July HEALS Magazine Theme is Hepatitis Awareness Month

By | Featured, News

The theme for July’s Las Vegas HEALS Healthcare magazine is Hepatitis Awareness Month. We invite anyone interested in having content featured to send materials to Adriana. Those interested in placing advertisements can also email Adriana to send in materials, or ask any questions you may have.

Ad Specs
1/2 page ads – 7.5″ w x 5.5″
1/4 page ads – 3.5″ w x 4.5″
8 ½ x 11 Full pages

Member Ad Costs
Quarter page $75
Half-page – $125
Full page – $250
Advertorial – $525
Front Cover – $650
Back Cover – $350

Non-Member Costs
Quarter page $150
Half-page – $250
Full page – $500
Advertorial – $1,050
Front Cover – $1,300
Back Cover – $700

NOTE: Content must be received by the 10th of each month

First Confirmed West Nile Virus Cases of Season Reported

By | News

Health District Urges Protective Measures 

The Southern Nevada Health District has identified two cases of West Nile virus for this season. One patient, a male over the age of 60, was diagnosed with the non-neuroinvasive form of the illness, and a male over the age of 70, had the neuroinvasive form of the illness. Both patients have recovered.

The announcement of the first reported cases in Clark County residents occurs after the Health District reported the highest level of mosquito activity in the program’s history this early in a season. As of June 21, 2024, 230 mosquito pools (7,493 mosquitoes from 30 ZIP codes) tested positive for West Nile virus. Nine mosquito pools, (267 mosquitoes from five ZIP codes) tested positive for the virus that causes St. Louis encephalitis.

Public health officials are encouraging everyone to take steps to protect themselves. The risk of mosquito-borne illnesses can be reduced through preventive measures. The Health District’s Fight the Bite campaign calls on people to:

  • Eliminate Standing Water: Remove breeding sources around their homes. Aedes aegypti breed in small containers that collect rain or irrigation water, such as children’s toys, wheelbarrows and plant saucers, and even bottle caps.
  • Prevent Mosquito Bites: Use Environmental Protection Agency (EPA)-registered insect repellent. Wear loose-fitting, long-sleeved shirts and pants.
  • Report Mosquito Activity: Call the Health District’s surveillance program at (702) 759-1633. To report a green pool, people should contact their local code enforcement agency.

The Health District’s Mosquito Surveillance Program continues to receive an increased number of complaints from the public about mosquito activity. Increased awareness and reporting of mosquito activity are attributed to the expansion of Aedes aegypti mosquitoes throughout the region. Aedes aegypti mosquitoes are known to be aggressive daytime biters that prefer feeding on people instead of birds. Aedes aegypti lay eggs on the inner walls of small containers that hold water and their eggs can remain dry and dormant until the next time water fills the container and they hatch. While the species is known for transmitting viruses such as dengue and chikungunya, Aedes aegypti mosquitoes tested in Clark County have tested positive for West Nile virus this season.

The majority of the mosquitoes trapped and testing positive for West Nile Virus and St. Louis encephalitis are Culex species, which prefer to feed on birds and are responsible for maintaining the virus in avian populations. Although Culex prefer to feed on birds, they will bite people and can transmit the virus when they do. Culex lay eggs on the surface of fresh or stagnant water, including unmaintained swimming pools, horse troughs, ornamental ponds and marshy areas.

Mosquitoes testing positive for St. Louis encephalitis virus were last reported in Clark County in 2019 and the last reported cases in humans were in 2016. West Nile virus activity was minimal in 2020 through 2023. In 2019, 43 human confirmed cases were reported. There was one case reported in 2022 and two confirmed cases were reported in 2023.

Both St. Louis Encephalitis and West Nile virus are spread to people by the bite of an infected mosquito. Most people infected with the virus will not develop symptoms and their cases will go unreported. Some people may develop a neuroinvasive form of the illnesses that cause encephalitis (inflammation of the brain) or meningitis (inflammation of the membranes surrounding the brain and spinal cord).

For more information, Health District Fight the Bite tips and resources are available at www.southernnevadahealthdistrict.org/programs/mosquito-surveillance/mosquito-bite-prevention/ or on the Centers for Disease Control and Prevention website at www.cdc.gov/mosquitoes/prevention/index.html.

The Health District’s seasonal mosquito surveillance reports are available at www.southernnevadahealthdistrict.org/programs/mosquito-surveillance/arbovirus-update/.

The Southern Nevada Health District serves as the local public health authority for Clark County, Boulder City, Henderson, Las Vegas, Mesquite and North Las Vegas. The agency safeguards the public health of the community’s residents and visitors through innovative programs, regulations, and initiatives focused on protecting and promoting their health and well-being. More information about the Health District, its programs, services, and the regulatory oversight it provides is available at www.SNHD.info. Follow the Health District on Facebook, Twitter, and Instagram.

National HIV Testing Day is June 27

By | News

Health District encourages: “Level up your self-love: check your status”

 In observance of National HIV Testing Day on June 27, the Southern Nevada Health District (SNHD) and the Southern Nevada Health Consortium will provide free HIV testing at various community locations. The campaign, themed, “Level up your self-love: check your status,” encourages people to get tested, know their HIV status, and get linked to care and treatment.

Approximately 1.2 million people in the United States have HIV, with about 13 percent of unaware of their status. In 2021, an estimated 32,100 new HIV infections occurred in the U.S. in 2021. Clark County  reported 488 new HIV diagnoses in 2022, with 11,518 people living with HIV. HIV disproportionately impacts racial and ethnic minorities, and gay, bisexual, and other men who have sex with men.

Antiretroviral treatment (ART) has transformed HIV infection from a fatal illness to a manageable chronic condition. Early and consistent ART therapy after diagnosis is essential for controlling HIV, minimizing long-term immune system damage, reducing HIV levels in the bloodstream, reducing illnesses, and lowering transmission risk to intimate partners. With ART, HIV-positive people can remain healthy for many years.

Free HIV testing will be available at the following locations on June 27:

  • TRAC-B Exchange, 6114 West Charleston Blvd., Las Vegas, NV 89146

9:30 a.m. – 4:30 p.m., 702-840-6693

  • Community Counseling Center, 714 E. Sahara Ave., Las Vegas, NV 89104

9 a.m. – 5 p.m., 702-369-8700

  • The Center, 401 S. Maryland Pkwy., Las Vegas, NV 89101

1 – 7 p.m., 702-733-9800

  • AIDS Healthcare Foundation (AHF) MEOW Wolf, 3215 S. Rancho, Las Vegas, NV 89102

1 – 5 p.m., 702-862-8075 (AHF) or 866-636-9969 (MEOW Wolf)

  • AIDS Healthcare Foundation (AHF), 3201 S. Maryland Pkwy., #218, Las Vegas, NV 89101

1 – 8 p.m., 702-862-8075

  • Walgreens, 7599 West Lake Mead Blvd., Las Vegas, NV 89128 (provided by Sagebrush Health)

9 a.m. – 5 p.m., 725-300-0506

  • Walgreens, 451 S. Decatur Blvd., Las Vegas, NV 89107 (provided by UMC)

2 p.m. – 6 p.m., 702-207-TEST

SNHD will also offer Express HIV testing at no cost from 8 a.m. – 4 p.m. at the Sexual Health Clinic, 280 S. Decatur Blvd., Las Vegas, NV 89107. Free testing will also be available at the Fremont Public Health Center, 2830 E. Fremont St., Las Vegas, NV 89104, from 1 – 5 p.m. No appointments are needed, but clients must be asymptomatic. Additional testing for syphilis, gonorrhea and chlamydia is also available. Visit the Sexual Health Clinic page on SNHD’s website for more information.

SNHD’s Sexual Health Outreach and Prevention Program (SHOPP) offers no-cost HIV/STI screenings as part of Sexually Transmitted Infection Express Testing on a year-round basis:

  • Main Public Health Center, 280 S. Decatur, Las Vegas, NV 89107; Monday – Thursday, 7:30 a.m. – 4:30 p.m.
  • Fremont Public Health Center, 2830 E. Fremont St., Las Vegas, NV 89104; Friday, 7:30 a.m. – 4:30 p.m.

Free HIV testing is available in the Arleen Cooper Community Health Center at The Center, 401 S. Maryland Parkway, Las Vegas, NV 89101. Hours are 9 a.m. – 5:30 p.m. Monday – Thursday and 9 a.m. – 2 p.m. on Fridays and Saturdays. Appointments are preferred, but walk-ins are accepted.

SNHD’s Collect2Protect program provides free at-home HIV tests, providing a convenient and private testing option. The kits are available on the Collect2Protect page.

The Southern Nevada Health District serves as the local public health authority for Clark County, Boulder City, Henderson, Las Vegas, Mesquite and North Las Vegas. The agency safeguards the public health of the community’s residents and visitors through innovative programs, regulations, and initiatives focused on protecting and promoting their health and well-being. More information about the Health District, its programs, services, and the regulatory oversight it provides is available at www.SNHD.info. Follow the Health District on Facebook, Twitter, and Instagram.



NPHY Awarded $800,000 Federal Grant for Statewide Homeless Youth Initiative

By | News
Nevada Partnership for Homeless Youth (NPHY) has been awarded an $800,000 federal grant to create systemic change across Nevada with and for young people experiencing homelessness. Through this grant award, NPHY will lead a project to grow the leadership capacity of young people experiencing homelessness to uplift youth voice throughout the state and create the first-ever statewide Nevada Plan to End Youth Homelessness. NPHY is the only Nevada grant recipient of the $51 million from the Department of Housing and Urban Development (HUD) for the Youth Homelessness System Improvement (YHSI) grants, a new initiative from HUD that focuses on supporting systemic change and cross-community collaboration.
“We’re thrilled to be awarded this significant grant to create transformative change to the youth homelessness response system throughout Nevada and to bring brand new federal funds to our state,” said Arash Ghafoori, NPHY CEO. “Nevada has historically faced challenges with obtaining federal grants, so this award is even more meaningful, both for the impact we’ll make on vulnerable youth and for new dollars for Nevada communities.”
In addition to Nevada, YHSI grants were awarded to 38 communities in 26 states, Puerto Rico and Guam.
NPHY will both manage the grant and lead the statewide effort, working with cross-sector partners throughout Nevada to accomplish the grant’s goals. The objectives of the project are to improve the leadership capacity of youth with lived experience of homelessness through the creation and strengthening of Youth Action Boards (YABs) and to establish and grow partnerships across the state to better identify, understand, and address the needs of youth at-risk of or experiencing homelessness through system-planning at the statewide level. The primary activities of the grant include:
  • Creating and building capacity for the Northern Nevada Youth Action Board in Washoe County, which will be undertaken in partnership with Eddy House, the only nonprofit in Washoe County dedicated exclusively to serving youth experiencing homelessness, who will serve as a subgrantee;
  • Expanding and enhancing the Southern Nevada Youth Action Board in Clark County, in partnership with Nevada Partners, a nonprofit based in the Historic Westside in Las Vegas;
  • Creating Nevada’s first-ever statewide Movement Youth Action Board; and
  • Building the first-ever statewide Nevada Plan to End Youth Homelessness.
To accomplish these objectives, NPHY will lead a coalition of partners throughout the state. Partners who have committed to this project include the Southern Nevada Homelessness Continuum of Care, Northern Nevada Continuum of Care, Rural Nevada Continuum of Care, Clark County Department of Social Service, Eddy House, Nevada Partners, The LGBTQ+ Center of Southern Nevada, Nevada Indian Commission, UNLV Greenspun College of Urban Affairs, University of Nevada, Reno, Nevada Homeless Alliance, HELP of Southern Nevada and St. Jude’s Ranch for Children. In addition to the $800,000 awarded by HUD, Clark County Social Service also has committed to providing NPHY with an $80,000 match award for this project.
Since 2001, NPHY, a Las Vegas-based nonprofit, has been the most comprehensive provider of services for youth experiencing homelessness in Southern Nevada by meeting urgent survival needs and fostering pathways for youth to reach independence. In 2017, to complement and extend NPHY’s direct services for youth and make lasting change around this critical issue, NPHY launched The Movement to End Youth Homelessness (The Movement), a focused, sustained, community-wide effort to address youth homelessness from all angles. For the past seven years, the Movement has led system-planning efforts in Southern Nevada, coordinated annual youth homelessness summits, and successfully advocated for state-level policy change. Last year, NPHY expanded the Movement’s local focus and took this systems-level change work statewide, holding the first statewide Nevada Youth Homelessness Summit in November 2023. This grant will build on these efforts and support the expansion and strengthening of this work.
NPHY collaborated with Nevada GrantLab to submit the grant application, which included input from young leaders, including current members of the Southern Nevada Youth Action Board and Northern Nevada Youth Action Board. Since 2020, the nonprofit Nevada GrantLab has helped other nonprofit organizations, local governments, and state agencies better access and maximize historically underutilized federal funding.
This grant comes at a time when Nevada is experiencing a growing youth homelessness crisis. According to HUD, the number of unaccompanied young people experiencing homelessness in Nevada increased by 14% from 2022 to 2023. In school year 2021 – 2022, 16,451 students were identified as experiencing homelessness in school districts across the state. Nevada also has the most severe shortage of affordable housing in the country, according to the National Low Income Housing Coalition.
“We’re so excited to receive this support to ensure the voices of young leaders throughout Nevada are heard and recognized. This grant award will enable us to provide youth with lived expertise with compensation, training, and opportunities to travel to and present at our annual Summit, along with creating and strengthening statewide structures to ensure their voices are guiding the development of the homelessness services systems that serve them,” said Ghafoori. “In addition, this grant award will empower our Nevada communities to come together like never before to build a true statewide response to youth homelessness through the creation of the Nevada Plan to End Youth Homelessness. Youth homelessness is bigger than any one region of our state; and through increased collaboration and common goals developed through this planning process, we know we can more effectively reduce barriers, grow resources, and make a real difference in the lives of the most vulnerable young people in Nevada.”
About Nevada Partnership for Homeless Youth
NPHY is the most comprehensive service provider for the thousands of homeless youth in Southern Nevada, serving hundreds of youth through core programs and touching the lives of thousands more through outreach each year. NPHY’s programs stabilize homeless teens’ lives, meeting their immediate needs and providing a safe, supportive environment and a path to self-sufficiency. Through work with homeless youth, NPHY creates productive, healthy adults who contribute to society. Strengthening and complementing the high-quality direct services for homeless youth, NPHY is dedicated to advocating for the Las Vegas Valley’s homeless youth population and serves as a leader in systems-level efforts to eliminate homelessness among Nevada’s youth. For more information or to support our life-changing work for homeless youth, please visit www.nphy.org.

Navigating Estate Planning and Business Succession: Insights from Shane Jasmine Young

By | HEALS Pod, News

In this episode of the podcast, I had the pleasure of interviewing Shane Jasmine Young, a successful estate planning attorney based in Las Vegas. Shane shared her journey of starting her own law firm with her husband and the pivotal moments that led her to specialize in estate planning. She emphasized the importance of comprehensive estate planning to avoid probate, protect assets, and ensure smooth transitions for families. Shane also discussed the challenges and rewards of entrepreneurship, highlighting the crucial role of support from loved ones in pursuing one’s passion.

The episode delved into the intricacies of estate planning, including wills, trusts, and the significance of having a clear plan in place to avoid conflicts and ensure the smooth transfer of assets. Shane’s personal anecdotes and professional insights provided valuable guidance for listeners on the importance of proactive planning and seeking the right expertise to navigate the complexities of estate planning.

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Full Transcript

Ladies and gentlemen, this is Diego Trujillo. Welcome to another episode of the HEALS podcast. I am very excited to have a very special guest today. And also, I’d like to consider a friend. We’ve been watching each other from afar for a while. We met not long ago at a women’s conference, and I learned a little bit about what she did. And I’m excited to have you here with us is Shane Jasmine Young. How are you doing today?

SHANE JASMINE YOUNG: So good. Thank you for having me.

