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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Let’s talk about bones. . . about types of calcium to build bones. . . about medications used in osteoporosis.


boneremodelingBones are constantly breaking down bone cells and building new ones (called remodeling).  How does calcium fit in here?  Which medications might be helpful (or harmful)?

Americans take more calcium supplements than any other group on the planet – and we have one of the highest rates of osteoporosis.  Why?

Calcium is only one of many different components necessary to help build and maintain strong bones.  The calcium in your bones accounts for approximately 20% of the entire makeup of bone. That’s it.  The other 80% contains phosphorus, zinc, magnesium and many other minerals, as well as collagen protein.  This is a big part of the reason that taking calcium supplements alone is not the answer.  Taking calcium alone would be like trying to bake a cake with only one ingredient or building a car using only steel. 

There is a calcium based supplement called MCHC (microcrystalline hydroxyapatite) that contains all the elements of bone building that can serve a more effective role in maintaining bone health.  Learn more here. . . 

The medications used to treat osteoporosis have significant drawbacks as clearly defined by the FDA.  They prevent bone breakdown, but do not build new bone.  Old bone becomes brittle and can spontaneously fracture – particularly the jaw and the thighbone and hip.  One in particular has severe potential risks: Prolia.  The FDA’s Division of Epidemiology listed nine “adverse events of special interest” before Prolia’s approval, including:

Osteonecrosis of the jaw (destruction of jaw bone tissue)

Atypical fracture

Fracture healing complications

Low calcium levels

Infections (adversely affects the immune system)

Acute pancreatitis 

New primary malignancy.  Learn more about this here . . .

What to do?  Learn more.  Ask an RN Patient Advocate to teach you about bones:  how they grow, why they decay, all the different approaches.  Then decide what is best for you.

Key to your heart health? The lining of your arteries!


This lining, called the endothelium, “is the single-celled layer lining the arteries of the body. In fact, it’s the most extensive organ system in the human body. It’s also a recipient of the abuse our bodies receive, a fragile organ that injury transforms into a plaque-lined landmine” explains Dr. J. Cooke of Stanford.

artery“A healthy endothelium is like Teflon, a nonstick surface that enhances the flow of blood. By contrast, an unhealthy endothelium is like Velcro, with white blood cells and platelets sticking to it.   When the lining of the blood vessel in healthy cells don’t stick, clots don’t form, arteries don’t harden, and you won’t die of a heart attack or stroke.”

The ENDO PAT 2000 described in the previous news post measures the health of your endothelium.

So what causes problems here?  High fat foods, frequent fast foods, foods that cause inflammation, high blood pressure, high LDL, high homocysteine levels, prolonged periods of stress, and smoking are some of the main culprits.

Learn more about how to protect yourself. . .

Your Living Brain is clearly connected to the rest of your body. What? Though much of the Living Brain is still a mystery, science is now opening new doors of understanding.



Mental health conditions are usually treated symptomatically.  The underlying root physical causes are not often explored.  But science is showing us a smarter way to understand and treat mental health conditions.

The Living Brain is a part of the whole body – and is affected in a very real sense to what is happening in that body.  Everything in our bodies is connected – tens of thousands of chemical feedback loops.  For example, good GI health is essential for proper nervous system functioning. Yes!  More than 70% of the serotonin needed in your body’s nervous system is produced in your small intestine!  And that is just one example of the interconnectivity of our whole body systems.

So, let’s look at some of the whole body influences on mental health:

1. Blood toxicity, resulting from heavy metals (especially lead and mercury – such as “silver” fillings) or environmental chemicals  in our food (such as preservatives and artificial sweeteners), water, and household/auto products

2. Improper diet, particularly poor quality or processed foods, or foods to which you may be sensitive – wheat, gluten, dairy

3. Lack of exercise

4. GI imbalances caused by heavy antibiotic use

5. Drug and alcohol use and abuse

6. Hormonal or chemical imbalances in the body

7. Insufficient or disturbed sleep patterns

There are now MD psychiatrists who practice Holistic Psychiatry – sometimes called Functional Psychiatry – who actually treat the whole brain/body connection and greatly increase your chance of recovery.  

Learn more about this from Mary Ackerley, MD, one such Holistic Psychiatrist.


RN Patient Advocates, PLLC

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