Patient Advocates Here to Help You and Your Family Navigate the HealthCare System

University of Arizona College of Nursing

RN Patient Advocates is the only nationally recognized Patient Advocacy education program created specifically for qualified RNs endorsed by a leading College of Nursing: The University of Arizona.



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RNPA Intensive - Learning Experience

“In a year’s time after taking the RNPA Learning Intensive, my career, my health, my family, my very life has been transformed. I am forever grateful” — Karen DiMarco, RN, iRNPA

“The way of the future of absolute must if you want to make and be the difference in righting the wrongs of healthcare. Kare is a wonderful mentor who has put her soul into this program. Passion, Vision, Perseverance.” — Lana Benton, RN, iRNPA

“The forethought, experience, openness, philosophy and preparation provides all the tools, thought process, and confidence to begin and succeed as an iRNPA.” — Leta Gill, RN, iRNPA

“My experience attending the iRNPA program was a refreshing one, to say the least. This program was packed with life changing information that is not readily taught or available to RN's. This program equipped me with the tools I need to be an iRNPA!  If you are ready for a change after working for many years in the clinical setting, and are driven to help patients and families, this is the program for you!  Karen is a wealth of knowledge that is unmatched in the advocacy process.” — Jamie Long

“Thank you so much for putting together such an incredible RN PA intensive course!  It is truly intensive but so worth it!  I learned a lot and will be using the Medical Time Line and lab spreadsheet with as many clients as i can.  All great information and can’t wait to get my speaking engagements lined up now that I have your fantastic power points!” —  Nan Wetherhorn, Health Care Advisor,

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Could your house be making you sick? The Occupational Safety and Health Administration (OSHA) tells us that more than a quarter of U. S. buildings are water-damaged.


water_damageWater damaged buildings can promote the growth of molds – and you do not have to see or smell it for it to be present. 
Living in a moldy household or water damaged building increases the risk for depression by 33-44 percent.  Many other conditions can be caused by mold as well:  chronic fatigue syndrome, fibromyalgia, multiple chemical sensitivities, Lupus, MS, migraines, autoimmune illnesses.

Symptoms may include:

  • Breathing: Difficult, Tightness in chest, Asthma
  • Emotions: irritable, anger
  • Extremities: Tingling Hands and Feet
  • Eyes: Blindness, Pains, Wear sunglasses, Light Sensitivity, Bloodshot eyes, loss of vision, Detached retina
  • Fatigue: Chronic Fatigue (some estimate cause of up to 1/3 of chronic fatigue), postexertional fatigue
  • Mental: Confusion, brain fog, ADD/ADHD, learning disabilities, anxiety
  • Nasal: Congestion, Nasal soreness, sinusitis. A study by the Mayo clinic found that 96 percent of all sinusitis is  fungal!
  • Pain: pain in temples, sudden headaches, sudden, sharp, icepick like
  • Sensitivity: Car fumes, Smoke, Pets, Feathers, Detergents, Toothpaste, Chlorine, Plastic cups
  • Skin: Rashes, hair loss
  • Stomach: Cramps, nausea, Diarrhea
  • Taste: Metallic
  • Thirst: Dryness, Excessive thirst, excessive urination
  • Weight Gain: Sudden, inability to lose weight despite stringent dieting and exercise

What to do? If you have symptoms and medications are not making you better, if you have lived or worked in any building that has ever had any water damage/leaking roof, poor ventilation, consider that mold may be an issue and ask your physician.  Mold symptoms can often be misdiagnosed.  There are specific lab tests for mold illness – also called Chronic Inflammatory Response Syndrome.


Have your house or building tested for mold:  the leading test is the ERMI test.

There is treatment!  

Learn more at

Read more here. . .

What’s in your teeth may be causing your high blood pressure…and be a cause factor of heart attacks and strokes. How does that happen?


heart_cuteNicholas Gonzalez, MD, explains: “According to a research paper published in the 2011 issue of The Journal of Clinical Hypertension, mercury affects the heart and blood vessels in several ways:”

  • Mercury in your body increases inflammation
  • It causes thrombosis (the formation of blood clots in the veins)
  • Mercury contributes to abnormal endothelial function (remember that the endothelium is the thin layer of cells that lines the interior surface of your arteries and is a prime indicator of cardiovascular health or disease)
  • Mercury impairs the immune system
  • It interferes with the production of energy in your cells
  • Mercury causes high blood pressure
ekg_heartThe author of the research paper, Mark C. Houston, MD, also explains that “The clinical consequences of mercury toxicity include hypertension, coronary heart disease, myocardial infarction (heart attacks)” and abnormal heart rhythms as well as carotid artery obstructions and strokes.
What are the sources of mercury?  Some of the main ones: blue and striped marlin, swordfish, shark, Atlantic salmon, orange roughy, grouper, Chilean sea bass, and blue fin tuna; vaccines (from multi-dose vials;* you can request single dose vials), some cosmetics, some tattoo dyes; “silver tooth fillings; compact fluorescent light bulbs. 
What to do?  Ask your physician to check for levels of mercury in your body, especially if you have high blood pressure, heart disease or a history of strokes.   The levels of mercury in the body can be evaluated by analyzing the hair, blood and the Provoked Mercury urine test (this one is the gold standard). 
If you still have those “silver” fillings (50% mercury), have them safely removed by a dentist trained in proper removal technique.
Consider taking selenium supplements and fish oil – they both antagonize mercury toxicity.  Increase your body’s ability to fight inflammation by eating more fruits and vegetables.  Increase your intake of antioxidant supplements.

Want to learn more?

We are only 10% human. What? Microbes outnumber human cells by 10 to 1 and are essential to our health.


bacteriaThere are the harmless ones, the ”favor traders” who rely on us for survival as much as we rely on them for survival (this is the greatest percentage), and the small percentage of potentially dangerous ones called pathogens.  These microbes are every bit as important – and perhaps more – as the genes we inherit from our parents.  

Your inherited genes are fixed – although you can influence which ones become more or less active – while it may be possible to reshape this second set of genes in our bodies.  Certainly this happens every time we take antibiotics or probiotics.


Disorders in this microbial system may lead to obesity and a wide range of chronic illnesses as well as some infections.  In fact, “fecal transplants” – putting a healthy person’s gut bacteria into a sick person’s gut – can effectively treat a deadly microbe called C. Difficile.  Conversely, research is demonstrating that transplanting the microbes from a thin person’s gut to that of an obese person causes weight loss and improvements in insulin sensitivity.

What else do our microbes do for us?

  • Support and protect our immune systems
  • Help manufacture neurotransmitters like serotonin
  • Play a role in producing critical enzymes and vitamins – like B and K
  • Reduce inflammation
  • Play a critical role in the absorption of our food

What can this mean?  Well, one of the keys to good health may turn out to involve managing our internal microbial environment.  To do this, diet is a key player.  Processed food and the Standard American Diet all erode the good bacteria.  Something to think about.

Learn more about your internal microbial world. . .

RN Patient Advocates, PLLC

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RN Patient Advocates, PLLC

3400 West Goret Road
Tucson, AZ 85754
Phone: 520-743-7008

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