DIEGO TRUJILLO: I always need to really double check myself to make sure I don’t mispronounce the name. No, you got it. You know, it happens occasionally. So thank you very much for coming in. I know we had reached out a while ago. I had been sharing with you how we kind of dug into hospice and we were talking about hospice and final arrangements. I was like, you know, we unpacked it briefly. And in this podcast, I’d kind of like to unpack a little more on the final arrangements, right? on the wills, the trusts, the states. But before we dig into that, I’d like to kind of find out a little bit about how you’ve been doing. How’s the law firm going?

SHANE JASMINE YOUNG: Yeah, it’s been going great. So as you know from us being friends, my husband and I grew up here. He’s born and raised. We’re high school sweethearts, actually. And we went away to college but came back here to Las Vegas because this is where our home is. Our families are here. And we started our law practice in about 2017. So yeah, seven years now. And our focus is estate planning primarily.

DIEGO TRUJILLO: And was that always the goal? So when you guys grew up here in Las Vegas as a little girl, I’m kind of curious, what side of town?

SHANE JASMINE YOUNG: I grew up in Henderson.

DIEGO TRUJILLO: So I went to Green Valley High School. I went to Chaparral. So it’s always like the kids on the way. He went to Eldorado. Fair enough. I like you a little more now. Both of you.

SHANE JASMINE YOUNG: That’s great. So we grew up here. He’s born and raised. I grew up here. Well, I moved here when I was nine. And I didn’t always know that we were going to start our own practice. And he’s not an attorney, by the way, but he runs the business. He’s the CEO, COO, handles all the marketing, you know, that type of thing. But when I went to law school, he had started talking about having our own firm and, you know, what the plans would be.

DIEGO TRUJILLO: And in mind for you, you always wanted to be an attorney.

SHANE JASMINE YOUNG: I did. So when I was growing up, my dad was an entrepreneur, and he started his own airline, and he used to work for another company, decided to start his own business, and it ended up going south because he was taken advantage of, essentially. And some investors, including an attorney, took advantage of him and took control of the business. So this happened when I was very young, and they ran it into bankruptcy. So my family had a lot of financial hardship. There was a lot of up and down, you know, growing up, a lot of uncertainty. And my dad instilled in me, my parents instilled in me, you know, the importance of being able to be educated and make proper decisions and rely on the right people. So he had said, you know, you got to go to law school, so this doesn’t happen to you.

DIEGO TRUJILLO: Because even then, it’s tough. I mean, people don’t have an understanding a lot of times on, you know, these shotgun clauses, the way you can push different partners out. I mean, it really can be rough. So it’s something that you experienced and witnessed at a young age. Right. So what pushed you towards, was it in law school that you said, you know, I want to do estate planning?

SHANE JASMINE YOUNG: You know, it didn’t come until later. So after I graduated from law school, I was an attorney at in big law. So I worked for a really big law firm. They actually didn’t do estate planning. But my first pro bono case where I was volunteering as an attorney was a probate matter. And I saw firsthand how this family had relied on an estate plan, you know, the father that passed away. had a plan, he had a trust, but it wasn’t done correctly. And the family ended up fighting, you know, with his ex-wife and it had to go through probate and, you know, taxes and all these things. So as a first-year attorney, that’s what really piqued my interest. And then ever since then, I had done pro bono cases. And then I got more experience doing estate planning through the years and also working as the general counsel for a financial services company.

DIEGO TRUJILLO: See, and I think a lot of people, you know, sometimes we don’t see how south it can go. And I’ll be very honest, and I’ll get kind of cultural on this, because we’re Hispanic, and I’ve talked about this on the podcast before, and it very much matters, the cultural impact of it. It’s very interesting when approaching it, especially, for example, when you talk about hospice, end-of-life care, and you bring that up to, you know, my Hispanic parents, oh, no, no, no, we don’t want to talk about that. There’s a conversation we need to have, like this is very important. So this is what we were discussing when Karen Rubel was on from Nathan Adelson Hospice. And, you know, we’re talking about these cultural approaches. And when it comes to final estate planning, it was very interesting for me and eye-opening working in hospice. I have some absolutely horrible stories that could have been solved by a conversation. Some of that could have been solved by an attorney. I remember, I’ll never forget one time I walked in, we were trying to discharge this patient. The case manager, well, let me find out if the person has, you know, any income so that they can pay monthly. They had probably between three to six months to live. And I remember, you know, they checked in, the kids were on board, but the wife, which was not the children’s mother, had control and said, well, I don’t know if he’d want to spend his money on that. Yeah, and we just looked at each other in shock like what what else would someone want to spend their money on than a place to live, right? It’s just and I didn’t I hadn’t developed that malice yet It wasn’t till the social worker was like, hmm. I wonder what she would want to spend it on right? And I was like, oh my god. Yeah, she totally seized control. He had not made any arrangements any plans I’ve seen this there was a patient one time with his wife and like glioblastoma, so she had tumors growing in her brain, and she lost the ability to be able to communicate. And I’ll never forget, they were the sweetest couple, I’ll never forget going through the paperwork to sign the hospice paperwork and getting to the DNR, saying this is a DNR, this says that, you know, should your body, should her body stop, that, you know, that we’re not going to do any kind of life-saving measures or anything like that. And it was a conversation I had had a hundred times. I mean, really repeated over and over. So for me, it was kind of rogue going over the explanation. And I could see as I was explaining the weight of this decision come on this man and he tears up and he goes, how can I make that choice though? I feel like I’m the one killing her. And I just, right. And I explained, I was like, look, sir, it’s not you. It’s the disease process. And unfortunately where you’re at. I realized, I remember I went home and said, mom, dad, you guys need to have a conversation at the very least of what do I do at this point? I just felt so bad for this man. And I’m sure this is things that you see play out on a constant basis.

SHANE JASMINE YOUNG: We do. And, you know, you have seen the worst of it in real time, right? Where these people are trying to make these decisions last minute, you know, in your presence, having never thought about them, having never had conversations. And we see it also, you know, unfortunately on the, you know, the law firm side where we will often get calls from frantic family members saying, you know, my parent or my grandparent, you know, they’re sick, they’ve got, you know, this condition, they’re in hospice, and they don’t know what to do. And so that’s definitely where we don’t want to be planning, you know, last minute.

DIEGO TRUJILLO: I always, and I would always say it, it’s like shopping for car insurance after your car has gone off the cliff. Right. Like, you know, that’s not the time to shop. It’s when you’re calmly at home and you can really look over all of your options. I would always tell people this.

SHANE JASMINE YOUNG: Yes, exactly. And that’s the thing that we try to get out there in the community. You know, thank you for this podcast, by the way, because having these conversations now and getting people thinking about these things is so important. Because when it’s too late, there’s limited options that we have available. If you don’t have capacity to be able to make decisions, we’re definitely much more limited or there’s another course that involves court that people don’t realize they would have to go through. Yeah, it gets a lot more complicated. Or a conflict within the family as you shared. Here’s one person on one side saying, nope, this is what they would have wanted.

DIEGO TRUJILLO: They wouldn’t have wanted this to spend money on that. Yeah, and everyone’s clearly seeing what the end goal here is. Yeah, no, I can’t imagine the frustration dealing through those situations on top of the fact that you’re losing a loved one. I mean, you’re already going through an extremely difficult time. It’s hard enough. And having to plan funeral services and having to pick all of these things out. I remember repeating a million times, and my sister was always very good with my father on, hey, you know, get all of the documents in one place. And even then, there were still some floating around.

SHANE JASMINE YOUNG: Right, and that’s why it’s important, you know, that, you know, we tell clients and the community, plan while you can, you know, plan while you have the ability to make these decisions while you’re alive and well, you have the capacity, you can have the conversations, put the proper planning in place now so that there’s not a conflict, there’s no question as to what would she have wanted or what would he have wanted or What are we supposed to do now? Or, you know, of course, ending up in court or worse.

DIEGO TRUJILLO: Yeah, even worse. Yeah, where now people are fighting over it and now there’s siblings involved. I would always explain this to people. I mean, people always have this assumption where, you know, when a loved one is going to pass, that everyone comes together. And I’d love for it to be that way. But 90 percent of the time, there’s a lot of emotions. There’s anger. There’s bargaining. There’s, you know, people are going through the stages of grief and everyone handles it completely different.

SHANE JASMINE YOUNG: And that’s often where you see the worst of people come out. I mean, in my own family, I’ve seen it where someone passes away and they may or may not have had any planning in place. And, you know, it’s the grandchildren, it’s the children that are fighting over things. And it’s just not a situation that you want to be in.

DIEGO TRUJILLO: Yeah, there’s ways, especially when you can avoid it, right? Yes. I mean, this is like going mountain climbing and then like, you know, looking for rope after you’re halfway up on the mountain or slipping off, right? This is something you could have planned for and something you could have looked into. And for me, it really spoke to, uh, you know, this, this weekend, I had an epiphany. I was out hiking in a rainforest up in the Northwest. And, uh, and it was really interesting to me. I never explored that kind of forest. I’ve been in jungle. I lived in Central America, but I’ve never been through a forest like that and watching the way these, these giant trees would fall. And as soon as they’d fall, you’d see all these other trees spring life from them, right? So the term is nurse log. And I thought, am I going to be one of those trees when I fall? Like eventually I’m going to be gone. Am I just going to take up space and rot away? Or are things going to grow from what I’ve left, right? And I think like family planning, especially when it comes to estate planning and things like that, I mean, do you, Do you want to let the state figure it out on your behalf? How efficient are they at doing these things, right?

SHANE JASMINE YOUNG: And what a picture you paint, you know, through that, you know, that analogy, that metaphor, right? Where, you know, I don’t think people want to think, number one, they don’t want to think about those things oftentimes. And we see it, you know, culturally, as you mentioned, you know, different cultures, different communities. have a harder time by dealing with the death or dealing with planning for those types of situations.

DIEGO TRUJILLO: Or the thought of death, right?

SHANE JASMINE YOUNG: Yeah. Or they think that by talking about it or by planning that they’re going to bring it on. There’s all these misconceptions, all these myths. And so I can tell everyone that’s listening. You know, by planning, we have never seen, you know, that cause be the cause.

DIEGO TRUJILLO: Do you have the data? Do you have the data? Okay, we need hard numbers. How many of your clients have spoken with you and passed within a year? Right. It just doesn’t happen that way. I think it’s part of a sanitized society that we live in. And I’ll never forget one time, I was reading this book by an Anglican philosopher. And it was really brilliant. He was like, you know, I always push families to do an open casket. And he goes, I know it sounds very crazy, right, that I would insist on this, but we live in a world where we never see death. It’s just not something that we’re exposed to. And you could tell by the way people drive. I mean, people really don’t realize how, like, you are at the edge at all times. You can fall off a little two-step ladder in your home and that’s it, right? And we act like death is just this concept. It’s so far away from us. It’s so distant because we live in a world that’s so sanitized. He goes, you know, every time we would do a funeral service, I would always insist. He goes, no, right. There’s certain exceptions. He goes, but I’d always push the family because there’s a part of being human and standing over that loved one and facing our mortality. And it really leads to us as an audience living different lives as a result of that.

SHANE JASMINE YOUNG: It’s so true. It’s so true. And I think that’s just another common misconception that you brought up is people think, you know, I’m not old enough. You know, I’m not close enough to death to require an estate plan or another. Another one is, you know, I’m not wealthy enough. People think that you have to have you know, millions of dollars to be able to plan for, you know, that time. And an estate plan really should be a plan that anyone puts in place that’s over 18 that, you know, deals with that.

DIEGO TRUJILLO: So unpack that a little bit. Let’s kind of dig in now that you kind of touched that subject, right? So when you’re talking about estate plans, you’re talking about wills, you’re talking about trust, can you break it down for the audience just so we have some clarity? I know we all know everything already. But for everybody else.

SHANE JASMINE YOUNG: Just so we have some clarity. So the common thing when people hear estate plan is you think of, you know, a will or a trust. Sometimes I hear life insurance, right? So those can all be components of an estate plan, but your estate plan really should be a comprehensive plan. that addresses all types of contingencies. So some of these examples that you know you’ve brought up. If you’re in an accident, if you are incapacitated, if you’re in the hospital, who can step in immediately to be able to talk to your doctors if you can’t speak on your own behalf? Who can make those decisions as far as medical care, end-of-life decisions, without any conflict, without family members fighting or disagreeing as to what you would have wanted? who can step in and actually make those decisions for you legally, you know, be authorized to do so, who can go and handle your financial affairs.

DIEGO TRUJILLO: Which is, yeah, the medical power of attorney and the financial power of attorney. So you could even separate your estate among the people that are to kind of have responsibilities.

SHANE JASMINE YOUNG: Exactly, because there’s different roles, right? There’s, you know, the medical side and then there’s the financial side. So financial powers of attorney are important if you’re incapacitated. So if you haven’t passed away and you need someone to go to the bank for you, Because you can’t handle your financial affairs, you can’t pay your bills, pay your mortgage. You want someone that you trust as a fiduciary, as a financial agent, to be able to go and handle those affairs for you while you’re still alive. So that’s a financial power of attorney. Now, after you’ve passed away, now it goes into, do we have a will? Do we have an executor? Do we have a trust? Do we have a successor trustee? Those are different roles there.

DIEGO TRUJILLO: So and you do this analysis with every client that comes in?

SHANE JASMINE YOUNG: Yes, so what we do is we invite everyone, including the audience, to schedule a complimentary family wealth planning session. So this planning session normally is $750, but when you come through, you know, someone like Diego, you know, this podcast.

DIEGO TRUJILLO: Thank you very much. I mentioned Las Vegas Heels. Yes, please. And this is a one-on-one meeting? It is.

SHANE JASMINE YOUNG: So they’ll have the opportunity to schedule a one-on-one meeting or, you know, if it’s a couple, you know, with an attorney, a private meeting. And we go through and we talk about where things are. You know, what are your concerns? What are your family dynamics?

DIEGO TRUJILLO: What are the typical questions do you ask? I guess people, I’m kind of curious, right? Walk us through a little bit. What are the questions? Where are you trying to get immediately to kind of start putting this picture together?

SHANE JASMINE YOUNG: Sure. So before clients come in for a family wealth planning session, we ask that they watch a webinar. So there’s a 60 minute webinar on our website. It’s younglawlive.com. And it’s, the webinar goes into more, a little more detail, but still it’s kind of like estate planning 101. What is a will? What is a trust? What are these important decisions that we want to make? How do people often make mistakes that end up with their plans failing? How do we avoid those mistakes? So, and it gives a good sense of, you know, who we are as a firm, because we do approach things differently than the traditional estate planning firm or, you know, estate planning lawyer, where we want to make sure that all of the bases are covered and it’s comprehensive. So, when they come in for the session, before they come in for the session, They complete a family profile that gets them thinking really about what is important to me. So it’s almost like a questionnaire. Are you concerned about X, Y, Z? Is it probate? Is it protecting your young children? Is it your pets? Is it your spouse? Do you want to avoid taxes? Are you a business owner? All these different dynamics go into how we guide clients through the planning process. It also helps the benefit of the family profile and kind of going through this process is it allows them to become financially and legally organized. They’re gathering this information, they’re thinking about these things, so that… Which otherwise would just, the family has to go rifle through everything and kind of put these pieces together. Yeah, and you’re always missing something when that happens. Okay. So it allows us to start the process of gathering the information and making their plan as comprehensive as they want it. So when they come in for the session, we talk through, you know, those items in the family profile. I’ll ask about the family dynamics. You know, are they married? Are they single? Do they have young children? Do they have adult children? Do they have adoptive children? Any pets that they’re concerned about? You get very thorough. Yeah, so all of those family details. And then we also talk a little bit about the assets. So, do you have a home? Do you have bank accounts? Do you have investment accounts, retirement accounts, life insurance, you know, vehicles, personal property, like all the things in your home? Let’s take a brief inventory of these things because a lot of people don’t realize that if you have a home, if you have some of these assets, it’s a trigger for probate if you don’t have a proper plan in place.

DIEGO TRUJILLO: Okay. And probate being?

