Adult Services, Medical Group

April 2023 Norton Medical Group New Providers

George Gad, M.D. Hospital Medicine Uchenna L. Ozor, M.D. Hospital Medicine Taylor D. Burkhardt, APRN Medical Oncology Jacqueline M. Caffrey, APRN Cardiology Erin Semeyn, APRN Medical Oncology

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Adult Services, Neuroscience

Keeping up with treatment and exams can postpone an MS relapse

Monitoring multiple sclerosis (MS) for treatment options through regular visits to an MS specialist can postpone relapses and improve quality of life. “MS is a complicated disease that affects each patient differently. By seeing patients regularly, we are able to reduce MS attacks or relapse and speed recovery,” said Geeta A. Ganesh, M.D., MPH, a…

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Adult Services, Oncology/Hematology, Research

Gilteritinib and venetoclax regimen yields encouraging results against FLT3-mutated AML

A new regimen of FMS-related tyrosine kinase 3 (FLT3) inhibitor gilteritinib and venetoclax was tolerable at standard doses and produced high response rates for advanced, FLT3-mutated acute myeloid leukemia (AML) in a multicenter Phase 1 study. “The results were encouraging. We saw high rates of marrow response and promising overall survival for this high-risk group…

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Adult Services, Orthopedics

Referral guide for Norton Louisville Arm & Hand

Referrals to Norton Louisville Arm & Hand typically can be seen by the next day, if necessary, for both simple and complex conditions, including fractures — from the humerus to the fingertip. Some of the most common referrals are for carpal tunnel syndrome, arthritis, sports injuries and congenital hand anomalies. Patients can be seen on…

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Adult Services, Neuroscience

Higher precision in deep brain stimulation for Parkinson’s disease

The patient A 63-year-old woman was diagnosed with Parkinson’s disease eight years earlier, after developing stiffness of the right arm and leg while undergoing treatment for breast cancer. She then developed tremor of the right thumb, and ultimately was diagnosed with Parkinson’s disease. After physical therapy did not provide adequate relief, the patient started medical…

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Pediatric Services

Children with fractures heal faster, so cast time should be limited

Forearm fractures, one of the most common pediatric fractures, can be safely and effectively treated with cast immobilization. Younger children heal faster, so the time in a cast should be limited to four to six weeks, while teens generally take six weeks to heal. “It’s important that pediatric patients see a pediatric orthopedist so they…

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Adult Services, Maternal Fetal Medicine, Obstetrics, Pediatric Services

Rescue cerclage success: Advanced cervical dilatation with bulging bag of water

The patient A routine ultrasound at 20 weeks’ and four days’ gestation showed cervical insufficiency. A pelvic exam by the patient’s primary obstetrician revealed her cervix was 3 centimeters dilated, with a bulging bag of water beyond her cervix. The patient was admitted to Norton Women’s & Children’s Hospital, and a referral was sent to…

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Adult Services, Obstetrics

First-line evaluation and treatment of urogynecologic conditions

Many of our patients at Norton Urogynecology Center are middle-aged with female anatomy, who present with symptoms affecting their quality of life. They may have issues related to incontinence, pelvic organ prolapse, pelvic pain, urinary tract infections or painful sex. Fortunately, these conditions can be managed successfully. We see many patients with urinary function issues…

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Adult Services, Obstetrics

Botox for overactive bladder

[vc_row][vc_column][vc_column_text]Up to 50% of patients with female urinary organs have some issue with bladder control, which can begin as early as their 20s. Those who have had multiple pregnancies or are overweight are at higher risk. Overactive bladder consists of at least two of the following: an urgent need to urinate right away; urinating at…

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Adult Services, Obstetrics

Anticholinergic alternatives for overactive bladder

Medications are the second-line therapy for overactive bladder, after physical therapy and lifestyle changes. Overactive bladder causes bothersome sudden urges and often is accompanied by urinary incontinence. This can really be disruptive to a patient’s quality of life. Anticholinergics such as oxybutynin are the oldest of these medications and the most studied. These drugs are…

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Adult Services, Obstetrics

Advanced stress incontinence treatments

For patients who want to be completely rid of stress incontinence, midurethral sling surgery remains our mainstay treatment. The data show a high success rate, great durability and a low risk profile. With this procedure, a sling is placed underneath the urethra so when the patient coughs or strains in a way that normally results…

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Adult Services, Orthopedics

Use of boy’s finger restored after avulsion fracture [graphic images]

The patient A 7-year-old male riding on a tractor with his father suffered a a crush injury to his left ring finger. The two were starting to ascend a hill when the boy’s finger became caught between the tractor and the trailing bushhog. The challenge All parts of the finger had been crushed, including the…

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