Red Rock Radiology at MountainView Hospital Offering $75, 3D Digital Screening Mammograms

By | Healthcare, Press Release

Mammogram special available May 1 – 31, 2019

To celebrate Mother’s Day in May, Red Rock Radiology at MountainView Hospital is offering $75 computer-aided detection (CAD), 3D digital screening mammograms for women who may be uninsured or underinsured in our community.

Red Rock Radiology, a department of MountainView Hospital, is one of the few imaging centers in Las Vegas to offer CAD, 3D mammograms. Studies have shown that using CAD can help detect breast cancer earlier, when it can be more easily treated.

Don’t miss this opportunity to get your annual mammogram. This special program is available May 1, 2019 through May 31, 2019. Program participants must be at least 40 years old. If you have insurance, check with your provider. You may find out that your mammogram is fully covered.

With approximately one in eight women diagnosed with breast cancer in her lifetime, it is likely that we all know someone affected by this disease. May is dedicated to celebrating mothers, and MountainView Hospital wants to take care of mothers in the Las Vegas community by educating women about breast cancer and the importance of routine breast health checkups. The best way to reduce the risk is through a combination of regular mammograms, routine breast exams by a healthcare professional and monthly self breast exams.

To schedule your annual mammogram or take advantage of the special $75 computer-aided detection (CAD), 3D digital screening mammogram:

Red Rock Radiology – A Department of MountainView Hospital

7130 Smoke Ranch Road, Las Vegas, NV 89128


Southern Nevada Health District Investigates Outbreaks of Gastrointestinal Illness

By | Healthcare

The Southern Nevada Health District has confirmed norovirus as the cause of an outbreak in one local school. School officials made the decision to self-close so that in-depth cleaning could be conducted. Another local school that was experiencing an outbreak of gastrointestinal illness also self-closed to clean its facility. The Health District is working with the second school to obtain appropriate information and specimens. Prior to these investigations, small outbreaks of norovirus and suspected outbreaks have been reported to the Health District. In addition to investigating reports of illness, Health District staff is working with schools to ensure they have appropriate cleaning protocols and other measures in place to stop the spread of illnesses in their facilities.  

Gastrointestinal viruses, like norovirus, are common and easily spread from person-to-person. Symptoms usually develop 12 to 48 hours after being exposed to the virus. Most people will get better within one to three days, without medical treatment. Young children, older adults, and people with other medical conditions may be more at risk for complications, such as dehydration. The most common symptoms of norovirus include nausea, stomach pain, vomiting, and diarrhea. Additional symptoms may include fever, headache, and body aches. Norovirus is sometimes referred to as a “stomach bug” or “stomach flu.” However, it is a virus unrelated to the influenza (flu) virus.

Regular and appropriate handwashing is one of the most effective prevention methods for reducing the spread of norovirus and other illnesses. People who are ill, or caring for someone who is ill, should wash their hands carefully with soap and water before, during, and after preparing food. Sick people should not prepare food or care for others. Hands should be dried with disposable paper towels. Hands should always be washed after using the toilet, changing diapers, or washing soiled clothes or bedding. Norovirus can be found in vomit or stool before someone feels sick and for two weeks or more after symptoms subside. It is important to incorporate proper hand hygiene into a routine to reduce the spread of illness throughout the year.

Hard, non-porous surfaces that have been contaminated by an ill person should be cleaned, and then disinfected immediately with a chlorine bleach solution made by adding 5-25 tablespoons of household bleach (5.25% sodium hypochlorite) to one gallon of water. For other disinfectants registered as effective against norovirus see the Environmental Protection Agency’s (EPA) Registered Antimicrobial Products Effective against Norovirus webpage.

For additional information about norovirus visit the CDC website at and the Health District website at

Access information about the Southern Nevada Health District on its website: Follow the Health District on Facebook:, YouTube:, and Twitter: The Health District is available in Spanish on Twitter: Don’t have a Twitter account? Follow the Health District on your phone by texting “follow SNHDinfo” to 40404. Additional information and data can be accessed through the Healthy Southern Nevada website:


Community Baby Bash Immunizations & Health Fair, April 28

By | Healthcare, Press Releases, Recent Releases

National Infant Immunization Week, April 22-29

The Southern Nevada Health District, Immunize Nevada, Junior League of Las Vegas, and Health Plan of Nevada are commemorating National Infant Immunization Week with the annual Community Baby Bash Immunizations & Health Fair on Friday, April 28 from 12 p.m. – 4:30 p.m. at the 280 S. Decatur public health center. For more information and to sign up for updates about the event, visit the Community Baby Bash webpage or call the Health District’s Immunization Clinic at (702) 759-0850. The health fair will feature community partners offering dental and vision screenings for children, family resources information, and more. Parents should bring their children’s immunization records.