SHANE JASMINE YOUNG: Probate is the court process that we have to go through when a loved one dies, and they don’t have a proper estate plan. So they either have no plan, or maybe they just have a will, or they have a defective trust, a trust that wasn’t set up properly. So if you only have a will, for example, and let’s talk about the difference between a will and a trust. So a will really only deals with the disposition of your assets. It basically just says who gets what. And when you only have a will, it has to be filed with the probate court. So the probate judge is the one that’s deciding how quickly these parts of your estate are finalized. Creditors are the first ones that are able to make claims, and they are the first ones that get paid. including, you know, the government, the IRS. So taxes come out of your estate and your family has to wait during this process until it’s finalized and a judge basically issues an order saying… They kind of clear everything, basically.

DIEGO TRUJILLO: The role of the probate is to make sure all the creditors are paid, basically. Exactly, right. So they make sure everyone gets paid and then say, okay, you can have this stuff.

SHANE JASMINE YOUNG: Exactly. And it’s voluntary. That’s what a lot of people don’t realize. So if you don’t have a proper plan, you only have a will, then you’re opting your family in to probate into this process. And it’s a public process. A lot of people don’t realize it’s public. So anyone can go and see what’s in the estate, who the family members are, who the heirs are that are supposed to be receiving these assets. That’s how a lot of predators will prey.

DIEGO TRUJILLO: I was just going to ask you, you said that with a certain look in your eye, as if like, yeah, this is where they’re finding. What is happening there? What are people seeing? You mentioned predators and bad actors.

SHANE JASMINE YOUNG: Yeah. So are you familiar with Tony Hsieh, the former Zappos CEO? So he was based in Las Vegas. He was 46 years old when he passed away a couple of years ago now. And his estate has had to go through probate because he didn’t have anything in place, not even a will. So now his brother and his father were appointed as executors. One of them has since stepped down. But he had all of these properties where creditors were able to make claims, including his ex-girlfriend that said, you know, I have this contract that says I’m owed $15,000 a day for, you know, this and that, or I think actually it was $30,000. So all of these people have come out of the woodwork making claims on the estate because they’re able to see what assets he had, including real estate.

DIEGO TRUJILLO: So people just make up claims and just start showing up and saying, hey, I’m owed this.

SHANE JASMINE YOUNG: Yes. And some of his properties were actually fraudulently transferred because these bad actors were able to get access to information on his assets, Tony Hsieh’s assets. So they went and they filed these fraudulent deeds. It only came out after the fact where there were some other people involved in his estate on his side that were able to see that these things had happened. And otherwise, these assets would have been transferred to these third parties, and no one would have known.

DIEGO TRUJILLO: So this is one of your more money, more problems situation going down without some kind of arrangements or final arrangements made.

SHANE JASMINE YOUNG: Right. But even for people that don’t have extensive assets. These could all be headaches, even if you don’t have a lot. If you only have a house, which most people do. Even without a house, if you’ve got bank accounts, investment accounts, anything else that’s important. Nevada has a really low threshold. So any estates that are valued at over $25,000, There has to be a filing, a probate-related filing. Now, a lesser amount of assets is not going to take as long as something that’s a little more complicated or more assets, more value to it. But yeah, there’s a filing. So that’s what happens if you only have a will. So a will just deals with the disposition, just says who gets what. But ultimately, it’s a judge that decides how that happens and when it happens. Now, if you have a trust, it’s a much more comprehensive set of documents beyond just a will. So yes, it’s going to include… Does it include a will? It does. So when we do planning, we always include what’s called a pour-over will with a trust because if there is an asset that doesn’t get properly titled or retitled if it’s not in the name of the trust. And I can talk about that, what that means. Then we use the pour-over will to basically submit that to the court and say, hey, judge, we don’t need to do a full probate here. We actually have a trust. We have these other assets. This asset was just left out. Can we pour it into the estate?

DIEGO TRUJILLO: Oh, it just kind of covers whatever might not have been named. Exactly.

SHANE JASMINE YOUNG: Yeah, it’s just a safeguard. So yes, we still do a will, but really when you have a trust, that’s the centerpiece of your plan. And I’m talking about a revocable living trust. So the main purpose of a revocable living trust is that we’re able to avoid probate, we’re able to avoid taxes, we can keep everything private and handled immediately by the people that you want and trust. to handle things versus having to go through a public extended process, expensive process. That’s another thing a lot of people don’t realize, how expensive probate can be.

DIEGO TRUJILLO: Which is important. If you’re wanting to hide your assets, just keep it private. If you don’t want everyone to find out, this would be the vehicle to be able to do that.

SHANE JASMINE YOUNG: Exactly. Because everything can be handled privately with our guidance. We’re there to guide. But everything can be handled within the family, within the people that are legally authorized to step in. Everything is laid out, so there’s no question. There’s no conflict. Family members don’t have to go to court.

DIEGO TRUJILLO: And typically, yeah, I was going to ask, so who would challenge those kinds of things?

SHANE JASMINE YOUNG: Yeah, so if you have a properly set up plan, then one of the things that we include are provisions like a no contest provision. So if there is a potential beneficiary that tries to, or anyone that tries to make a claim or contest what’s set forth in the trust, then they basically are prohibited from taking anything. So it basically disincentivizes someone to cause trouble. And another thing that we offer to clients is our firm can serve as what’s called the trust protector, and that’s different than the trustee. So when you have a trust, you have a trustee, and that’s the person that manages the assets, makes sure that the assets go to the beneficiary or beneficiaries that you’ve chosen. The trust protector is really there to protect your intention as the person that set up the trust. So, especially after you’ve passed away, if there’s an issue between the trustee and the beneficiary, right, that the trust protector can step in and serve as a mediator, as a referee. We’re able to resolve the issue without them having to go to court. So, that’s the default if there’s a problem.

DIEGO TRUJILLO: And how often do you find yourself in those positions?

SHANE JASMINE YOUNG: So as a trust protector, we’re able to resolve any issue, and we can right the ship. So that makes it a lot easier. Do you find that happening frequently? It doesn’t happen very frequently. So it’s nice because, you know, it’s just that added peace of mind.

DIEGO TRUJILLO: Oh, correct. Yeah. But when it does, I’m sure it’s another headache, right? Right. Because then you just avoided everything for the government to get involved, and someone just came and basically started rattling the cage, and now the government’s involved.

SHANE JASMINE YOUNG: Right. And when you have a well-crafted plan that is comprehensive and it really covers all of the bases, then it minimizes the opportunity for there to be any type of challenge.

DIEGO TRUJILLO: Yeah, because it would seem the more clear a plan you lay out, the less ambiguity. We’re going to know exactly what this person was going for, right? And then you’re there as the protector to make, no, no, no, that wasn’t the intention. You know, you can read it right here, here, and here, and these other seven passages where it said this, right?

SHANE JASMINE YOUNG: Exactly. And because we drafted the documents, we know exactly.

DIEGO TRUJILLO: You spoke with the person, yeah, right? Yeah, exactly. You even know all the jokes they made in the back room.

SHANE JASMINE YOUNG: I take a lot of notes. That’s one thing that clients often, you know, see me doing. You know, when I’m meeting with them, I’m taking a lot of notes because, of course, I may not remember, you know, the exact conversations, right, 10 years later. But, you know, having notes jogs my memory and I can refer back to them as we are helping support the family moving forward.

DIEGO TRUJILLO: And this process that you mentioned, right? So you mentioned, you send them to the website, they go on, it was younglawlive.com? Yes. And then they take a webinar to get ready. Is this something, a process that your organization kind of established? Yes. This wasn’t taught in law school, this was you saying, okay, what is the young difference? Yeah.

SHANE JASMINE YOUNG: So we really try to make things as easy as possible because as we know, you know, with our own personal experiences and experience in business, It can be overwhelming for people that don’t understand the process. And we want to make sure that we’re supporting people that are wanting to make planning a priority. And we start by education, by providing resources, by being out in the community, you know, and speaking. By doing these things to be able to get all the information out. And so the website that you mentioned, it has our on-demand webinar. So we do a weekly webcast. It’s a live webcast we do every Thursday at 6 p.m. So if you want to be able to engage and you ask questions, you’re able to do so through a chat box.

DIEGO TRUJILLO: How hard is it, getting a little zoomed out, how hard is it to keep people tracked on that? And I ask this kind of curious because I’ll see it sometimes like a hospice company will have an Instagram and they’ll say, well, we’ll follow our Instagram. I don’t know if I want a hospice popping up all the time on my social media, right? All these negative things. How is the receptivity from the community? How are they responding to?

SHANE JASMINE YOUNG: You know, we get such great feedback because my personal Instagram and the Young Law Group Instagram, for example, you mentioned, you know, social media. There’s a lot of crossover. There’s a lot of overlap because I’ll post a lot of things related to planning on my personal page because we’re talking about these things. It’s our families.

DIEGO TRUJILLO: At this point, it’s who you are. So I don’t know how you and I connected. But at one point, we’re connected. And I was like, huh, who’s this person? I always notice families. I pay a lot of attention on social media because people get, in my opinion, get an opportunity to show the world what they think is important. Is that material wealth? Is it this? Is it that? And some people just play right into the shallowness of it. For me, I started in 2008 back in college. I had a lot of friends that went all over the world. So I’m able to track, hey, this is what Gary Botswana is doing. You know, this person went off to work at an orphanage in Ghana. And so, you know, I’m able to kind of stay up with our friends. Right. And for me, it’s always like I always share me, my boys, you know, trips. It’s kind of the thing that I’m into. And so I always observe what people post. And it was always you and your family. Yeah. I was like, man, what a beautiful family. They’re always so close knit together. Gigantic smiles everywhere. So it was. Yeah. And then the young law group was all over. You kind of have become like one. You are the young law family.

SHANE JASMINE YOUNG: And it’s funny because, so my husband and I, I mentioned, you know, we’re the owners of the business and then we’ve got five daughters. So our daughters, our youngest one, yes, our youngest just turned 13. So we’re like all like through the baby phase right now. But our youngest is Samar, she’s 13. And then Cameron is 14, Kaylin is 16. And then my twins, who I actually had just before starting law school, are now 23 and they just finished their first year of law school. So, they are continuing to be lawyers. They work with our firm. So, a lot of clients, after they meet with me, it might be one of our daughters or, of course, another team member that’s following up, you know, to gather information. So, it’s always nice to have that.

DIEGO TRUJILLO: That’s incredible. So, speaking, going back to that reference of the tree, right? When the tree falls, what are you going to leave behind?

SHANE JASMINE YOUNG: Right. And that’s part of our plan, right? You know, it’s part of my business succession plan, which is essentially, you know, an estate plan for the business, right?

DIEGO TRUJILLO: You know, what if something happens?

SHANE JASMINE YOUNG: And there’s so many contingencies that we as business owners need to plan for, but you know, what do I want moving forward with respect to my business? And it is for it to continue. It is for my family to continue to serve this community and continue to educate and provide resources because estate planning touches everyone. And that’s one of the beauties of being an estate planning attorney. You know, when I was doing business before only business, it was only a certain pocket of the population, right, that really, you know, was interested in that. But estate planning touches everyone. So I’m constantly able to integrate that with our normal life.

DIEGO TRUJILLO: And what was your aha moment? Was that case you were talking, that pro bono case, where you’re just like, wow, what a mess. Yes. I could help here.

SHANE JASMINE YOUNG: It was definitely multiple things that happened along the way. But that was that first time where I saw, oh my gosh, this poor family paid all this money. to avoid this issue. And now the children, who were adults, thankfully, but the children were going through, they were fighting with this ex-wife who we all know, the dad that passed away, we knew that he didn’t want her to inherit these things, but because he never updated his plan, it just caused all these problems. And then since then, I continue to do pro bono work, I continue to expand my practice to be able to serve clients on the estate planning side. And then, of course, when I started my firm, it was a no-brainer. Like, this is what we’re going to do. And it’s been such a blessing.

DIEGO TRUJILLO: Was your husband on board fully for the whole process? Oh, yeah. I’m sure you’re coming home and telling him these stories of like, oh, my god, you cannot believe this.

SHANE JASMINE YOUNG: Yes. And he, just because we are so family-oriented, he was just like, OK, well, when you’re ready to start the firm, because I was the one that dragged my feet on that.

DIEGO TRUJILLO: All right, all right.

SHANE JASMINE YOUNG: So he knew from the beginning, you know, we’re going to start a firm. We’re going to do this. We’re going to be able to, you know, like create more for others versus, you know, working in a confined setting. And so as I was telling him these things, you know, he was just like, OK, this is, you know, like, yes, this is this is part of our purpose, you know, being able to help other families who don’t necessarily have the information or access even.

DIEGO TRUJILLO: You know, you kind of fall into your role. It’s very odd to kind of say to people, and I say this because even when I think of where I was at 30 years old, and I’m 39 now, when I think of where I’m at, and I talk to some kids that are like, man, I’m already 31. I was like, man, I didn’t even know. Like, you know, I liked working in hospice. I think at like 31, 32, I got into hospice. I was like, you know, I really enjoyed it. No, I may have been around 30. Time flies. Yeah. No, I started getting into hospice. I felt a passion for it. But I had no idea where the road would end. Right. Right. Doors would open. I opened a Facebook group which somehow blew up. Right. And, you know, there’s things that we did to really bring it together and things that we push for. But it’s very interesting the way that the calling in life sometimes presents itself and you have the option to kind of respond. And I find it so fascinating that it wasn’t just you, that your husband was always there present. Was he always as sensitive? Yeah. To the direction of things or was he on his own business trip and then he said, all right, what do you want to do?

SHANE JASMINE YOUNG: Yeah. No, he was always very tuned in and you’ve met him before. Yeah, I have. So you can see he’s very much aware.

DIEGO TRUJILLO: You can see it through the pictures, I’m telling you. Yeah. There’s definitely a unity there. So I was just curious on that now that you brought it up because you said you were dragging your feet on it.

SHANE JASMINE YOUNG: Yeah, I was because I was scared. I was scared to start my own business. A hundred percent. What if I fail and we had a family. I was so used to the stability of having this really nice paycheck of working with these big firms.

DIEGO TRUJILLO: Which came every two weeks. Exactly.

SHANE JASMINE YOUNG: I could depend on it. Our bills were being paid. And so it was scary to think about letting that go and starting something new. You know, when I started the firm, when we started the firm, we had zero clients because I was coming from not a law firm, but being the general counsel for a financial services company. So I didn’t have a book of business. It was really starting from scratch.

DIEGO TRUJILLO: So what was that start like? I’m kind of curious. Was there like a day one you both showed up on a Monday and were like, well, here we are?

SHANE JASMINE YOUNG: Well, so when I, my last job that where I was an employee was for a financial services company called Provident Trust Group. So when they hired me, they actually hired me and my sister who’s also an attorney to be their legal team. And your dad really put it into you guys. It worked for two out of three at least. So we started there and the owners were very transparent. They said, look, we’re looking for the two of you to help us. get all of our legal affairs in order so that we can sell the business. So, you know, we were there to really do cleanup and also compliance and make sure that everything was being done properly with the business so that they could hand, you know, hand it off properly in this potential sale moving forward. So we didn’t know the time frames necessarily, but I was thinking it was going to be January of 2020, or sorry, 2018. was the time frame that we were looking at. But it ended up happening sooner in the summer of 2017. And I came to work one day and they said, OK, well, the buyer confirmed this and that. They want to basically take over.

DIEGO TRUJILLO: They shook your hand and said, thank you? Yes, thank you very much. Yeah. Oh, so this was the push out of the nest. That was what I needed. This was the push out of the nest, that crisis moment. Yes, yeah. Now, let me ask you this, and I want you to be very honest with me, because I experienced that. Did you immediately start thinking, where am I going to go get a job? Or were you immediately like, all right, well. The sign is clear. I got to be an entrepreneur.

SHANE JASMINE YOUNG: It’s so funny, because Charles and I, my husband Charles, had talked about what the next step would be. And so we knew that it was going to be starting our own firm. We just thought it was going to be a few months down the road.

DIEGO TRUJILLO: On your timeline.

SHANE JASMINE YOUNG: Yes. And so we already had a few things in the works. But really, it was just kind of the idea and the mission and the purpose, but nothing really hard set. Like I hadn’t set it up, set up the business.

DIEGO TRUJILLO: Yeah, there weren’t dates you didn’t have.

SHANE JASMINE YOUNG: Okay. Yeah, we had a website and that was about it.

DIEGO TRUJILLO: So it just turned into a scramble for you guys.

