies born to Black mothers in Kansas have low birth weights, and Black mothers are 200% more likely to have a low-birthweight baby.

"We think that in part that has to do with access to affordable health care, not only later in their pregnancy but also at the beginning and even pre-pregnancy," Holman continued.

The Kansas Health Institute estimates that almost 152,000 Kansans - including more than 45,000 children - would enroll in KanCare if Medicaid were to be expanded.


get more stories like this via email

Amid a nationwide shortage of respiratory therapists, an "earn while you learn" initiative is underway to build a skilled workforce in Virginia to meet growing respiratory care demands.

Sentara Health and Tidewater Community College have launched a respiratory therapy apprenticeship program, which covers educational expenses of nearly $18,000 over two years, while providing hands-on experience at Sentara Norfolk General Hospital.

Kristian Vasconcellos, one of the program's first apprentices, likes the linking of the classroom to the workspace.

"You know, us cleaning the vents or cleaning the machines or the equipment, I do get that experience of being in school and saying, 'Oh my gosh, I know what that is, I know how this works,'" Vasconcellos explained.

Students spend 32 hours each week in academic and clinical training and an additional eight hours working at the hospital, where they encounter a range of real-world medical situations involving asthma, sleep apnea and others. Industry experts have noted a growing need for respiratory therapists, especially following the COVID-19 pandemic, which has led to increased worker burnout and hospital staffing shortages.

Tara Almony, manager of respiratory care and pulmonary diagnostics at Sentara Norfolk General Hospital, expressed enthusiasm about the program's potential to ease the staffing shortage and prepare students for the realities of the job.

"We were looking and thinking outside the box of how we could be creative and how to bring respiratory therapists in, help them," Almony outlined. "Then also, how we as a Norfolk General could help them grow and kind of create a pipeline for ourselves in a way. "

The demand for respiratory therapists has surged, with the U.S. Bureau of Labor Statistics projecting a 14% increase in job openings by 2031. The median annual salary for a respiratory therapist is currently $77,960.


get more stories like this via email

A Wyoming helpline connects callers to a variety of health and human services, including help with health insurance during open enrollment.

Olivia Schon, deputy director of Wyoming 211, said the service fields 20 to 30 calls a day. Specialists then connect callers with appropriate resources from a database of nearly 3,000 options, ranging from small nonprofits to state and federal programs.

Schon pointed out the top issues people call about are rent and utility payment assistance programs, food insecurity and transportation to health providers. She noted initial conversations often unveil more areas in which the caller can use assistance.

"We average four times the amount of referrals going out based on phone calls coming in," Schon reported. "They call with what their first issue is and then they leave with more than one solution to other problems that they also have going on."

When callers need assistance enrolling in health insurance, they're connected with Wyoming 211's "sister program," Enroll Wyoming. Open enrollment starts Friday.

The rate of health insurance enrollment in Wyoming through the marketplace has increased 75% since 2020, according to KFF. In a round of federal funding announced in September for health insurance navigators, Enroll Wyoming received a $1.5 million grant to continue offering its services for free.

Caleb Smith, marketing director for Enroll Wyoming, said making important decisions around health care can be intimidating.

"It doesn't hurt to have somebody who's on your side," Smith explained. "Who's willing to act as an advocate for you to make sure that you have your questions answered, that you have what you feel like you need to be able to make an informed, empowered decision."

Wyoming 211 is available by dialing 211 from any phone in the state.