Norton Leatherman Spine’s fellowship began in the 1980s, making it one of the oldest in the country — but its modern shape took hold starting in 1990, when Steven D. Glassman, M.D., and John R. Dimar II, M.D., began building on the clinical foundation Kenton D. Leatherman, M.D., had established. What started as a basic…
Reviewed by Kent L. Walker, D.O., pediatric spine surgeon and pediatric orthopedic surgeon with Norton Children’s Leatherman Spine; and Natalie R. Jennette, APRN, nurse practitioner with Norton Children’s Leatherman Spine The patient Patient is an 11-year-old boy presenting with diplegic cerebral palsy, neuromuscular scoliosis, autism and attention-deficit hyperactivity disorder. He already had been through a…
Published in The New England Journal of Medicine and presented at the American College of Cardiology’s scientific meeting, “Left Atrial Appendage Closure or Anticoagulation for Atrial Fibrillation” positions left atrial appendage closure as a viable first-line alternative to long-term oral anticoagulation in eligible patients with nonvalvular atrial fibrillation (A-fib). This publication is a conclusion to…
The data driving hormone replacement therapy guidelines has changed considerably since the Women’s Health Initiative (WHI) study upended prescribing patterns in the early 2000s. Yet many clinicians — particularly those in primary care — are still practicing under assumptions rooted in that now-contextualized research. In a recent episode of Norton Healthcare’s “MedChat” podcast, a conversation…
The patient A 60-year-old male with no prior cardiovascular diagnoses presented for routine preventive care. The patient was an active runner, including in ultramarathons, with no reported symptoms of coronary artery disease, such as chest pain, shortness of breath, exercise intolerance or fatigue. His medical history was notable for elevated cholesterol and a significant family…
Norton Children’s Neuroscience Institute, affiliated with UofL School of Medicine, is one of only three sites in the United States selected to participate in the TETRIS study, a clinical trial examining how remote patient monitoring can help clinicians better optimize treatment in patients diagnosed with some severe types of epilepsy. About the clinical trial The…
Minimally invasive epilepsy surgery is well tolerated and, for many children with treatment-resistant epilepsy, can lead to seizure freedom faster than families may expect — changing the course of a child’s life sooner and helping them regain a more normal childhood. “The perception of ‘epilepsy surgery’ is sometimes still associated with an earlier era of…
The patient A 43-year-old woman presented to the Norton Neuroscience Institute Face Pain Clinic with severe trigeminal neuralgia pain affecting the left side of her face. She described the pain as sharp, electrical, and shock-like — triggered by everyday activities such as eating, speaking, applying makeup and exposure to cold air. The condition progressively had…
When a child presents with a first seizure, the temptation is to order tests immediately. But the most powerful diagnostic tool is a carefully obtained history and witness description, according to Siddharth V. Jain, M.D., pediatric epileptologist with Norton Children’s Neuroscience Institute and assistant professor of pediatrics at the University of Louisville School of Medicine….
Cleft lip and cleft palate are among the most common congenital craniofacial conditions, yet in Kentucky, many families have navigated fragmented care across multiple providers and systems to access the full spectrum of treatment. Andrea R. Hiller, M.D., pediatric plastic surgeon who recently joined Norton Children’s Surgery, affiliated with the UofL School of Medicine, is…