SHANE JASMINE YOUNG: It did. And I did think, you know, to be honest with you, I, you know, I went on LinkedIn. I was like, should I, you know, get another job at least in the interim because, you know, to continue to be able to start this business.

DIEGO TRUJILLO: Stability and security, right?

SHANE JASMINE YOUNG: Yeah. And I guess, you know, I really don’t remember how long that contemplation lasted, I think, I want to say it was like 30 minutes.

DIEGO TRUJILLO: It was pretty quick. Yeah, you panic for a second and then you think, wait, why am I trying to get back in the cage? Right, no, exactly.

SHANE JASMINE YOUNG: Like I need to utilize this opportunity. This is an opportunity. And I came home that day and I remember I walked in the house. My mom was there with my daughters and she came out. And she saw me unpacking my things. We had a big SUV, so I was unpacking all the boxes and multiple boxes. And so she was like, Shane, what happened? And I said, oh, well, today was my last day at the business. And she’s like, What? What happened? And I explained.

DIEGO TRUJILLO: She didn’t really know the background. You know the moms with the soothing tone right away. What do you mean? And what are you going to do?

SHANE JASMINE YOUNG: I don’t know. And so I said, you know, well, you know, she’s like, but you’re not upset. And I said, no, because this needed to happen. You know, the timing was, you know, it was a little scary. But look, you know, this is what needed to happen for me to really be full fledged invested in the next step. This is how it needs to be.” And I knew, you know, my husband was so excited.

DIEGO TRUJILLO: Was he ready, set, go? He was ready.

SHANE JASMINE YOUNG: The minute you told, finally, yes, let’s do this. He was so ready. So he was like, we could have done this 10 years ago. I’m like, well, you know, but we needed to go through, I needed to go through the process, you know. And so once, you know, we were still aligned with what we wanted to do, we immediately dove into creating the business. You know, getting our message out there. You know, we also do other things like business and personal injury. So we’ve done that from the beginning. And the company that I had left, Provident Trust Group, these new owners that came in basically hired me on a retainer basis to be their business counsel, their outside counsel. That was my first business client, and that was nice. Then they actually tried to rehire me to come back as a full-time employee with a new business. I was like, no, no, no, that’s okay. I’m going to continue.

DIEGO TRUJILLO: I’m already out. I already got the wind, I’m flying.

SHANE JASMINE YOUNG: Right. Yeah. So it all worked out the way that it’s supposed to. I’m so grateful for all of the experience, good and bad.

DIEGO TRUJILLO: Yeah, these steps are always very interesting. There’s a book I always recommend to people called The Road to Character by Charles Brooks. And in the first chapter, he talks about the way, right, we live in a society that’s very, like, you need to find the truth within yourself and, you know, you need to dig deep. And he was like, you know, And he disagreed in the discussion. And he brought up Viktor Frankl, the writer of The Man’s Search for Me. And he goes, you know, you talk to this man that just lost his wife, his parents, his children, all his wealth, to dig inside of himself and find his truth. Like, what are you talking about, right? It wasn’t inside of him. He responded to a calling that occurred outside of him. And we all have that choice to respond or not to respond, right? And I think it’s that panicky moment that you’re describing where you’re just like, You know immediately on the drive home like, you know, you kind of needed to go that way But am I ready and no and right all the reasons why maybe no and of course mom’s tone never helps, right? What do you mean what are you gonna do I don’t know but you have bill I know right we’ll figure it out they really play it up No, it’s good to have you know in your in your instance you had someone very important that was like hey, finally, right?

SHANE JASMINE YOUNG: Let’s go Yeah, and thank thank goodness because it can be it can be scary I see a lot of entrepreneurs a lot of business owners that have these dreams, but they’re not supported Yeah, and it doesn’t have to be a spouse, you know, it can be anyone that can write to support you But oftentimes it’s you know, it’s lonely

DIEGO TRUJILLO: Yeah, and people don’t understand the full scope of it, right? One, you have enough work just doing the estates. I mean, the actual, you know, the actual attorney work, let alone building a business and branding and how are we going to do this? And what are we going to go here? And how do we, you know, there’s a lot of strategy around it that, you know, hats off to those people that do, but typically they find people that are able to kind of build those things out.

SHANE JASMINE YOUNG: Right. And that’s what I advise all the business clients that I work with. Find them in high school.


SHANE JASMINE YOUNG: Well, that too. But, but yeah, it’s, you know, you have a specific skill set or a gift and you can’t do everything. You know, you’re not an attorney, you’re not a tax advisor, you’re not a financial advisor, you know, you’re a doctor, you’re this, you’re that. So focus on what you need to focus on and hire the right people to handle those things. And you’ll be so much happier. You’ll have so much more time to focus on the things that build your business.

DIEGO TRUJILLO: Right. Yeah. You know, there was an expression that I was kind of anti-everything. Because, you know, I was always like, my parents were always, you need to get straight A’s. And I remember at a conference one time, a guy, he was like, you know, I remember when, and I tell my kids the same thing, to be fair. Yes, we do. Because I went to school in Central America, and I was like, oh my God, guys, this is a cakewalk. Please, you need to get straight A’s. Yeah. But one of the things he said, if you only work on your weaknesses, the best you’ll ever be is mediocre. And that spoke to me so heavily, right? So what are my talents? And that was something that was never really taught to me in school. It was like, hey, and I always bring this up with like leadership, which for me was the bane of my existence until I was like 30, 35, where it kind of clicked onto, oh, how do I use this, right? Before then, leadership was always, you know, if I got in trouble, I’d get in trouble worse than everybody else because, Diego, you were the leader. I never asked to be the leader. Right? And so I never learned how to really utilize these tools, these skills, the giftings that I have and to kind of make an inventory and to start applying those things. And when it’s outside of that scope, to outsource it to somebody else.

SHANE JASMINE YOUNG: So true. And I wish that more people would realize that because they think that they’ve got to do all the things. Yeah. And you don’t. You can really focus on what, you know, the best use of your time and energy is.

DIEGO TRUJILLO: Yes. You know, and it was bringing that up even when, you know, my partner that I started Vegas Healthcare with, that has kind of been there through thick and thin. And people will ask us, so we had met when we were marketing. She came to market one time. She worked at a home health. I worked in hospice. We said, hey, you want to go market together? We just got along. We started this Facebook group, you know, so people can kind of post. could post different ideas and it wasn’t, we had a lunch one time with like five other people and I was like, you know, it’d be cool. What if like different organizations just film their own commercials on their cell phone and we see what skilled nursing facility, you know, can do the coolest commercial or what? You know, I just started saying, how can we interact and engage as a community? I started throwing ideas and the other people were like kind of bouncing back and she just had her head down on a piece of paper, just writing every single idea that I had. I would throw it out, she’d write it down, she’d write it down, she’d write it down and then at the very end she goes, okay, so how are we gonna get started on this? And I was just right. All of a sudden, I had an implementer that was just like, here are all these great ideas. Let’s do something with them. How can we start executing these ideas? And there were times where she’d say, oh, well, let’s run this contest or let’s do this. And I would tell her, I think that’s a terrible idea. I don’t think that’ll work. I think that’ll annoy people, blah, blah, blah, blah, blah. And I couldn’t have been more wrong. If I had tried to keep the control of the steering wheel the whole time, the growth, I mean, 3,000, 4,000 people would join at a time. Because of ideas she would have and for me, it’s always important to surround yourself, right? The people that are with you and in your case, I mean with your daughters, with your husband, who else is gonna watch your back better? Right, exactly. Exactly.

SHANE JASMINE YOUNG: And thankfully we have surrounded ourselves with others that have our back. You know, we work with the Regulus Media Group. So that’s, you know, the business that handles all of our marketing that you see, all of the media. So those are things. It’s a good plug for them.

DIEGO TRUJILLO: Yes. Yeah. All of your content’s incredible.

SHANE JASMINE YOUNG: It’s so good, right? And I get credit. Oftentimes people are like, oh, it’s so good. You’re doing all these things. And it’s not me. You know, I have a team that does all those things and so well supported, not just on the marketing side, but on the operational side. You know, we just have such a great. you know, dynamic with working with them. And it has resulted in me having to give up a lot of control, you know, when it just started with just me, you know, I was making all of the decisions, of course, you know, with my husband, but I was that main, you know, that focal point. It ended, you know, it started and ended with me. And so as our business has grown, I’ve had to learn to rely on other people, you know, that I can trust, of course, and let go of those things that I was normally,

DIEGO TRUJILLO: But you see how much better, if you would have been in charge of the branding and the image, right? How much further they were able to take it because you were able to let go of that control. Exactly. You found a trusting partner. And so circling back to the estates and things like that, what are the aha moments for you? What are the moments that make you feel like, wow, this is exactly, I’m exactly where I want to be?

SHANE JASMINE YOUNG: Every time I have a client come in where sometimes it’s with a couple, for example, we’ll often see that, you know, one partner is like full, fully vested, you know, they’re ready to plan. Sometimes there’s, you know, another, you know, the partner or the spouse that’s like, you know, I don’t think that we need this, or I don’t want to have this conversation, you know, whatever the objections or concerns might be. And then at the end of the session, where both of them, you just see this sense of relief, like, oh, I’m so glad that we were able to take the time that we, you know, got over that hump that we made the decision, you know, to put a plan in place and it’s like a weight gets lifted off of them.

DIEGO TRUJILLO: You know, I was just listening to a podcast with a divorce attorney and it was, you know, at first I kind of kind of I always told, because somebody recommended it to me, and they were like, well, let me know what you think. And at first, I’m thinking, like, of course, right? If you ask an attorney, everything is always the worst in the world, because they’re seeing the worst in the world, right? Going back to Nietzsche and, you know, if you stare into the abyss, the abyss also stares. That’s what you’re exposed to, and you’re seeing the worst examples of, like, slip and falls, just anything, right? You’re always seeing the worst. That’s why it’s in court. And so sure enough, I kind of go into listening to this attorney. The podcast was fascinating. And he starts talking about, you know, it was something I would tell, I would do pre-merit of counseling. I went to school, my degree is in theology. So when I’d meet with couples and that was one thing that I’d say, hey, okay, you guys are going to start a business. There’s like a 56% chance you’re going to fail on this business. And right in their eyes would open up. I was like, So it might be best to do your due diligence and really find out about each other right now And a lot of times we have these relationships we’re in and this is something the divorce attorney was talking about He goes people need to clarify these things These are just discussions they need to have and the host would push back and say yeah, you know We don’t really like having these he’s like you don’t like having them, right? Yeah, you think you’re going to enjoy the conversation down the road? There’s so many things in our life that we just keep pushing back and pushing back. But when we do have that clarity, I mean, if you think about what you’re doing, yes, you’re doing estate planning, but you’re helping two people with different opinions, different ideas, different ways. even though they’ve been married for 30 years and helping them to align in a specific way, which I never would have thought until you said that right now, right?

SHANE JASMINE YOUNG: And it’s true. That’s why, you know, like on my signature block in my email, for example, it says attorney and counselor at law. And that the counselor at law is a very common term that attorneys utilize, but really we are counselors. I am a counselor. I’m dealing with these very confidential, very private matters, you know, personal matters with these families. We’re talking about, you know, their money. We’re talking about Their children, their family members, their wishes.

DIEGO TRUJILLO: The ex-wives. Right. All the mixtures.

SHANE JASMINE YOUNG: The legacy. All of these things that are so important. I think that that’s another reason why I love what I do because I get to have these really meaningful conversations with clients and I get to guide them through some of the things that have held them back.

DIEGO TRUJILLO: They’re in a jungle. They’re literally lost in a jungle, and you’re just kind of showing them a path. Okay, here’s a way out.

SHANE JASMINE YOUNG: Right. And I’m not there to tell them, like, this is what you need. Here, sign here. I’m here to guide them. I’m here to educate them, empower them to make the best decisions that fit, you know, for their families.

DIEGO TRUJILLO: Right, and their circumstances. So it was the same thing. Anyone that’s… that does sales well and when I sell sales because I used to work in hospice and you think about selling hospice and you know I remember when I stepped in and I’d go in like have these conversations and I you know this is what we do and blah blah blah and I remember I had a mentor and she told me hey you need to shut up and I was like what are you talking about she goes you need to not talk for like the first 30 minutes Let them talk. And I was just like, huh? And she would say, yeah. And so, because I was very eager to get in there and, you know, look, I learned all of this material and it wasn’t about that. It’s just, just be quiet. What do you guys want? Where are you at now? And where are you trying to get? And then use all the tools that you have to help them get there.

SHANE JASMINE YOUNG: Right. And it’s so important. And that’s why, you know, going back to the family wealth planning session or the life and legacy planning session that we offer, that’s where I, you know, I’ll ask the question and then they’ll share the information with me, you know, because I want to understand what’s important to you. Sometimes it isn’t about the money. Sometimes it’s about these other decisions that are so critical, you know, they don’t really care about this or that. And so it’s, it’s unique to every, every client, every family has their own things that are specific.

DIEGO TRUJILLO: You’re always surprised to find out. And I’ll bring this up because I wanted to discuss this with you and get your kind of input on this. One time I was listening to a podcast with Mark Garagos. And Mark Garagos is talking. He’s represented many famous clients. And somebody asked him, if there’s one thing in the law that you could change What would it be and he said that there is no inheritance? Yeah, and the and the the host who was kind of conservative was like, what do you mean? What is the state gonna take it and blah blah blah and he goes no he goes and and Mark Geragos was very clear He was like I would say about 50% of people that come to my office in LA I just come in and say hey, I have a trust when I turn 30, but I’m only 23. How can I access it? He goes, and the amount of times I have to look at someone and say, hey, this is like locked. It’s ironclad. There’s no way you’re going to tap in. He goes, they will go home and sit on their hands for six or seven years until they can access. He goes, I’ve never seen a fire put out inside of a human being, like knowing that there’s a trust and they just can’t access it yet.

SHANE JASMINE YOUNG: And that’s where I think old school meets the new school. So when we talk about traditional estate planning, there are still estate planning attorneys that set things up that way. And in certain cases, it might be necessary, but that’s where having newer provisions, new changes in the law that are being incorporated, including things like the trust protector. Because if there’s a trust protector in that scenario, then we could potentially make some adjustments to achieve the intention or the intent of the person that set it up.

DIEGO TRUJILLO: Okay, so that’s where it would fit in. Not in a challenging way, but a more nuanced approach. So I’m kind of curious when, do you see this? Oh, yeah.

SHANE JASMINE YOUNG: Is it? Well, with like the trust fund baby type of situation?

DIEGO TRUJILLO: Yeah, where they’re trying to tap into trust a little bit earlier. What are your thoughts on that? I’m kind of curious.

SHANE JASMINE YOUNG: Right. Well, we don’t see it as often.

DIEGO TRUJILLO: But we’re not in LA, right?

SHANE JASMINE YOUNG: Right. And so it’s more so we’re focused more on the planning side of what does it look like moving forward with these clients that they’ve got children, whether they’re young or they’re well into their adulthood. What are the things that are important to the people that are setting up these trusts so that when they are no longer here, their children aren’t tied to something that doesn’t make sense for the family? So we are able to set up similar types of trusts. We call them lifetime asset protection trusts. But we can create parameters that can be very liberal or very restrictive or conservative.

DIEGO TRUJILLO: And how often are you seeing clients? Is this something so when Mark Ergo said that right? It really caught my attention and I was like, yeah, and so Hoping my kids never listen to this episode of the podcast, right? So I’ve always told my boys you guys are not getting a single thing You guys will fight for everything you have on this earth just like I have right and so uh, and you know I one time I told that to my sister’s like hey, that’s kind of cruel to you and I was like No, I mean I plan on leaving them something. I just don’t want them to count on it Right.

SHANE JASMINE YOUNG: And that’s where having, you know, working with, you know, a lawyer or a law firm that understands really what your goals are and what, you know, the values that you’re instilling.

DIEGO TRUJILLO: Because they’re interpreting kind of what you want. Yeah.