The event will feature several organizations to assist local families in accessing health and social services as well as activities for children. 

During National Infant Immunization Week, April 22-29, the Health District will waive administrative fees for children up to two years old who qualify for the Vaccines for Children program. 

By the year 2000, childhood diseases like rubella, mumps, measles, pertussis, and chickenpox were rare and many pediatricians were unfamiliar with these once-common diseases. National Infant Immunization Week is an opportunity to remind everyone that vaccines protect babies and children from 14 illnesses, and the United States currently has the safest and most effective vaccine supply in its history. 

Nevada ranks 31st in the nation for immunization coverage in children between the ages of 19 months and 35 months, up from 38th in 2014 according to the 2015 National Immunization Survey (NIS). The improvement represents a 5.5 percent increase in vaccine coverage rates for the early childhood age group. 

Immunizations are considered to be among the most important public health advances of the 20th century and they have reduced infant deaths and disability from preventable diseases. Aggressive immunization campaigns have eradicated smallpox worldwide, and the United States has been polio-free since 1979. Since 2000, cases of naturally occurring measles in the United States were eliminated. However, cases continue to be reported mostly among unvaccinated people who contracted measles in the United States after exposure to someone who became sick with measles in another country. In 2014, a record number of 667cases from 27 states were reported.

The Health District regularly offers immunizations at its public health centers. Service hours vary, check the Southern Nevada Health District Immunization Clinic Locations page on the website or call the immunization clinic for more information. Fees vary depending upon health insurance status. Immunization services are available at the following Health District locations:

·         Main Public Health Center, 280 S. Decatur Blvd.,  Las Vegas

·         East Las Vegas Public Health Center, 560 N. Nellis Blvd., Ste. E12, Las Vegas

·         Touro University Health Center, 874 American Pacific Dr, Henderson

(Monday –Thursday, 8a.m. – 4:30p.m., Friday 8a.m. – 1p.m.)

·         Mesquite Public Health Center, 830 Hafen Lane, Mesquite

(Nursing services are available Tuesday and Thursday, and is closed daily from 12 p.m. – 1 p.m. for lunch)

Access information about the Southern Nevada Health District on its website: Follow the Health District on Facebook:, YouTube:, and Twitter: The Health District is available in Spanish on Twitter: Don’t have a Twitter account? Follow the Health District on your phone by texting “follow SNHDinfo” to 40404. Additional information and data can be accessed through the Healthy Southern Nevada website:

Warm Springs Surgical Center Performs 1,000th Weight Loss Surgery Procedure

By | Clinics, Healthcare, Press Releases, Recent Releases

Warm Springs Surgical Center based in Las Vegas, Nevada performs it’s 1,000th weight loss surgery procedure today.

Founded in late 2013, Warm Springs Surgical Center is a dedicated surgical facility used specifically for Blossom Bariatrics’ surgical weight loss procedure clients.

“It’s amazing to be able to say we have performed 1,000 bariatric surgery procedures at Warm Springs Surgical Center. I designed this program with patient safety and comfort in mind. Most of our procedures are done on an outpatient basis and it’s a fantastic alternative to having your surgery done at a hospital,” says Dr. Tom Umbach, owner of Warm Springs Surgical Center and surgeon at Blossom Bariatrics.

Warm Springs Surgical Center and Blossom Bariatrics in Las Vegas, Nevada have been helping patients lose weight and keep it off since June 2008.

About Blossom Bariatrics:

Blossom Bariatrics is a surgical weight loss center located in Las Vegas, Nevada. Award winning board certified surgeon Dr. Thomas Umbach is recognized by Newsweek as one of the “Nation’s Leading Bariatric Surgeons” and by The New Economy as one of the “Best Healthcare Consultants,” and is a leader in the bariatric specialty. Dr. Tom is dedicated to helping individuals improve their health, and live more fulfilling lives by losing their excess weight. His weight loss surgery practice specializes in both advanced and traditional laparoscopic procedures. Visit for more information.

