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Heart failure is a condition that changes how the heart functions over time. As the heart becomes less effective at pumping blood, the rest of the body begins to feel the effects. Oxygen and nutrients do not circulate as efficiently, and this can lead …
Knowing when to call hospice is one of the most difficult decisions families face. The changes that lead up to that moment often happen gradually. A loved one may begin spending more time resting, have less strength to move around, or need more help …
Sleep is one of the most noticeable physical changes that can occur during hospice care. As serious illness affects the body, the balance between activity and rest begins to shift. A person who once stayed awake for much of the day may begin resting …
Grief is usually described as what happens after someone dies. That is the version most people know. But many families discover something surprising: grief can start while a loved one is still here.
Sometimes it begins as a quiet heaviness that comes and goes. …
Serious illness has a way of changing what matters. Conversations begin to shift from schedules and plans to comfort, energy, and how each day feels. Medical decisions often become less about what can be done and more about what should be done based on …
Serious illnesses often bring important decisions into focus. Topics that once felt distant can become immediate, and conversations may turn toward comfort, personal values, and how care should look when health changes. For many people, talking about end-of-life wishes is unfamiliar territory. It can …
Hospice care can include different types of support, and each one is designed for a specific kind of need. Some situations call for regular check ins, while others may require more focused attention or even care in a separate setting. Because needs can change …
Hospice is a type of care that many families hear about long before they ever need it, but most people do not fully understand what it includes. It is often surrounded by questions, uncertainty, or assumptions that are not always accurate. The truth …
When a loved one enters hospice, families often focus on the medical side of care, pain management, comfort measures, and physical needs. But hospice is more than medical care. It’s a holistic approach that tends to the mind, heart, and spirit. That’s where a …
When the topic of hospice care comes up, not everyone is ready to consider it right away. The idea of hospice often carries strong emotions and misconceptions. Some people fear losing independence, while others worry it means giving up hope or control.
These feelings …
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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