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Kidney failure can bring difficult decisions long before a family feels ready to make them. As the disease progresses, symptoms may become harder to manage, everyday activities may require more help, and treatments such as dialysis may become more difficult to continue or may …
Hospice care is often provided wherever a patient calls home. But there may be times when pain or other symptoms become too difficult to manage safely and effectively in that setting.
A sudden increase in pain, severe nausea, breathing difficulties, agitation, seizures, or another …
When someone is receiving hospice care, changes in mood, behavior, sleep, and awareness can sometimes become part of the journey. A loved one who was previously calm may begin appearing worried, unsettled, confused, or unable to get comfortable. They may move around more, pick …
Living with respiratory failure can bring changes that affect comfort, energy, and daily routines. As breathing becomes more difficult, patients may need more support with everyday activities and may experience increased fatigue, weakness, or anxiety.
For families, these changes can also bring new questions …
For a child receiving pediatric hospice care, quality of life may be found in feeling comfortable enough to rest, laugh, listen to music, cuddle with a parent, spend time with siblings, or enjoy a favorite activity. It may mean having familiar people nearby, maintaining …
Choosing hospice can feel like a permanent decision, especially when a family is already carrying so much. But hospice is not a decision that locks a patient into one path. Patients may stop hospice care at any time, and when circumstances change, they may …
Hospice care does not always mean moving into a facility. In fact, most patients receive care in the place they already call home. That may be a private residence, an assisted living community, a nursing home, a hospital, or a dedicated inpatient hospice unit.
If you are searching for hospice care options in Las Vegas, you are likely navigating one of the hardest seasons a family can face. Maybe a doctor has recently brought up the topic, or maybe you have been quietly wondering if it is time …
When a family is facing a terminal illness, the focus of care extends far beyond the patient. Children in the household, whether they are the ones receiving care or a sibling or family member watching a loved one go through it, need their own …
Parkinson’s disease is a progressive neurological condition that changes how the body moves, communicates, and functions over time. In the earlier stages, many people are able to maintain independence with the help of medications and supportive care. As the disease advances, daily life often …
Dr. Cara Goo, D.O. completed her Family Medicine residency at Guthrie Lourdes Hospital in Binghamton, NY where she first became interested in Palliative Medicine and its application in the clinic and the hospital. She is a graduate of Touro College of Osteopathic Medicine, and Pacific College of Health and Science, where she trained in Traditional Chinese Medicine, acupuncture, and herbs. In fellowship, she hopes to bridge osteopathic and integrative medicine with palliative care.
Iryna Kobita recently completed her Internal Medicine Residency at The Valley Health System in Las Vegas and is pleased to continue her medical training in Hospice and Palliative Medicine. Prior to relocating to the United States, she practiced medicine in Ukraine, bringing valuable international clinical experience to her work. Iryna looks forward to contributing to the program, building strong professional relationships, and continuing to grow as a physician. Outside of medicine, she enjoys traveling, spending time outdoors, and being with family and friends.
Dr. Diana Lee graduated from Capital Medical University in Beijing, China, in 1991. Following graduation, she completed five years of pediatric residency training at Beijing Children's Hospital, one of the largest and most prestigious pediatric hospitals in China.
After relocating to the United States, she completed her second residency training program in Internal Medicine at Greater Baltimore Medical Center in 2004. She then worked as a hospitalist with Mercy Medical Group in Sacramento, California, for 10 years, before moving to Las Vegas to join Platinum Hospitalist Group, where she currently practices.
After earning her ABIM board certification in Hospice and Palliative Medicine in 2012, Dr. Lee focused her career on this specialty. In 2017, she established the first hospital-based inpatient palliative care consultation service in Las Vegas at St. Rose Dominican Siena Hospital. Under her leadership, this initiative expanded from a single-physician service into a multidisciplinary team of four palliative care physicians and 12 nurse practitioners, providing consultations across eight hospitals in Las Vegas. She has also served as the program director for the OPTI-West Hospice and Palliative Medicine Fellowship since 2021.
Dr. Lee is dedicated to advancing patient-centered palliative care through clinical excellence, program development, education, and collaboration. As the founder of one of the region's largest inpatient palliative care programs, she continues to expand access to specialty services and improve care for patients with serious illnesses throughout Southern Nevada.
Graduate of Midwestern University-CCOM and completed Neurosurgical Residency Training at Allegheny General Hospitals receiving diploma from Philadelphia College of Osteopathic Medicine. Board certified in Neurological Surgery and Neurocritical Care. Practices Neurosurgery in Southern California. Is the Designated Institutional Official, Chief Academic Officer, and CEO of OPTI-West Educational Consortium and Sponsoring Institution.
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