Southern Nevada Health District Offers Free Testing

By | Healthcare, Press Releases, Recent Releases

Tuesday, Feb. 7 marks the annual observance of National Black HIV/AIDS Awareness Day to encourage African-Americans to learn their HIV status. This year’s theme is “I Am My Brother’s and Sister’s Keeper, Fight HIV/AIDS.” The Centers for Disease Control and Prevention (CDC) reports that African-Americans accounted for approximately 45 percent of new HIV infections in 2015.  On Tuesday, Feb. 7, the Southern Nevada Health District’s Sexual Health Clinic will offer free rapid, HIV testing at its clinic at 280 S. Decatur Blvd. from 8 a.m. – 12 p.m., and free rapid HIV screenings from 10:30a.m. – 5p.m. will be available at The Center, 401 S. Maryland Parkway. For additional testing information and clinics, visit or call (702) 759-0702.

The following community partners will also offer free HIV testing on Saturday, Feb. 11:

·         Las Vegas Urban League and AIDS Healthcare Foundation (AHF)

William Pearson Community Center, 1625 W. Carey, North Las Vegas

12 p.m. – 3 p.m.

·         Southern Nevada HIV Consortium and AHF

Mobile Testing Unit will be at Mingo’s Kitchen and Lounge, 1017 S. 1st Street, Las Vegas

5 p.m. – 9 p.m.

According to the CDC, African-American communities continue to experience a higher burden of HIV infection than others in the United States. While infection rates for African-American women have declined, they remain higher than rates for white and Hispanic women. Young black men who are gay or bisexual are at the highest risk of infection; however, the CDC reports that after many years of increasing rates of infection among this demographic, infection rates have stabilized, indicating that HIV prevention and testing efforts have been impactful. Additional information can be found at

In Clark County, 27 percent of newly diagnosed HIV cases and 31 percent of newly diagnosed AIDS cases occurred among African-Americans.

According to the CDC:

·         Among all African Americans diagnosed with HIV in 2014, an estimated 73 percent were men and 26 percent were women.

·         Among all African Americans diagnosed with HIV in 2014, an estimated 57 percent were gay or bisexual men, 39 percent of whom were young men between the ages of 13 and 24.

·         In 2014, an estimated 48 percent of those diagnosed with AIDS in the United States were African Americans. By the end of 2014, 42 percent of those ever diagnosed with AIDS were African Americans.

Early diagnosis is critical for people who are HIV positive so they can benefit from treatment. It is estimated that nearly 40 percent of people with HIV are not diagnosed until they have developed AIDS, which can occur 10 years after infection. Additional recommendations from the CDC include annual testing for individuals who engage in high-risk sexual behavior or use intravenous drugs. Pregnant women should be tested during the early months of their pregnancy to help eliminate transmission of HIV to their infants.

The Southern Nevada Health District’s Sexual Health Clinic is located at 280 S. Decatur Blvd. Services include confidential testing, counseling, case management, and referrals. The Health District offers several HIV test options, some with same-day results. In addition, testing is available Monday through Thursday from 10:30 a.m. – 5 p.m. at The Center. For additional information, call (702) 733-9800.

Access information about the Southern Nevada Health District on its website: Follow the Health District on Facebook:, YouTube:, and Twitter: The Health District is available in Spanish on Twitter: Don’t have a Twitter account? Follow the Health District on your phone by texting “follow SNHDinfo” to 40404. Additional information and data can be accessed through the Healthy Southern Nevada website:


Tough Start to Flu Season in Clark County, With Cases, Hospitalizations Up Sharply

By | Healthcare

Health officials are reporting a surge in Southern Nevada flu cases this season, with double the number of hospitalizations and a 90 percent increase in reported cases compared with the same period last year.

Flu deaths are down, from 11 in the 2015-16 flu season to just one in the 2016-17 season, the latest data compiled by the Southern Nevada Health District show.

But the increase in the overall number of cases and hospitalizations mirrors a bad flu season across the United States, health officials said.

“There’s just been an increase across the country and here in Southern Nevada,” said Michael Johnson, the health district’s director of community health.

Between Oct. 2, 2016, and Jan. 21, Clark County recorded 238 cases of the flu, also known as influenza, compared to 125 cases during the same period last season.