SHANE JASMINE YOUNG: All right. And that’s where, you know, we focus on the family values also. So, you know, if you came in and we talked about those things and, you know, you were a client that said, look, I do want to leave something. I want to leave a legacy, you know, for my children. But I don’t want them to have this sense of entitlement which stifles their growth or paralyzes them from being able to make decisions or work or create their own businesses, things like that. So we take all of those considerations in and we draft the provisions around it where there’s language.

DIEGO TRUJILLO: Can you give me examples of one? Yeah. Because my sister threw one out. She’s like, yeah, well, what if you throw them $25,000 when they get married? Or what if, are there other things? Well, I’m kind of curious.

SHANE JASMINE YOUNG: Yeah. So it’s really whatever you want. So whatever those provisions are, and you know, your sister, you know, gave a good example. If, you know, you want to be able to contribute to a wedding that they might have, and you’ve allocated a specific amount. Sometimes we have clients that will say, all right, well, I don’t want them to be able to access themselves. I don’t want them to withdraw money until they reach a certain stage in life. So it could be an age, you know, oh, when they’re 30, like the example that you shared. Or it could be after they’ve graduated from college or after they’ve achieved this, you know, because the parents want to encourage.

DIEGO TRUJILLO: They’re looking for an evolution, not necessarily a number, right?

SHANE JASMINE YOUNG: Right. And then we can draft in provisions that grant the trustee the flexibility to see, okay, well, is this now adult child, you know, are they making the proper decisions? If they’re not, say they’re, you know, they’ve got a drug problem or an alcohol problem, okay, well, then we can block them from being able to access the money until a certain point. Yeah, there’s so much flexibility that we can create with these types of trusts.

DIEGO TRUJILLO: Now, do you oversee that? Do you hire a law firm to be the the trustee?

SHANE JASMINE YOUNG: So the trustee is typically someone that the family appoints. So if, you know, husband and wife come in and they are creating their plan, they’ll agree on typically, you know, who would step in after both of them have passed away. So usually it’s a family member or a friend that they trust in that capacity. But if there isn’t someone or if they would prefer a third party, like a neutral, unbiased party to handle that part of it, It’s, you know, there are other firms or trust companies that typically serve and provide trustee services. So my firm doesn’t do the trustee services part of it, but what we can do is the trust protector. So that’s, you know, a little bit different than the trustee.

DIEGO TRUJILLO: You give them the tools so that the trustee can execute properly and you set them up for success and not battles.

SHANE JASMINE YOUNG: Exactly. And the trustee can come to us and say, hey, you know, I’m not really sure what to do in this situation or I’m having an issue with a beneficiary. What, you know, what do I need to do? And we’ll look to the trust and we’ll say, OK, these are the provisions. This is how the trust works. This was the intent behind it. And if we need to make adjustments to, you know, be flexible and with what’s, you know, what we’re being faced with and we’re able to do that.

DIEGO TRUJILLO: And how often do you think families should re-look at their trust in their estate planning?

SHANE JASMINE YOUNG: Oh, I love this question. So at least every three years.

DIEGO TRUJILLO: I’m sure. I’m sure. No.

SHANE JASMINE YOUNG: Yeah. So every three years, we do a complementary review for all clients that we work with.

DIEGO TRUJILLO: Oh, OK. I wasn’t expecting that. Yeah.

SHANE JASMINE YOUNG: So we do that every three years because we want to make sure that their planning stays up to date. Things change. The laws change. And that’s also the typical point of where certain documents, like financial powers of attorney or even medical powers of attorney, can kind of go stale. and become outdated or even expire on the financial side. So at least every three years, we also offer a VIP program where there’s a bunch of complimentary services that we offer to people that are part of it.

DIEGO TRUJILLO: So people can upgrade up front and be able to, you know, make sure it’s secure for the rest of their life, not just… And we do an annual review as part of that.

SHANE JASMINE YOUNG: So there’s a bunch of benefits with the VIP program. But an annual review is really what we recommend. You know, just like when you have a financial advisor, you know, you typically meet with your financial, your tax advisor every year.

DIEGO TRUJILLO: They’ll send you the business sheet at home. What are the expenses, et cetera. You kind of review it. Nothing’s changed. OK, cool. Or yeah, something major changed or whatever.

SHANE JASMINE YOUNG: Exactly. So that’s just another touch point that we offer. And we reach out to the clients and say, hey, Happy anniversary. It’s been a year.

DIEGO TRUJILLO: Has anything changed? Perfect. Perfect. So to wrap it up today, you had mentioned something that you were offering to the listeners today. Yes. To those people that have made it through the podcast and now have a better understanding.

SHANE JASMINE YOUNG: Right. So we are offering a complimentary family wealth planning session or life and legacy planning session, normally $750, but because they are listeners and supporters of the podcast, we will waive that fee. They’ll just complete a family profile ahead of time. And we do recommend watching the webinar, you know, that webinar, younglawlive.com, you can click the on demand button, watch it anytime. So that is an offer. And then anyone that is actually booking their session, if they book their session, you know, within, let’s say, 30 days, then we’ll offer $500 off their actual estate plan.

DIEGO TRUJILLO: Okay. And are you able to kind of give a range so people have an idea? Is this a $15,000 expense? Is it a $3,000 expense? What should it cost typically?

SHANE JASMINE YOUNG: It depends on the type of plan that they pick. So we’ve got different levels of plans, but our comprehensive plans start at $2,500. Okay. It could be more or less depending on, you know, if they’re going to scale back or if they’re going to be doing something a little more comprehensive.

DIEGO TRUJILLO: It’s very hard to develop a one size kind of fits all on this, right? Exactly. And you don’t want to do that.

SHANE JASMINE YOUNG: You don’t want to work with someone that has like a one size.

DIEGO TRUJILLO: But I was targeted on Instagram for a $99. I’m kidding. Don’t do it. I find it cheaper. No. Yes. Yeah, be careful. Yeah, I’m sure it can end up costing a lot more if you if you go that route. It does. So I really appreciate you taking the time today. I know this podcast has ran a little longer, but it’s definitely something, especially after we explored the five wishes, right? We were talking with Nathan Adelson and they have a very simple list of questions. It’s more towards end of life care that that answers, again, five simple questions. that help people somewhat with advanced directives. However, nowhere to the level of what you’re doing. And for me, it’s important for people to know this and to understand this. Again, circling back to what I said at the beginning of the podcast, sometimes we live in a very sterilized world where there is no death and no one ever dies and we’re shocked to find out that it happens to somebody. Um, even though it’s happening to people all around on a daily basis. And so it’s very important to kind of take a step back from our life and really examine what we’ve built. And again, I think that it really rang true in my mind when I, when I was walking through the forest and just looking at these trees that had fallen over and, and right again, these nurse logs. in these massive 200 feet trees that had started as little saplings on them. And I was like, wow, what a message, right? Who am I gonna be when I die? Am I gonna leave a mess for everybody and just here’s nothing but headaches for everyone? Or am I gonna leave, you know, I don’t wanna be a chore when I go. They’re already gonna be very heartbroken over my leave, no.

SHANE JASMINE YOUNG: It’s hard enough though, it’s true, it’s hard enough.

DIEGO TRUJILLO: There’s enough to worry about and enough emotion to go through it. It’d be a lot easier if you just had a set instructions of what they wanted.

SHANE JASMINE YOUNG: Right, it just makes it easier.

DIEGO TRUJILLO: And so I appreciate you coming on. I really do. Sharing and everything else you share with your family, with your husband, all of it. You guys have a very beautiful family. Thank you. And so it’s amazing to see you guys grow and do well and make the impact you are here in the city. I think anyone could just be an attorney, right? And I think you’ve chosen and responded to a calling to more to that.

SHANE JASMINE YOUNG: Well, I appreciate the kind words, and thank you for the opportunity to share this important information.

DIEGO TRUJILLO: Of course. Well, thank you very much, ladies and gentlemen, for getting on to another episode of The Heels Pod, where we kind of interview the different services and companies within our community to find out who we are and grow together. Thank you very much for listening. Have a great day.

Intermountain Health Program to Keep Children in Cars Safe from Summer Heat

By | News

A Life-Saving Reminder: Intermountain Health and Public Safety Experts to Offer Tools and Warning for Nevadans to Never Leave Children in a Vehicle – Even for a Second

In the heat of summer, first responders, safety advocates and Intermountain Health pediatricians are urging drivers to never leave a child in a vehicle – even for a minute – and offering free reminder tools to help drivers prevent injury or even death from overheating in a hot car.

The inside of a vehicle can heat up by 20 degrees in just 10 minutes and become deadly. Every year, nearly 40 children across the country die after being left in a hot vehicle. In Nevada, 14 children have died in hot vehicles between 1998 and 2022, and others have suffered heatstroke and other injuries in close calls.

Safety experts from Intermountain will demonstrate techniques and tools to help families prevent tragedy this summer. They will be joined by experts from the Nevada Highway Patrol, who will offer insight and tips for family safety. Safe Kids Clark County and Findlay Auto will be showing visual temperature gauges as well. There will also be a demonstration on using rescue tools to save children trapped in vehicles.

10 am, PT, Thursday, June 27, 2024 

Intermountain Health Durango Pediatrics Clinic
5575 S. Durango Dr., Las Vegas, NV 89148
(Outdoors, West side of building)

NICU Reunion for Babies/Families Treated at Sunrise Children’s Hospital

By | News

More than 80 local families, whose children began their lives at Sunrise Hospital’s Neonatal Intensive Care Unit (NICU), are expected to attend the hospital’s NICU Reunion on Saturday, June 22.

The 72-bed NICU is the largest in the region and the state’s most advanced NICU equipped to treat Nevada’s smallest and sickest babies. Opened in 1974, the Sunrise Children’s Hospital NICU, was the state’s first NICU. Now the NICU cares for nearly 1,000 neonates every year.

It is the only hospital in Nevada to offer Neonatal Extracorporeal Membrane Oxygenation (ECMO) for the tiniest patients with life-threatening heart and/or lung problems, and the only Children’s Hospital to house a pediatric heart program, caring for babies in utero, newborns and babies who need heart surgery. Sunrise Children’s Hospital offers a dedicated 24/7 pediatric and neonatal critical care transport team to quickly bring critically ill babies to the hospital via pediatric ambulance, helicopter or airplane from outlying areas.

Unpacking Inclusivity in Healthcare with Julie Liebo

By | HEALS Pod, News

HEALS had the pleasure of interviewing Julie Liebo, a skilled nursing administrator, who shared her experiences and insights on inclusivity in healthcare. Julie discussed the historical challenges faced by the LGBTQ+ community in healthcare settings, highlighting the lack of acceptance and discrimination in the past. She emphasized the importance of creating a welcoming and inclusive environment for all patients and staff members, sharing examples of how she has implemented changes in her facility to support diversity and equality.

Julie’s personal experiences, such as supporting a same-sex couple in her facility and advocating for their rights, showcased the progress that has been made in healthcare towards inclusivity. She also addressed the need for ongoing education and awareness among healthcare professionals to ensure that all individuals are treated with respect and dignity.

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Full Transcript

And welcome back to another episode of the HEALS Pod, where we unpack the different services, the different service lines, facilities, and the people that make up our community here in Las Vegas to be able to tell a story of the thriving healthcare community we have here. I’m very excited to have a special guest I’ve known for many years in the community of her. And this is the first time we’re going to get to know each other and kind of unpack what skilled nursing is, what it looks like, and how to build a culture that’s successful and really impact people’s lives. So without further ado, my guest today is Julie Liebo. How are you doing today, Julie? I’m fine, thank you. It’s a pleasure to be able to have you on. Thank you for having me. I remember your name came up when I was back. I was just becoming a chaplain since you were at Lakeview Terrace. So this was back before you moved into skilled nursing. Yeah, this is a while back. I know it feels like I’ve been in health care for like a year or three. Sometimes I’ll tell that story. I’ll tell people, oh yeah, we’ve known each other for three years. She’s like, yeah, I have a friend. She goes, you were at my daughter’s eighth birthday and she’s 18 now. I was like, oh. So yeah, time flies when you’re having fun. So how long have you been in health care?

JULIE LIEBO: I’ve actually was in healthcare prior to Lakewood Terrace. I was in skilled care as well and worked for the same company. Just took a little bit of a breather. I thought I was ready to go away. But once you’ve been in skilled care, you just you just can’t leave it. Yeah, you have a passion for skilled care. I had to go back and it’s a you know, it’s very different than it’s ever been and it changes every day.

DIEGO TRUJILLO: What would you say, because, so again, when I met you, you were in assisted living. Right. It would seem that it would be much more difficult, cumbersome, and I’m just shooting from the hip here, right? When it comes to skilled care, you’re dealing with a lot more regulations, patients that, you know, are a lot sicker, going through a lot harder of times. It would seem that some people would want to move easier in their career, but you have this passion for skilled care. What is the main difference? What do you think drives you to that?

JULIE LIEBO: You know, there’s so many different things. When I was in assisted living, but prior to that I had been in skilled care my entire career, whether I was a CNA, got my license, grew up in skilled care. And what I get out of skilled care every day I go in there is the dignity and the understanding that, you know, we’re there for more than just caring for the patients. For example, in my building, we have a vent unit. These people have gone through so much tragedy prior to even getting to College Park Rehab.

DIEGO TRUJILLO: That’s a really good point. I’d never even considered that.

JULIE LIEBO: Yeah, and so, you know, normally what happens is families are in that acute phase when they go to the hospital, and what we forget so much is that, you know, they have doctors, everybody around the clock, and when you get that day, kind of that one-on-one care and an acute care for a week or whatever, maybe with a vent a couple weeks, And then all of a sudden that family’s thrust upon the skilled world. And, you know, where they’re sharing a room now with somebody potentially. There’s lots of very, very sick people nowadays in a skilled care. Doctors aren’t there every day, the nurses, the eyes and ears. And so we have to be that person and those eyes and that person who understands that family and that family member.

DIEGO TRUJILLO: That’s a really interesting perspective when you mention that. And I’ll say this because, you know, people used to ask me, so I fell in love with hospice. I had never been exposed to healthcare. That’s how I kind of, my foray into healthcare was through hospice. And it wasn’t until like my second visit, I walked out of a patient’s home and I was just, you know, the sister was there and she was like, thank you so much. And I’m watching her tear up and just, That feeling of gratefulness, for me, it melted me. I was like, man, I could do this forever. And I realized, you know, when people would ask me later on, I was, you know, I eventually moved into marketing. And what I would tell them is, you know, for me, it’s not the marketing piece, because that could be a grind and you could sell anything. But the idea that someone’s just been given the worst news of their life, right? Your mother, you, you know, this is a disease process and there’s nothing else we can do. Typically, human beings, and I would explain this to people, tend to shy away from that. And for me, it was a privilege to be able to step in, to kind of help the family get control, ground themselves, and figure out what is our goals, what are our priorities, what are we here to do? And for me, there’s no words to describe that. It feels like every other problem you solve, I don’t know if you… I always do this every time I get very stressed out, is I’ll watch a Zoom out on YouTube of the universe. And it really puts in perspective how small you are, right? And you’re like, yeah, and you’re only here for 70, 80 years, right? It’s very humbling. But when you can impact people’s lives like that, it feels eternal. I’m very grateful for the opportunity and having the personality that was able to endure that. And it sounds like you’re very much the same way with skill. I’ve never heard anyone describe skill nursing like that.

JULIE LIEBO: Yeah, I feel like, you know, like even before COVID, we realized during COVID, well, I believe I realized a lot before COVID, but like, for example, during COVID, families couldn’t get in for the longest time. And I would read and read and read things on the news or read things in the paper, read things in the news, whatever. that families were not sure what was going on with their loved one, because they weren’t allowed to go into the front door of a skilled setting for the longest time. And then, this is so ironic, but I also heard many facilities decided at that point, well, now’s a good time. We’re going to become a non-smoking facility, and we’re going to do this, and we’re going to do that. Now, I’m not a smoker, and I don’t advocate it, but when you just entered a nursing home, and your life is going to be there, really, the smoking is the least of our concerns. So I thought, even something as simple as that, no, we’re not taking that away and we’re gonna find the time to help them and assist them out the door. This is where we’re at right now. But during COVID, we took it a step further and I said, they have to see it’s our loved ones. So we set up around the facility, luckily I’m a one story, and we set up around the facility, FaceTime TVs and chairs and coffee and everything around the whole building so they could sit outside the window and look at their loved one. And if they were not in town, then we would set up FaceTime or Zooms and different things to be able for them to look at. So that’s how I utilized my activities and my social service department during the COVID four years that we were not able to have families in.

