The patient A 4-year-old girl presented with congenital heart disease consisting of partial atrioventricular canal defect. Surgical repair was necessary. The challenge Injury to the cardiac conduction system during cardiac surgery may result in complete heart block in 25% of patients with the most complex congenital heart defects. The injury interrupts the electrical signals transmitted from…
Stephanie A. Merimee, M.D., an orthopedic surgeon, has joined the team at Norton Louisville Arm & Hand. Dr. Merimee has a medical degree from the University of Louisville School of Medicine. She completed her residency at the University of South Florida and Florida Orthopaedic Institute in Tampa, Florida. Prior to coming back to Louisville, Dr….
Shawn W. Adams, M.D. Neurosurgery Megan M. Bertke, M.D. Emergency Medicine Samrath Bhimani, M.D. Hip Orthopedic Surgery Abhishek Bose, M.D. Electrophysiology Joshua H. Brandon, M.D. Family Medicine Rabia G. Buridi, M.D. Stroke Neurology Robert S. Butler, M.D. Emergency Medicine Stephen Cawood, M.D. Emergency Medicine Benjamin T. Cunningham, M.D. Emergency Medicine Daniel Frick, D.O. Emergency Medicine…
Fine needle aspiration (FNA) can provide a timelier evaluation of neck masses than open biopsy, thus saving time, money and potentially improving health outcomes with earlier diagnosis and treatment. Fine needle aspiration for head and neck masses Masses felt by the clinician or detected with imaging scans often require further testing. Options for obtaining tissue…
Norton Cancer Institute is the only site in Louisville offering lutetium Lu 177 dotatate (Lutathera), a second-line treatment targeting advanced-stage neuroendocrine tumors in adult patients. The drug is indicated when a patient starts to lose response to the first-line therapies, lanreotide (Somatuline) and octreotide acetate (Sandostatin). Norton Cancer Institute To refer a patient to Norton…
The shoulder joint is a complex combination of ligaments, muscles, bones and tendons. All these structures must function correctly to keep the joint in alignment, or the patient could experience pain, decreased range of motion, weakness and discomfort. Athletes in throwing sports must take special care to keep their shoulder healthy or risk developing conditions…
If a congenital heart condition is expected for a high-risk pregnancy, referring providers still can retain their patients through delivery by collaborating with Norton Children and Norton Healthcare. We use an integrated approach for collaborative care among obstetrics, maternal-fetal medicine (MFM) and fetal cardiology specialties. Referring providers will remain the primary contact for the patient,…
We know it’s a stressful time for parents when they learn their child will be born with a congenital heart condition, and it is normal for patients to want to seek a second opinion. Other providers may encourage a second opinion, and we welcome patients seeking second opinions at Norton Children’s Heart Institute, affiliated with…
Patients who need a hip replacement often ask about anterior versus posterior hip replacement approaches. Both approaches work well over the long term, but the anterior approach has the advantage of a speedier recovery, according to Kevin J. Himschoot, M.D., an orthopedic surgeon and reconstructive surgery specialist with Norton Orthopedic Institute. Patients who have had a…
Early treatment for patients with multiple sclerosis (MS) reduces the number and severity of flare-ups, delays disease progression and is associated with decreased long-term disability from neurological deficits compared with MS patients who did not begin treatment early. “Getting and staying on disease-modifying therapy is important, even when no symptoms are present, because the disease…
Successful management of congenital hypothyroidism requires timely confirmation of the diagnosis, accurate interpretation of thyroid function testing, effective treatment and consistent follow-up. “Severe intellectual impairment typically does not occur in patients who receive the diagnosis and are treated early and adequately,” said Kupper A. Wintergerst, M.D., chief, pediatric endocrinology and director of the Wendy Novak…
Infants and children can be prone to anemia for a variety of reasons throughout their first years of life and adolescence. Anemia can be caused by diet, blood loss or other health conditions. Signs and symptoms may include pallor, jaundice, scleral icterus, exercise and/or feeding intolerance and general fatigue. Anemia can be detected during a…