Meanwhile, hospitalizations have more than doubled from 90 to 184, with a large spike in cases affecting seniors age 65 and older.

The numbers are backed by anecdotal evidence from the front lines.

“The pediatric emergency department has recently been treating patients that have tested positive for the flu among other illnesses such as RSV (respiratory syncytial virus) and Rotavirus,” said Dr. Steven Krebs of University Medical Center in Las Vegas . “However, being it is flu season, this is not uncommon. Seeing an influx in all three of these viruses is a little rare, yet not alarming.”

Johnson said it’s difficult to assess the severity of this flu season or the reasons for the increase because it’s relatively early. But he added that the health district and U.S. Centers for Disease Control and Prevention will investigate if the trend continues.

“The flu is unpredictable,” he noted.

Flu season in Southern Nevada usually peaks in January or February, and health district flu surveillance typically continues from October through May. Flu statistics are generally viewed as incomplete because many people don’t report their cases to a physician or the health district, but they provide a good comparison point to previous flu seasons.

According to the CDC, Nevada is one of roughly 30 states reporting widespread flu activity.

“The fact that the numbers are up just underscores the importance of getting vaccinated,” Johnson said.

Getting a flu vaccine is the best protection against the flu, but Johnson suggests residents heed traditional advice — wash hands often, cover the mouth when coughing and the nose when sneezing and seek a physician to prescribe antiviral medications, if necessary.

If experiencing shortness of breath, severe weakness, chest pains or other more serious symptoms while suffering from the flu, seek a doctor immediately, he said, as those symptoms can indicate a medical complication.

Contact Pashtana Usufzy at or 702-380-4563. Follow @pashtana_u on Twitter.

Premenstrual Dysphoric Disorder Difficult to Diagnose

By | Healthcare

We’ve all heard the PMS jokes.

“Do you know the difference between a woman with PMS and — (fill-in-the-blank)?”

These types of jokes about premenstrual syndrome have become our culture’s way of dealing with what can be for some, an uncomfortable topic.

But hiding in the shadows of PMS is a relatively new illness, PMDD, premenstrual dysphoric disorder. It’s described as a severe extension of PMS that causes disabling and sometimes life-threatening mood shifts. Because many physicians still question PMDD as an actual disorder, an accurate diagnosis can be tricky. Some women are misdiagnosed as having depression, bipolar disorder or their symptoms dismissed as “just” PMS.

Although PMDD is directly connected to a woman’s menstrual cycle, it is not a hormone disorder. Hormonal testing usually reveals normal levels in women ultimately diagnosed with PMDD. Researchers report that PMDD sufferers have an abnormal response to their own normal cyclic hormonal changes.

Amanda LaFleur, executive director and founder of the National Association for Premenstrual Dysphoric Disorder (NAPMDD), offers a quick crash course:

■ Premenstrual dysphoric disorder (also called premenstrual dysphoria) affects an estimated 3 percent to 10 percent of women of reproductive age. This equals an estimated 6 million women in the U.S. alone.

■ PMDD is a broad diagnosis for a variety of premenstrual mood disorders. Symptoms of PMDD include: severe anxiety, depression and rage. Approximately 15 percent of women with PMDD experience suicidal thoughts and behaviors.

■ Women with PMDD are at an increased risk of being misdiagnosed with bipolar disorder, which may explain why women are diagnosed as bipolar at three times the rate of men.

■ PMDD is a spectrum disorder that varies from mild to severe. Currently, the most effective treatment is removal of both ovaries and uterus. This method has a 98 percent satisfaction rate versus the short-term efficacy of birth control pills, hormone therapy or antidepressants.

The NAPMDD advocates having the illness reclassified as a neuroendocrine disorder so it may be treated as less a mental disorder and more a gynecological one. Women with PMDD are at an increased risk for postpartum depression and suicidal behavior. Many, but not all, women with PMDD have a history of sexual trauma or depression, according to the NAPMDD website —


Kimberlysue Kamae, 36, a childhood trauma victim with severe, lifelong PMS symptoms, realized that her mood swings had morphed into something much worse after the birth of her children.

“I started realizing this is way more than PMS — it’s a hundred times worse,” Kamae says. “I’d feel so irritable all the time — so angry. Everything set me off. I’d feel really depressed and worthless. Then I’d start my period and the fog lifted and I’m just normal again.”