DIEGO TRUJILLO: That was a very difficult time, and I couldn’t even imagine what that process would have entailed. I mean, you tell it really briefly in 45 seconds, but implementing a plan like that cannot be easy. But I think you draw on a point, and it’s very easy for us to become… I had a boss one time, someone that mentored me. And I remember the company we worked at, she came in and she was very firm. And, you know, everyone started like throwing a fit and like having a problem. And I was like, well, I don’t know enough to know whether I like her or not. You know what I mean? She seems very strict. She seems very stern. And I’ll never forget one time she walked into the office. She called a meeting because she heard all the people had been, all the chatter. And, uh, and we all sit at this table. She pulls out a whiteboard and she, uh, this was back in hospice. And she starts saying, hey, you know, do you guys know the difference between patient-centered care is? And everyone just kind of sat quiet for a second. She goes, listen, at 7 p.m. on a Friday, nobody wants to run a referral. I know you guys are just like me, none of us want to go and be there. We try to push it off for Monday, we try to push it off for Saturday, on to the weekend nurse, you know, we’ll do whatever we can.” She goes, but because you don’t want to get up and take an hour or two of your day to go help these patients, she goes, you have to stop to consider that these people are now sitting there for 24 hours, if they’re lucky, if you’re going to come the next day, they’re now sitting there for 16, 20 hours wondering what is going to happen. They’re going to be in anguish. They’re going to be in agony. And then she finished it up. So just to be clear, we are not a family here. We are a group of professionals that are here to serve these people that are going through this moment. And it was really funny because afterwards people are still angry. And I was like, I’m fully on board with this, guys. I don’t know what you’re talking about. So maybe I lucked out and my very first administrator was kind of like that. But again, it’s what are you going to prioritize? Sometimes we don’t want to take the extra step. I mean, we’re human beings and we tend to go the path of least resistance. That’s just human nature, right? So no one says, hey, do you want to set up a bunch of chairs outside in the heat? No. But if you taking that extra step means so much for people, why not do it?

JULIE LIEBO: They need to see them. They needed to, you know, all of a sudden the door was slammed. So we had an obligation to come back. And we have very, nowadays in skilled care, they are very sick. Like I said, they would be in the hospital and then all of a sudden, wham, bam, they’re in another facility where they don’t know anybody or whatever. And some of these people are transferred late at night, different things, you know, unfortunately for the healthcare system that we’re in, those things happen. So we do have to jump to the music. And I know I’ve spent the last number of years at College Park making sure that that occurred, that people were on board and trained at every level. And, you know, when I think about this, Diego, I think the biggest issue that I see out there right now is, you know, whenever we advertise skilled care, it doesn’t matter who’s advertising it. It doesn’t matter if it’s CMS. It doesn’t matter if it’s an oxygen company, whoever. Whoever advertises skilled care, if you look at all of the advertisements, it shows people in a way that are probably photoshopped some ways and some places not, but it shows the people playing jumbo board, playing cards.

DIEGO TRUJILLO: It’s like a resort.

JULIE LIEBO: Yeah. And the real issue in skilled care is just so far from that. And, you know, I think when families see that and then they get into a nursing home or skilled post acute setting and they see people, I mean, we have people in our facility that, literally were homeless prior to entering a hospital and come in to us, and we still find ways to discharge them appropriately for the first time ever into an apartment if they’re ready to go out of the skilled setting. We just had a thing that showed that our facility and most facilities around town right now, average age is more in the 50s and 60s, so we see a drastic change as well. They’re not all elderly anymore that are in the facilities. When you’re talking about the high-level care that the CNAs and the families give, my heart always goes out to that pulmonary care, that ventilator care, especially in a state like Nevada where there’s 120-degree weather. But we have, unfortunately, people do go through tragedies, from gunshot to botched surgeries to whatever. Those units are, we are it for those families. We’re the eyes, we’re the ears. They hug them, and you know what? We see no lack of care. We don’t see people being worse off. In fact, we actually win people to go home. The staff, what I tell them is we don’t even use the word can’t, because there just isn’t anymore. I don’t know what that referral is going to bring the next day, because everything is so different. But we have begun to educate ourselves to whatever we can expect. And it’s getting quicker and quicker from the hospital to a skilled setting. And what we need to do, not to mention all the different regulations and things today that we’re encountering with change. But I’ve been doing this, so my first lie My first license was back in 1991, so God knows I’ve seen everything over the years and the changes, but there’s still a surprise every day. What I tell my staff, and it never fails, after all of these years, when I walk in that door, I smile. I am happy to be there, and if my staff’s not happy to be there to support the families and the community, then we’re in the wrong place.

DIEGO TRUJILLO: I think that attitude, your point there, it’s very interesting you mention that. I moved over from my position right in marketing, and I took on the role of CEO. And it was very funny. It was very interesting to me the way that people would approach me. And even old friends would all make a joke and be like, oh, Mr. CEO. And they would crack jokes. And it really took me to reflect on why. Why is that joke so pervasive? And I really think that, fundamentally, it goes on the reason that you’re there. And I would tell them, I was like, look, I know you think that CEOs in modern culture are very much seen as people of privilege, people that get all of these benefits. And, that’s not been my experience. And even if it was, I very much feel that this role that I ended up here, and I find myself in a place where I can impact healthcare statewide and really make changes and really drive something in the community. And I feel like I have a duty, right? If I’ve been given this opportunity, that I have a responsibility to live up to that opportunity, not just name drop and, you know, and all of these things, I very much don’t view it as a position of privilege. It’s very much to me as a position of responsibility. What do I owe my community? And I know, I mean, you’re going back, right, you went to 1991. When I was back in the 2000, 1999-2000, I actually, my sister at that time was about 18, 19, and we were playing tackle football at the park. And I was playing with her. She had a three-month-old baby. She was newlywed. She had a three-month-old baby. And sure enough, her husband got tackled. Well, he rolled to the ground, kind of banged his head really quick, got up. We played a couple more. We did a couple more plays. And then he said, hey, my head feels really funny. And then he kind of rubbed it, went off to the side, and then dropped to the ground, started convulsing. Ambulance came. He died on the way to the hospital. I think I sat outside at UMC. It felt like four to six months. We were there for a while. And then back then, because they were young, it was Medicaid. And so it was just denial after denial. And we ended up at Horizon, right by Valley Hospital. And I remember going in there and the treatment. My sister still stays in contact. He was there for about two years and a half before he finally succumbed to pneumonia. But the entire time, I, the way the staff would bond, right? And you would, people are sometimes very quick. I would say this with Desert Springs Hospital back in the day when we’d take my father and be like, Desert Springs, you know, why not Summerlin and why not? I was like, you know, it’s an older building, but everyone’s been there a long time. Like their, their teams are teams. They understand because they’ve all worked alongside each other. And it always brings me back, like I mentioned, back to 1999, when we would walk in, there was nicknames, because she would always bring my niece in. She basically grew up in that rehab, just going on a daily basis. And you think back at those times, the people that took the time to smile, right? It’s misery in there. Nobody wants to go, because it, right, unlike the advertisements, it’s not a resort. If you’re there, it’s because something bad happened. It’s not anything you desire, right? It’s not like they installed a new limb or a robotic leg and you’re going to be faster. I mean, you’re there because something negative happened. And so I very much agree with you. It’s the attitude. And I believe it starts with the administration, right? One of the things I worked with looking at workforce development and workforce pipeline, right, is the difference of what a culture can mean. And the amount of administrators and HR directors that will be, well, people just jump for 50 cents an hour. While sometimes true, that’s not what the data reflects. And, you know, I will bring up studies and say, well, you know, well, no, but that’s what they’re telling me. No, I understand that’s what they’re telling you, that they’re paying them 50 cents, you know. And for me, I stuck with my company. Back then, I was at the same hospice for like six or seven years because of the leader that I had. It really is what kept me there. I got offered more money, but I just really appreciated that. I always felt like my leadership looked after me, not the company’s agenda only.

JULIE LIEBO: Right. And like at my last all-staff meeting, I do a monthly all-staff meeting to make sure that we’re up on all the different regulations and things. That’s the other point is, whether they’re doing the dishes or whether they’re the RN charge nurse, this is their career. They all need to understand what’s going on. So I do a lot of education that way while we do some quick stand-ups on a regular basis every day. I feel there’s a need to bring them real quick and do a 10-minute stand-up. or we do an all-staff, but you know… Like a restaurant, right?

DIEGO TRUJILLO: Yeah, exactly. We do a wine tasting. Not quite that way, but actually… Right, but it bonds the team. It brings people together. It makes us feel like we’re a team. Exactly. Not random individuals running around the hallway.

JULIE LIEBO: Exactly. And the last all-staff meeting, not this last one, but the one before, I gave away, talk about people having a culture I believe we have a wonderful culture. I gave over 15 certificates and boss certificates to my CNAs, my housekeepers, my nurses, everybody who had been there more than 15 years. And then there were an additional five or six that were there over 25 years and the longest serving was our charge has been 31 years. I’ve been at it about 20 years. So there’s a lot of longevity in my building and I do believe it’s because they have a tough job and because of my caring for them as well, and I will do anything to care for that staff, because that staff is the one who’s accepting that 8 p.m. Venn patient needs us at the last minute, like you were talking about earlier, and not saying, no, we can’t do it or wait till Monday. We don’t. We’re constantly moving people that we have to accommodate people and to work with the community, with the hospitals. But what works for me is, We do this a lot, like all of our meetings will be with managers, or all of our QAPIs, or quality improvement projects, all that. It’s like, for whatever reason, we seem to have managers. I absolutely make sure the line staff’s involved in every meeting so they can be consciously involved in what, why I’m making this decision, or why all of a sudden are we having to take these heavy care patients, and things like that.

DIEGO TRUJILLO: It drops that us versus them mentality. Oh, totally, totally. And it helps them to understand. I mean, even for some that, you know, there may be people whose roles require them to look forward to earning calls and, you know, those kinds of things, that’s the job. But when everyone’s kind of involved in what that, of what that looks like, I think there seems to be a buy-in from people a lot more. And I mean, I don’t even have to say it seems, right? You just mentioned all the certificates you gave out for people that have been there a long time. It makes them feel valued, important, and you never know. It gives people an opportunity to give an idea that you may never have had.

JULIE LIEBO: Absolutely, and they do matter. They’re the ones doing the hands-on care. The other thing I did to make sure, speaking of hands-on and being out there, is about seven years ago or so, I walked out and I realized, wait a minute, my key managers, though, that can help communicate appropriately to the families and to the residents, you know, are scattered throughout the building. So I moved everybody. So when you walk in my building, I’m first, and the door’s open, and they see the administrator. Like, our eyes meet the minute they walk in the door. The next door is the director of nursing, who’s right there in the front. The next door is the social service director, who’s right there in the front. And so we, all of us are, and I tell them, absolutely without exception, our doors remain open. So many times you go into facilities and you know, you have to walk through a hallway to get to the administrator or, you know, another hallway to find the director of nursing. I think that’s exactly why it’s incredible where I work because people can, and they feel freedom enough because when we tour them or we say here’s where we are, this is where you find everybody. And then when you want to speak to the direct care nurse, here’s what the wings look like. Everybody is there for a reason. You know, we can get so caught up in paper pushing, and there are a lot of regulations, and certainly we have to do it.

DIEGO TRUJILLO: Yeah, I mean, that’s the nature of it. That’s our punishment.

JULIE LIEBO: Right, but we’re really there to listen to them, and honestly, I believe it cuts down on so many concerns that if they know, you know, I put my email specifically and phone number, and it’s never been that abused over the years to families because, you know, we are in a different situation. They’re more long-term. They have, you know, they don’t, you just don’t have the closest and it’s understandable in an acute setting until they get to us where, you know, like what’s going on. I mean, I had a family conference last week with 14 people came, which is really unusual.

DIEGO TRUJILLO: Wow, the whole family, yeah, right?

JULIE LIEBO: Yeah, well, they were Filipino. Okay. And they came in from the Philippines, they came in from Hawaii, whatever, and everybody’s like, I said, no, you know, first of all, that’s very cultural and it will be okay. And it was. But they were looking for so many answers, you know. And honestly, when they left, they left thank you notes for everybody and did fine. But just that few minutes of being able to sit down with everybody and let them know, you know, we can’t tell you yes or no, but what we can tell you is people in this condition have done this or, you know, whatever. So to give some hope as they leave long distance. I think the communication, and a lot of times, you know, I will always introduce the certified nursing assistant. I will introduce the nurse on the floor. This is the person you can go to. And the staff are not the same. The staff might be different on a weekend, but they’re not different. They’re our staff, but somebody works, because we have 12-hour shifts, they’ll work Monday, Tuesday, Wednesday, or Friday, Saturday, Sunday, or whatever. So they know that that’s staff that’s current and on board, and they will see all the time.

DIEGO TRUJILLO: Well, it helps. I think it helps a couple ways, right, from the patient side. And I can relate to this, again, being in hospice. You know, sometimes it feels like you’re being told what’s going to be done. That’s typically, through medicine, it’s like that. One of my favorite selling points on hospice was letting families know, we meet as a team. On these days, our doors are open and you are more than welcome. Or, you know, you talk to a family member and they’d say, I just don’t want them to take this medication and blah, blah, blah. Because they’ve always felt that someone walks in the room and says, OK, you’re not doing this, this, this. You’re now doing this, this, this. So they don’t feel like they know who to listen to. And more importantly, they feel disempowered. Right. Disempowered? Unempowered? Right. It was the lunch, is what we’re going to blame. But they don’t feel empowered, is the point. And giving them the ability to say, hey, when you talk to your RN case manager, bring up what meds are important. Before you ever sign paperwork, make sure that you’re good with these medications and with the changes they’re suggesting. We typically don’t bully, and you’re involved in the plan of care. And that goes a very long way. I know for me, every time I worked with a Hispanic population, because I’m Colombian, that was one of the first things that would that I would bring up because they just felt, again, like they were always being told. Not like they were being interacted and they were working alongside them. And at the end of the day, it’s their life that we’re working with, right? Their loved one, etc. And then the second thing that I was going to bring up that, you know, listening to you discuss that, right, is it’s kind of the idea that the general is always in the front. It’s a very different feeling when the general is leading the army versus when the general is sending a letter saying, yeah, tell them to throw their bodies at it. You know what I mean? It’s a different type of commitment and showing your face and being up front and being there, right? I know I would always pride myself as a marketer because whenever I had someone call to complain, I would say, hey, I’m right near your building. Can we hang up? And I want you to say this to my face. I’m not going to run. If we made a mistake, if there was an accident, please let me know what we did wrong so it never happens again. And it was just always showing up and showing face. And that goes a long way for people. We’d all make mistakes. We’re human beings, and I mean, this is the nature of the world that we live in. And so, for me, it was very important that people felt heard, that they felt understood, and that I wasn’t running. Right? And I think your team sees that. Circling around, and I know we wanted to touch on this because we’re coming up on Pride Month, right? And we’ve, a couple of the things that you mentioned as you were speaking really kind of push towards inclusivity, right? Not pushing to put people outside of populations where you feel like you’re another, but you’re a part of that community. I’ve observed you over the years, right, on social media, and it’s always been very interesting because of your push for inclusivity. And so I wanted to delve a little bit into those topics, right? I would like to look at historically, because people that are never a part of a population typically go, well, why are they complaining? What’s the problem? I don’t see what the problem is. And like, well, really? You don’t see the problem as a, you know, as a person not from that community. Whereas when we’re from communities, right, we tend to notice certain things. For me, it was always like, yeah, if you get pulled over, son, roll down all the windows. It just makes the police more comfortable. And it wasn’t until a friend of mine that was American, he was just like, huh, that’s really interesting. I never thought about it. I was like, yeah, I thought that’s, I always did that. And honestly, it’s a smarter thing to do. They’re very on edge. So just roll your windows down and keep them calm. But I never realized where that comment came from, right? And so, I want to ask you, uh, things historically of how they may have been different and what you have pushed to change. I was thinking on how to unpack this, right? And we could sit here and say, what do you do now that is amazing? But I’m sure that this is something that not only has unfolded, but is continuing to unfold, right, as our, as our culture progresses forward, as we look for better, um, just merely for the, for the point of better outcomes. So can you tell me a little bit in the 90s what that may have looked like when we looked at, right, the inclusivity? I wanted to show a little bit of progress, hopefully, right? Hopefully. And I’m sure the world was very different then. And so, yeah, I’d like to figure out what were things like key things that you would see or you might notice or observe that were kind of irritating that you thought, you know, when I grab the helm, I’d like to see things differently.