While living in Wisconsin before moving to Las Vegas in 2013, Kamae researched her symptoms online and discovered PMDD.

“I was like, this is me. It’s exactly what I’m going through every month,” Kamae says. “It’s actually a real condition.”

Armed with her newfound knowledge, Kamae sought help from a gynecologist with many children of her own. She told the doctor that she suspected she might have PMDD. The doctor had never heard of it. After Googling it in the examining room, the doctor disagreed with the medical validity of PMDD as an actual disorder. She dismissed Kamae’s complaints as routine PMS. The doctor’s advice: “You’ll get through it.”

Marguerite Brathwaite, medical director of women’s services and chief of obstetrics and gynecology for Southwest Medical Associates, disagrees with the Wisconsin doctor’s opinion of PMDD.

“It is a real disorder,” Brathwaite says. “It’s a disorder that happens to a lot of women. I think it’s probably higher than most people really think.”

Mild cases are sometimes brushed off as PMS, but when it affects your work and home life, then you really need to seek help, she adds.

Ways of managing PMDD symptoms include antidepressants, oral contraceptives, mood stabilizers, diet and nutritional changes, counseling and alternative medicine. But what works for some may not work for others.

Because PMDD symptoms present on a spectrum from mild to severe, “a multispecialty disciplinary approach is probably the best approach,” Brathwaite says.

Working with a psychologist has helped Kamae develop coping skills to deal with the monthly symptoms. She keeps a diary to track her symptoms. When she is in those bad premenstrual weeks, she works hard to quell the negative self-talk that is characteristic of the disorder.

“If I don’t — it just consumes me,” Kamae says.


LaFleur founded the National Association for PMDD in 2013 after suffering with the disorder for years.

“I don’t think people realize that, when a woman has it, how much it impacts her life in a negative way and how much suffering it causes,” LaFleur says. “Not only for her but for her family members, her children, her relationships, her job — it can just destroy so many things.”

LaFleur’s journey led her through a maze of ineffective treatments — including a stay in a mental hospital for treatment for an inaccurate diagnosis of a bipolar disorder after a second pregnancy resulted in a miscarriage.

“When you’re in your darkest days, it feels endless,” she says. “It doesn’t feel like there is any escape. All you feel is this overwhelming sadness, anger and anxiety. And that’s where the suicidal thoughts are coming from.”

“I was spending days just hiding in a closet,” LaFleur remembers. “I couldn’t stand sound — I couldn’t stand light. I couldn’t stand anyone looking at me.”

After much trial and error, at age 35, LaFleur decided on a hysterectomy. Now almost two years later, she is symptom free.

“I have no anxiety, no depression and I don’t take any medication,” she says. “I have a completely new life. It was the best thing that ever happened to me.”

In December, the national organization LaFleur founded merged with the nonprofit, all-volunteer Gia Allemand Foundation. Gia was a TV personality (on ABC’s “The Bachelor”) and aspiring actress who battled PMDD for years before taking her own life in 2013.

Kamae has found tremendous support in

She advises women who suspect they may have something more than PMS to track their symptoms for at least three months and to read articles on — then share the information with their doctor.

“If that doctor doesn’t help — then go to another doctor,” Kamae says. “There are women suffering silently with this invisible disorder. You can’t see it but it’s a struggle every day.”

Nevada’s Health Rankings Continue to Rise

By | Healthcare


Nevada’s health ranking is improving, and nothing showcases that more than the number of children in the state receiving their immunizations.

The 2016 report by the United Health Foundation shows that Nevada ranked No. 35 in the nation in its health rankings, up three spots from 2015.

Immunizations were highlighted in the Nevada report as an indication of the success of doctors, medical groups and health professionals in encouraging parents to get their children immunized.

In the past two years, immunizations among children aged 19 to 35 months increased 18 percent from 60.6 percent to 71.3 percent, according to the United Health Foundation. Nevada ranks 30th in the nation.

In the past two years, meningococcal immunization among adolescents aged 13 to 17 years increased 22 percent, from 64.0 percent to 78.0 percent. The state ranks 29th in the nation.

Nevada ranks 21st in the nation for adolescents with the vaccine against the infectious diseases of diphtheria, pertussis and tetanus. Some 86.3 percent get this vaccine.

Nevada ranks 24th in the HPV vaccine for women at 42.5 percent and 35th for men at 23.7 percent.

“It’s helpful to have these reports because what gets measured gets done. When they point this out, it helps groups to focus on it as an organization and get these kids in and get their immunizations done,” said Greg Griffin, COO of the Mountain West Region for Southwest Medical Associates.

Southwest is one of the medical groups that has received the Silver Syringe Award from Gov. Brian Sandoval as the state has made a push to increase the number of immunizations.

The expansion of Medicaid and implementation of the Affordable Care Act have meant more people are covered by insurance and are going in to get medical services and preventative care, Griffin said.

“With the governor being focused on this and more people having access to care, medical groups like ours are focused to move that number,” Griffin said.

That improvement has come as the number of children in poverty decreased 24 percent from 25.3 percent to 19.3 percent over the past two years, according to the report.

Southwest Medical Associates has an electronic medical record system across all of its Southern Nevada locations that tracks patients when they are seen by nurses and physicians.

The system has built-in alerts so when medical staff are with the child they know if an immunization is missing, Griffin said. They can discuss it with the parents and get the child immunized.

“We can do that at any of our locations and our pediatric locations and also if they come into our urgent care,” Griffin said.

Southwest Medical Associates has added a mobile clinic that goes to schools and events, and that further helps increase immunizations, Griffin said.

“We’re pretty aggressive in trying to make them aware, and we participated last year in over 75 community events,” Griffin said. “It may not be a children’s event, but we can make the parents aware.”

Southwest Medical Associates has portals where patients get sent information — including details on immunizations — for those that have accessed the portals, Griffin said. SMA has TVs in its clinics that disseminate notices about immunizations, and advertisements on exam room walls and doors also get the word out.

Once a year, Southwest Medical Associates has a back-to-school fair that includes immunizations and children’s examinations. It’s open to everyone, not just SMA patients.

Even adults are a point of focus for immunizations. Southwest Medical Associates has offered drive-thru treatment where people can get their flu shots and immunizations for pneumonia.

In addition to the immunization numbers, the 2016 report paints an improved picture of Nevada’s health.

The report showed there is a “low prevalence” of obesity with a ranking of 15th in the nation. It had a low rate of preventable hospitalizations with a ranking of 13th in the nation. It also highlighted there was a low rate of salmonella, ranked No. 1 in the nation.

On the weaker side, the state ranked 42nd for senior health and 47th for health of women and children.

Some 13.8 percent of people lack insurance, and Nevada ranked 45th in the nation. It’s 50th in public health funding at $34 per person.

Griffin said the health numbers will improve as long as the insurance rate continues to increase. The one problem is the lack of doctors, which limits the access to medical care, he said.

Nevada ranked 46th in the number of primary care physicians per 100,000 people at 104.3. The top states in the nation surpass 240 doctors per 100,000 people.

“It’s a component of them being able to get in to get access to care,” Griffin said. “With the expansion of Medicaid, some of those numbers will start to move.”

Some of the highlights of the report showed that drug deaths decreased 7 percent from 22.4 to 20.9 deaths per 100,000 people. The state, however, is 43rd in the nation.

Nevada fared well in the excessive drinking category at No. 12. It’s 18th in physical inactivity and 25th in smoking.

University Of Nevada School Of Medicine Begins New Identity By Adding Reno To Its Name

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As the UNLV School of Medicine prepares for its expected July 2017 debut, the state’s Reno-based medical school has begun crafting a new image to distinguish itself.

The first step: Changing its name.

The Nevada System of Higher Education Board of Regents on Friday voted to tweak the name of the University of Nevada School of Medicine, which will be now known as the University of Nevada, Reno School of Medicine…

Read more at: Las Vegas Review Journal

UMC Trauma Center

Las Vegas UMC Trauma Center Part Of Response To Mass Casualty Incidents

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UMC Trauma Center

As law enforcement worked to unravel the details of a mass shooting Sunday in Orlando, a nearby hospital was busy providing information through social media, securing its facilities and arranging a meeting area for victims’ families.

Pulse, the gay nightclub where the gunman opened fire, killing 50 people and injuring 53 more, is just a half-mile from Orlando Regional Medical Center, the only Level 1 trauma center in Central Florida.

Read more at: VEGASINC