JULIE LIEBO: Right, well, obviously it was virtually unknown in the 90s.

DIEGO TRUJILLO: It wasn’t something you do. It was a don’t ask, don’t tell was the policy.

JULIE LIEBO: Yeah, you don’t come out and say whatever. But I’ve actually felt, even as an administrator, I felt that discrimination in a company early in the 90s where I have a wife of 30-some years, 35 years. You know, she ends up having a one-time bad illness and, you know, it comes into focus that, why are we paying for this woman? And, you know, it brings up this, oh, they’re gay. And all of a sudden, my numbers weren’t right. I’ve always been a very successful administrator and I lose my job. We all knew it because I’ve been there before and we all knew it was very subtle, but it was because, you know, something was influencing here and it wasn’t my performance. Whatever, you move on. But from the 90s, I would say it wasn’t in most of the handbooks even where we don’t discriminate on sexual preference or same gender, however you want to put it, wasn’t even there. And even in the company I work with, which is pretty progressive actually, and I’m very proud to say I work for Fundamental because they really did take a look at it early on with me. Like, what can we change? What can we do? And we did, we did some, you know, they added to the employee handbook, which was fantastic, you know, finally way back when. Now there’s a lot of programs and we see, you know, under CMS new rules that are acknowledging that there are same sex couples that are entering nursing homes, things like that. I did a subtle thing like just all of a sudden one day I took out the male and female bathrooms and made them gender free. And no one ever, ever said another word. They’re gender free. And also when you walk in the door, I put up a very unassuming equal rights sign on the door of the facility. And we have proudly given our brochures out with a pride flag on it at different things because the company has also supported that. But along with all of that comes, and so if I bring it internally into my building.

DIEGO TRUJILLO: If I may interrupt really quick, so what year, for example, the manual that you mentioned, at what year? Because I’m assuming in the 90s, coming out of the 80s, must have been a pretty difficult time. Yeah. Coming into the 90s, it was maybe a little easier, but it wasn’t that much easier, I’m assuming, right? Yeah, we’re talking 2000, probably, you know, 10 maybe. It took a while.

JULIE LIEBO: And then now we’re You can’t force that, and I think sometimes people, we look at our main tool, the MDS right now, now we have to all of a sudden say, what do they prefer to be called? Who are they? What are they doing? I remember years ago, this is a very interesting story. Years ago, I had a woman in my facility. This would have been a little bit later on. I had a woman in my facility that was very sick. And after going in, and it wasn’t, we didn’t even have to ask people that. We didn’t have to acknowledge it. Nobody cared whether somebody was gay or not. And in speaking with her, we found out she had a partner in a facility in town here in Nevada, one in Henderson, and she was in my building. Come to find out they had been together for 20 years and had not seen, they were in separate nursing homes. They’d never seen each other, and they were bedridden. So I worked with that administrator at that point. I mean, there’s a lot involved in it, but I worked with that administrator and brought that person to my facility. And I have to tell you, because back then, now they’ve both since passed away, but back then, even putting two women in the same room was… It was like a nightmare for everybody. I’m like, no, this is this is her because same-sex marriage was not legal either at the time Okay, this is their partnership of 20 years. And yeah, that’s very true.

DIEGO TRUJILLO: Everybody If you had a dog if you had a friend for 20 years, they’re gonna be a pretty big part of your life Let alone if now dad Romantic relate, you know what? I mean pretty significant significant individual.

JULIE LIEBO: Exactly. And when we moved the beds together, oh God, that was really pushing. And I said, why? What’s the problem? Again, before they entered nursing homes, they had all these years together. So we’re going to give them those years before they die. And we did. But that was probably the most tragic thing I had seen. But I know some of that still goes on because people haven’t taken the time to ask or to get to know. But moving fast forward to more recently in the last few years, I did work with, at the time, Comagine, and I worked with CMS, and we worked together to put a pilot program together, and I helped consult on that. Unfortunately, COVID hit right about that time as well. designed pins that if they went through this whole training and they understood what to look for with both gay, trans, lesbians, whoever, that they would look and know what to ask. Example being, you can get, and I have this in my building, you can get a trans individual in your facility that has not completely transferred, or has not completely finished that transition. So instead of, you know, we realized in that video that the first time, it happened to be a physical therapist, helped to assist with removing their pants to help them. get cleaned up, and of course, seeing the fact that there was maybe a male autonomy and a female on this person still, they went, you know, like, oh my God, what do I do? And not to laugh, not to do anything, but to understand was very critical. And so, and everybody’s thinking it won’t happen. I have two people in my facility right now that have not finished transition because of illness. So we deal with that every day. And I know that there are other places in our community that that’s happening. I remember recently when I had two guys, they were married, and I had two guys, and I happened to go into the room to introduce myself because I hadn’t met the husband yet. Now picture this, Stigl, this is even more current, so we still have a little ways to go. So here’s the husband sitting in a chair in the room, talking to the patient in the bed, right? And the nurse is facing the patient in the bed, and I’m watching this whole conversation, and never once kind of turned over to bring the husband into the conversation. So when she walked out the door, I just followed her out. Great nurse. And I just said, I just want to point out one thing to you. I said, do you know who that man was in the chair next to him? Yeah, that’s his partner. I said, it’s his husband. I said, you never acknowledge the husband during the conversation. So this is what we’re going to be training. But if that was, think about this, if that was a heterosexual couple and the husband was sitting in a chair and the wife was in the bed, you automatically would be turning and bringing that husband into that conversation. So we have to learn to observe and to look. So now we try to find a little bit more of that up front so that people know. You gotta remember, the majority of us, myself included, after 35 years, I had said earlier, when my partner got sick years ago, I couldn’t get past the door of the ER. I could not get past that door. Like, are you family? Yes. But we weren’t legally married yet. We had documentation, but we weren’t legally married. And it wasn’t until I was, because she was very ill, and it wasn’t until I practically screamed at the top of my lung that a pastor came out of God knows where and helped me to get through the door and to see her. But we’ve certainly come a little bit further, but I can’t tell you how many times people will walk into a place and they’ll go, who’s the real mom? Who’s the real dad? We have two children that we adopted years ago. Who’s the real mom? Well, we’re both real moms. But, you know, we see that when they walk in the door. We try to find out, well, currently I have three gay couples in my facility and two trans, and they need that care. And they remain in that facility because they’re acknowledged for their relationship. And we actually offered to have, because my wife happens to be a pastor, we had even said we could marry them to help them financially, because they didn’t know. But even bigger than that, that’s why my staff stay. This is the other thing. I have several staff that have come out in the facility, just have never worked anywhere where I’m accepted, and I’m not going anywhere. I can provide this care for you, because you acknowledge who I am.

DIEGO TRUJILLO: Yeah. I mean, from the get-go. It’s unbelievable. Yeah. It’s unbelievable. We live in a world, and I’ll say this, because I am, and I tend to be a little bit more man’s man, and when I, I say that in a traditional sense, right? But at the same time, I was very close with my sister growing up. So people are like, well, how do you understand? I just know my sister, and I understood her and saw the struggles she would go through, and I tried to put myself in her shoes. And then, right, when I was a little bit, I want to say middle school homophobia was a little more popular. It started kind of phasing out. One time I was in high school, I was like, yeah, this is kind of terrible, right? to go to that extent. And it feels like we’re very much in a reactionary world. And it always reminds me, there’s an expression, right? Talking is the cost of being heard. And unfortunately, everyone’s been giving a microphone. So now nobody’s listening to each other whatsoever. And we’re all just trying to tell everyone, you know, they’re going on recently about this, this football player that made this speech, and I don’t want to get too political on this podcast, but But one thing that is blowing my mind is how it’s just, I’m watching these two sides form. And I was like, guys, first of all, right, because then you have the women that are like, oh, women shouldn’t just be. And I was like, if that’s what she wants to do, like, why are we telling other people what to be and what to do? If you want to be a stay-at-home mom, great. The football player’s mom’s a physicist. Great. I mean, everyone should be able to reach for whatever potential they want to aim for. And I would feel in a health care setting, and this came in mind, one of my, I want to say my fourth patient, was fascinating to me. This is back when I was a chaplain. He had no family. When his spouse died, he walked out of the front door and left everything there and went to Brazil. So he lost everything. Now, as I started unpacking, now he was living in a studio apartment by himself. He had been with his partner for about 60 years. And so I remember talking to him and being like, what is Like, I can’t imagine what being gay is in 1950 in Brazil, right? And for him, it was kind of funny because he was like, actually, it was a very pleasant experience. I did a really good job in the military. And I was like, wait, you were in the military too? So he had a good, uh, a good, uh, he had a, he would share a lot of insight on what his experience was. And he had a lot of video. They, they, they did very well. And he came from a very, very well-to-do family, which was the tragedy. When he walked out, there was paintings from the 1700s. from the 1800s. I mean, he really had, he was like, yeah, I left all of this. And so it was very interesting how it really hit me hard how badly hospice had let him down. Because his husband had died and he was in a different, anyone that would have spoken to this man could have seen, hey, he’s a very high risk, bereavement risk. Like we really need to stick with him. And they just kind of let him go. And I think this crosses over all bounds, right? Because we have this on the one push, the push for equality for women for all four. And then there’s now this push for like, yeah, men don’t have friends. And as I’ve grown older, I see this, that the loneliness that exists in men and I start Sometimes we try to outdo each other with what we’re going through. And I’m just sitting here thinking like, hey, do you guys not realize we’re all going through something? Like, this is precisely the point. And for me, what must have been really hard looking at the examples that you’re giving, I put myself in the world that I grew up in, which wasn’t as hostile. I couldn’t imagine growing up in the 50s and 60s where we had to lie about our relationship our entire lives, and now I’m bedridden. How much more vulnerable can you be as an individual? I’m dependent on these people. What a great opportunity to be able to give them a chance to be seen. probably for the first time in their life, at least very much in healthcare, if someone would have just asked, for 20 years they live separated, right? And I think it speaks more to the issue of not just how we’re treating a specific population, but really how we’re treating all patients from a point of understanding and comprehension, right? And just learning to listen. Which is a little hard, you know, again, we’re very busy. Like I always joke, right? I don’t see healthcare workers like bored sitting around. It’s like a social worker. They’re all very busy and they’re all going through things, etc. All these things are happening. And so to be able to take that time and to be able to guide your staff, do you ever have staff that are resentful when you say things like that? Is there a pushback?

JULIE LIEBO: I have not had any pushback to be quite honest, but I do go to orientation right away and I let them know what our goals are and what we do. I do place, there’s some signs throughout my building and the break room and other areas too that say we accept all. I have everything I can up there that says we celebrate our diversity. I make sure we do all kinds of parties for every potential person that comes into the door that’s an employee so that we recognize who they are. And so I think as we continue to do that kind of thing, they do stay because they do feel like people know who I am. And so I haven’t really felt resentment, but I do let them know in orientation. I said, I’m really sorry if this is a problem. We could talk about this, but this is who we accept, and these are the kinds of patients, and these are the staff that we accept when they come out. We have a staff person that transitioned completely in our facility, and she’s very, very happy. I believe in my heart and heart she couldn’t have done that anywhere else with the dignity that happened there. So I think we’ve still come a long way, or we’ve made a lot of good strides. We really have. The problem’s going to be, and like you say, it’s people in general, and the problem’s still going to be that health care, it’s about getting better, and it’s about accepting the family. So we have to, whether we want to hear the answer or not, we have to hear about it. We have to ask. We have to say what about them. And in a lot of cases, families are a little bit still embarrassed by what, you know, who this person is or how they live their lifestyle.

DIEGO TRUJILLO: Well, because they still have that mindset. Again, just because we’re here now today doesn’t mean I was raised like that for 40, 50 years. I had the one, actually, this patient that I was telling you about, I remember one time I brought up and I was like, hey, look, they legalized gay marriage. And he goes, Oh, no, no, no, no, no, no, no. That is unacceptable, unacceptable. I was like, you were with your partner for 60 years, right? And unfortunately, I mean, progress is slow, but we sometimes have this attitude that recognizing someone else means ignoring somebody. And I just, that’s where I get frustrated in today’s culture. I get very frustrated because it’s always a, well, you know, um, an either or. Right? It’s never the and. And like, oh, also there’s these people that need to be seen as well. And I don’t know if it’s just my life trajectory because I, again, going through the, on the issue with trans people, uh, as I was speaking with, I had a friend and, uh, and one time they sprung the news on me and I was like, huh. And so, and it really just led to me asking a tremendous amount of questions. And as I was learning, it would really help me, oh, okay, I see where you’re coming from. Do we agree on everything a hundred percent? No, not necessarily. And she would get sensitive. She’d be like, well, I just think, and I’d joke and pry and be like, oh, they’re definitely giving you too much estrogen, right? And we’d have fun with it. But it was always, again, going and circling back, hey, you know that I love you as a friend, that I care about you, and I want what’s best for you. And if you think this was what’s best, and sure enough, I mean, what she’s blossomed into versus who she was back before she transitioned, it was a night and day difference. And so I’m just like, yeah, if this is what has given you fulfillment, as opposed to being suicidal and wondering why you’re here all the time, I mean, what is the alternative, being forced into this mold. And so again, going back to that, just that approach of understanding and also the inclusivity, which for many people, again, if you grew up in San Francisco, you’re going to think, well, I don’t know, why is everyone complaining about discrimination? It may be a little different if you’re from Dayton, Ohio, right? It’s very different lives. And I would hear people sometimes I had a friend one time that said that, well, I just don’t understand what all the protests and the problems with race that’s going on. And I was like, really, as a blonde-haired white girl, you wouldn’t see what the problem with race is, even for me growing up in Las Vegas. It’s a lot more diversified. I went to seminary in Dallas, and it really put it into perspective. I was working alongside a food runner who was much older than I. And he told me I mean he made a comment I was like, huh and he goes yeah I remember when you know They would put the white people in the front and then us Mexicans would ride in the middle and the black people would go in the back and it was always history to me it always happened like so far back and I was like Wait, you saw that? I mean I which I should have known because I know the dates and I enjoy history But it really just brought that to like to life it added color to a painting and I realized wow This wasn’t that long ago Right? We might think that because we’re learning about it in a book, but this man is telling me, no, that’s how it was and this is how we treated each other. It’s just very interesting. Again, circling back to that, to the comprehension and understanding and listening and again, acknowledging populations. What areas do you think we could work on as a community in general? You’ve implemented some pretty great things. I know there’s people that may be listening. There may be even people rolling their eyes and being like, oh, here we go again. And I want to leave, Right? That’s why I wanted to focus on the history first to understand, you know, we’re coming from somewhere. It’s not like we just decided to complain all of a sudden. Right. What do you think we can, what small steps do you think that other administrators, buildings, health care workers, staff members, you know, offices, what small steps could we take to help to further that?

JULIE LIEBO: Yeah, I think, you know, it really helps probably to sit and talk with your staff first. I think you’ll find that a lot of staff in your building probably are gay or are, to be honest, are trans. We’re in every building. They’re in every building. And once they kind of understand what they go through, I think we can understand what the patient population will be going through. But it’s going to be very small steps. And this didn’t happen overnight. We’ve come a long way, like I say, from not acknowledging same-sex couples to today being open on a referral that says this person is trans or this person has a husband.

DIEGO TRUJILLO: You know that or a wife that yeah, you know is you brought up that acknowledgement piece I so honestly, I never even took that into account now that you bring that up I’m like combing through my history. This is my stories thinking, huh? Yeah, did I ever do that? Because it’s again we have this behavior that it’s just in us We’re not thinking about how we’re interacting with every person right each one of us is kind of the way we are Sometimes we have to take that step back and be a little more conscious about how we’re engaging, right? That was a very interesting poem, a very interesting story, because, yeah, I wonder if there were moments, right, where I just was going about the average? Because I know, for example, so my father died from kidney disease. He ended up having kidney failure. He had a rare disease that shut his kidney down. There came a point where we had to make a decision. Now, for a Hispanic to go on a hospice, you’re already fighting an uphill battle because they will tell you, I’m not giving up. I’m not giving up. That’s not what we do. And then number two is we’re not sending them to some place, right? And so I remember The first thing I’d always bring up, if I was dealing with a Hispanic family, I would say, okay, so hospice is not a place, it is a service where you are. It allows, you know, and then I would explain that to them. And if it ever turned into the, if I ever looked, right, and you looked at, it was kidney failure and they weren’t gonna do dialysis, I would walk in and say, hey guys, I can give you this big, long speech on what hospice is, and I feel like it’s very important. I’d like to give you literature, but just, you know, so we’re not here for one hour entertaining ideas. If you choose this service, he will have to stop dialysis.” And the family would be like, absolutely not. Okay, I wanted to save us. There will come a point where you have to make that decision. Let’s get that out of the way. I’m not here to sell you anymore because you already told me you will not, you’re not willing to discontinue dialysis. But here’s what the future may look like. There may come a point where he’s too tired, where it’s this, and I would kind of explain it. I would approach it completely different than I would, you know, people from other cultures because I had an understanding of what, right, I was raised Hispanic. So it’s very interesting, again, when we start thinking of different, of different people from different backgrounds and learning how to connect with them. which we see statistically the benefits, the outcomes that we have in patients’ lives when we do that. We just see better results in people. And at the very least, if you don’t care about any population and all you’re worried about is that, is those end of the quarter calls where you’re looking at your earnings, it very much will impact your bottom line. I mean, if you’re treating patients better, if they’re being seen, if they’re being heard, and again, this goes, I was sharing with you before we started the podcast, there was a new study that came out, that as a woman, if you have a female provider, you will have much better outcomes. So these things are not too distant. They’re not too far from home. We all have a sister, we all have a mom at the very least, right? So having an understanding, there is a lot of benefits to this. It’s not just simply a burden. It’s not simply that. But the outcome is a better world. And I don’t think a better world’s ever been forged easily, right? I don’t think the people that landed after crossing over the Atlantic was like, well, that was really simple. What if we just push west, right? It always required optimism that change could happen, that we could get somewhere better. And then it took a lot of blood, sweat, and tears to make that happen. And I feel like we’re still at the early ages. You know, it’s really funny you brought up gay marriage. Yeah, I saw that happen, and it still feels like it was a really long time ago, and it wasn’t even a problem. I always relate to a story. I remember a physician calling, and there was a couple inside of the ICU. He was yellow. He was jaundiced. She goes, he probably has a few days to live. I’ve called eight chaplains, and they all refuse to marry him. And I was like, but what do they need? Well, just someone to come fill out the paperwork and do the ceremony. I was like, wait, really? And everyone was worried about what their needs, wants, desires, everything. I was like, at the very least, just for the ease of the legal paperwork and everything that the partner is going to have to go through, I say partner because eventually they’re a spouse. So I went in there, and I got a little nothing but cake, because you couldn’t have a wedding without a cake, right? And I was just like, come on, man. It just seemed very heartless to me. Right? You’re already dying. And you really got to stick it to them one last time, huh? Just to prove your point. I mean, have some humanity. At the very least, it seems like, uh… When an eight-year-old is dying of leukemia, you’ve got to come and tell them, hey, Santa Claus is not real. You get what I’m saying? It just seems like cruelty to a certain point. You’ve got to set yourself aside and your own feelings aside to be able to serve. What else do you see towards the future? What are you excited about? What is your outlook? I mentioned that there’s one of my favorite expressions is, optimists build the future. So we have to remain optimistic. What are you optimistic about?

JULIE LIEBO: You know, I’m optimistic that, always optimistic and believe that we will be a world of peace. I really believe at some point we’re going to learn to respect each other, every culture, everything. I really do in my heart of hearts believe that. And as I see, like even something as simple as when we changed our mission packet to read you know, person one or person two, not husband and wife or child or whatever, you know what I mean? Son, daughter, whatever. I mean, little things like that matter 100% when you’re looking at, you know, paperwork and you’re looking, it gets people thinking a little bit of, you know, what are we doing? Who’s out there and who are we representing? So I’m very optimistic and at some point, we’ll have enough education behind us that people will understand the types of patients that they are taking. and who they’re bringing in and not do any laughter. I mean, I had a, this was a really interesting one, story. I had a trans individual who got shot here in Vegas in a bar, and she had, she was a dancer. In training the staff, which we do all the time about diversity and whatever, she and she gussied up every day. I mean, she and her friends would come in and it really, the facility was a blast. The therapy department was so great after education that they actually taught her to dance in heels. You know when she was getting her they were doing all the gait exercises and everything not just to you know be able to stand up and walk 10 feet down the hallway but no this person’s going to do some high kicks again or go into the bar and whatever and it was a it was so fun to this day she’s actually moved now to the Midwest but I I still stay in touch with her on Facebook all the time, you know, how she’s doing and whatever. But I think if we can get to that point where people have that kind of fun and acceptance of people’s lives and want an interest in learning who they are, obviously somebody saw that, like you said, women being cared by women might change the outcome. Well, the more staff that can relate to patients, too.

DIEGO TRUJILLO: Yeah, I think in general, I mean, that study happened to study women, but it just feels, again, you’re being seen and heard.

JULIE LIEBO: Exactly. And so if they can walk in and even me, I mean, there’s been several times where, you know, we’ve been chosen as a facility because of who I am. It’s like, well, I’ll feel comfortable going into that facility because there’s going to be an understanding of who we are.

DIEGO TRUJILLO: I won’t be another one of those, right?

JULIE LIEBO: But it’s the same thing. You know, we take people of major size. And so I, when I started that years ago too, I said, look, We want to continue to take these people, and we can’t take one. I want to take, you know, three or four at any given time, because nobody wants to deal with people that kind of size. And we have now built that program within the facility as well. And so there’s a dignity behind that. There’s a dignity behind being trans and being in that facility, or gay in that facility. Very important. You know, that’s, in most cases, that becomes their home. We’ve got to understand who we’re caring for inside and out. Otherwise, they’re just laying away the way that they were before. If they’ve got nothing left but living in that type of facility, why should they go on more years to come without being able to come out and say who they are? I don’t know how to explain that, but it’s the saddest thing in the world when you’re closeted. Your life just goes by, and you want to share who you’re in love with, or you want to share who shares every moment with you like any other partnership, and you can’t. So we have to look. I tell all administrators, you have to look. You have to want to teach.

DIEGO TRUJILLO: I agree. I agree with you 100%. And I think that one of the major things, which it’s really funny now, I always show it to people when people are kind of When I see them as stubborn or where I see them as like really firm on their positions I’m like, hey, let me I don’t know if you’ve ever seen this video There’s a video from the 70s where they made it illegal to drink and drive And I and I always tell people I’m like if you don’t know right I saw this with like the mask Oh, you’re not gonna tell me and there is a video of a news station interviewing people And there is literally a woman with a beer in her hand and a baby in the front seat right in the in the strap And she’s saying well, you know now they want to come and tell us that we can’t drink and drive and but you know if a man is right somebody else like well You know if a man wants to put in a hard day’s work and have a beer on the way home What’s wrong with that? I’m like Yeah, that’s how people used to be. You’d sound pretty dumb if you said something like that, right? And so we have to hope that some of this will stick and slowly things will progress and things will change. So I very much admire your optimism in what you just said. It does sound I find it frustrating that it has to be a naive statement or come off that way, because I don’t think it is. We have to hope for something. But if not, what are we doing? Right? There has to be a better future. We need to pay for ourselves. And unfortunately, the tribalism that kind of comes in us, maybe it can go towards other things, like, you know, people on other planets. No, I’m kidding. We can get it against them. They’re, they’re, no. But that we can learn to kind of unite and bring those things together. For me, I always drive home the point to be just, just listen. Just listen to where they’re coming from. And if you ask the right questions, you know, typically you don’t have, now there are some people that are just, you know, they’re just trying to outrage and bait for those things. But if you really listen to where people are coming from, it seems to make sense. We’re all shaped differently. And so our experience are different and you’re always going to be better off. You’re never going to be worse off for having more knowledge on how people or how the world is. So at the very least, even if you disagree at the end of that, at least you can kind of come together on the fact that you have learned a little bit more and you know a little bit more, and you’re more educated on your position if you choose to, you know, continue to hold that. Maybe you’re going to tolerate now and accept later. Who knows? But just remember the 80-year, right, the 1980s alcohol video. You can YouTube it too. God, it’s so funny to go back. I still continue to go back and watch it. I’d be like, wow, people really used to argue that. They got upset about big government telling them that they couldn’t drink and drive. Yeah, exactly. We have come a long way. Well, thank you very much for coming on. I told you it would only be about 45 minutes and we went well well over that but this is a very interesting conversation and more importantly I think it’s a conversation that needs to be had on a more frequent basis. I really appreciate it. I always tell my guests it’s very interesting the way you kind of connect over a podcast with people. You wouldn’t think it because you’re like, well, what is he gonna ask, right? And I’m thinking what am I gonna ask? Yeah, exactly. But I like when the conversations come out natural like this and we just kind of find out a little bit. I didn’t dig into your past, but you mentioned something right as a CNA and working in skilled nursing. So I appreciate you being able to share a little bit about your experiences and what you’re doing to pave a better way in our community to be able to serve the people in our community. Thank you. Thank you for having me. Thank you very much for coming in, ladies and gentlemen. Thank you very much for tuning in for another episode of The Peels Pod. Have a wonderful day.

Valley Health System

Valley Hospital Acquires the Spiration® Valve System for the Treatment of Severe Emphysema

By | Featured, News

A new minimally invasive therapy is shown to improve lung function and quality of life

Valley Hospital, a member of The Valley Health System, is now using the FDA-approved Spiration Valve System (SVS) for the treatment of severe emphysema. This Olympus innovation provides physicians an important new therapy for the treatment of adult patients who are suffering from the symptoms of severe emphysema, such as shortness of breath.Emphysema, a progressive form of Chronic Obstructive Pulmonary Disease (COPD), affects 3.5 million people in the U.S., according to the Centers for Disease Control and Prevention.[i]  The disease causes a loss of elasticity in lung tissue and enlargement of the alveoli. As a result, emphysematous lobes become hyperinflated, causing shortness of breath.

The Spiration Valve is an umbrella-shaped device that is placed in targeted airways of the lung during a short bronchoscopic procedure. Once in place, the SVS redirects air from diseased parts of the lung to healthier parts, allowing the healthier lung tissue to expand and function more effectively.[ii] With a potential reduction in lung volume, a patient may be able to breathe more easily and experience improvement in their quality of life.[iii]

A decade of clinical studies has shown that patient selection is one of the most important predictive factors of a good response to bronchoscopic lung volume reduction (BVLR) with endobronchial valves.[iv],[v],[vi] Patients are selected for this procedure through a screening process that involves a thorough patient evaluation, including comorbidities, and high-resolution CT analysis.5

“We are pleased to add the Spiration Valve System to our treatment portfolio for patients with severe emphysema,” said Collin McLaughlin CEO, Valley Hospital. “The SVS from Olympus gives pulmonologists at Valley Hospital an additional alternative for the treatment of this underserved patient population.”

Valley Hospital has developed several important pulmonary services, including a
* Pulmonary Embolism Response Team (PERT) to quickly respond to patients identified as having a pulmonary embolism (blood clot), and utilizing ClotTriever®, an FDA-cleared mechanical thrombectomy device for a one-time session under conscious sedation with a specially trained cardiologist or radiologist to thread a catheter into a pulmonary artery to capture and remove the clot(s). The technology eliminates the need for clot-busting drugs, called thrombolytics, which often require time spent in the intensive care unit.

*Lung Nodule Biopsies – Pulmonologists perform minimally invasive lung biopsies to diagnose infections, inflammatory diseases and lung cancer. Due to the volume and outcomes of biopsies performed using ION technology, Valley Hospital serves as an observation site for the ION program, and recently welcomed two Swiss pulmonologists to observe the ION program in action.

*Fellowship Training for Physicians – As an academic medical center, Valley Hospital’s Graduate Medical Education program has offered a Fellowship in Pulmonary/Critical Care since 2010 with physicians working in private practice, performing medical and surgical procedures, and as intensivists working only in hospital intensive care units throughout Southern Nevada.

About Valley Hospital

Valley Hospital is a member of The Valley Health System, a network of acute care and specialty hospitals, freestanding emergency departments, outpatient services and physician offices that provide care for patients throughout Southern Nevada and surrounding areas. Located in the Las Vegas Medical District, Valley Hospital, a 328-bed facility, is accredited by The Joint Commission and provides expertise in emergency services, advanced cardiovascular and neurological surgeries and procedures, surgical services, adult behavioral health, and advanced outpatient wound healing and hyperbaric medicine. Elite Medical Center, located on East Harmon near the Las Vegas Strip, the ER at Desert Springs, and the ER at North Las Vegas, located at North Fifth Street and Rome Boulevard are also extensions of Valley Hospital.


[1] Centers for Disease Control. Chronic Obstructive Pulmonary Disease: Basics About COPD. https://www.cdc.gov/dotw/copd/index.html. Accessed December 3, 2018.

[1] Spiration Valve System. 2018. Summary of Safety and Effectiveness.

3 Criner GJ, Delage A, Voelker K. Late Breaking Abstract – Endobronchial valves for severe emphysema – 12-month results of the EMPROVE trial. European Respiratory Journal 2018;52: Suppl. 62. doi:10.1183/13993003.congress-2018.OA4928.

4 Sciurba FC, Ernst A, Herth FJF, et al. A randomized study of endobronchial valves for advanced emphysema. New England Journal of Medicine 2010;363(13):1233-1244. doi:10.1056/NEJMoa0900928.

4 Sciurba FC, Ernst A, Herth FJF, et al. A randomized study of endobronchial valves for advanced emphysema. New England Journal of Medicine 2010;363(13):1233-1244. doi:10.1056/NEJMoa0900928.

5 Schuhmann M, Raffy P, Yi Y, et al. CT predictors of response to endobronchial valve lung reduction treatment: Comparison with Chartis. American Journal of Respiratory and Critical Care Medicine 2015;191(7):767-774; doi:10.1164/rccm.201407-1205OC.

6 Herth FJF, Slebos D-J, Criner GJ, Shah PL. Endoscopic Lung Volume Reduction: An Expert Panel Recommendation – Update 2017. Respiration 2017;94(4):380-388. doi:10.1159/000479379.

Ronald McDonald House® in Las Vegas Grand Opens Second House

By | News

RMHC of Greater Las Vegas recently unveiled a new one-of-a-kind facility featuring eight independent patio homes, each with their own kitchen, master bedroom, children’s bedroom, living room, and laundry unit. This unique home away from home represents expanded services for larger families whose children have longer recovery times in the hospital.

For 25 years, Ronald McDonald House Charities of Greater Las Vegas has been providing essential services, removing barriers, strengthening families, and promoting healing when children need healthcare. With this new, groundbreaking design, RMHC of Greater Las Vegas can serve up to 188 more families each year, eliminating the burdens of food insecurity, housing, and transportation when their child is fighting for their life in the hospital. After three long years of design and construction, RMHC of Greater Las Vegas is ready to open its doors to those in need of shelter from the storm, food for the soul, hope, and healing.

About Ronald McDonald House Charities of Greater Las Vegas
Ronald McDonald House Charities (RMHC) of Greater Las Vegas, A 501(c)(3) non-profit organization, provides essential services that remove barriers, strengthen families, and promote healing when children need healthcare. RMHC® of Greater Las Vegas offers services to children and families through the Ronald McDonald House, Ronald McDonald Family Room®, and Ronald McDonald Care Mobile® Dental Van. For more information, visit their website.