Hybrid ablation is used as treatment for long-standing persistent atrial fibrillation (A-fib), the most severe form of the condition affecting about 45% of A-fib patients. Steven M. Peterson, M.D., cardiothoracic surgeon with Norton Heart & Vascular Institute Structural Heart Program, gave a clinical case review of a hybrid ablation procedure. He was joined by Kent…
Pediatric neurologist Cullen S. Marshall, M.D., has joined Norton Children’s Neuroscience Institute, affiliated with the UofL School of Medicine. Dr. Marshall recently completed a residency in child neurology at Cincinnati Children’s Hospital Medical Center. He earned his medical degree from the University of Louisville School of Medicine in 2017. While in residency, Dr. Marshall was…
When a fall off the monkey bars leaves a 10-year-old with a distal radius fracture that heals incorrectly, or a 12-year-old gymnast lands wrong and the bone remodeling results in limited range of motion, the bone needs to be surgically rebroken. Malunion osteotomy surgery, a technically challenging procedure, now can be more precise and predictable…
The patient A 4-year-old boy presented to the hospital with fever, fatigue and weakness. He also complained of blurry vision. He had recently had nose bleeds and oral bleeding. A complete blood count showed pancytopenia, as well as blasts on his peripheral smear. A bone marrow aspiration and biopsy were performed. He was diagnosed with…
Norton Leatherman Spine is named for Kenton D. Leatherman, M.D., a pioneering surgeon whose groundbreaking work treating scoliosis brought him worldwide renown. We’re still known as a place where patients can receive innovative surgery from outstanding surgeons. But Norton Leatherman Spine is a lot more than surgeons and surgery. We offer coordinated, multidisciplinary care for…
When he spent time shadowing physicians in Eastern Kentucky, where he grew up, Jeffrey D. Howard, M.D., MBA, MPH, was struck by a rural doctor’s ability to take care of any case that came through the door. One of these “Docs,” as their patients called them, performed a carotid endarterectomy on his wife’s uncle, managed…
Pediatric movement disorders are characterized by impaired voluntary movements, abnormal involuntary movements or movements at inappropriate times. Tic disorders are the most common pediatric movement disorders and can be divided into motor tics and phonic or vocal tics. They tend to peak between the ages of 8 and 12 and are much more common in…
Justin W. Gorski, M.D., Ph.D., has joined Norton Cancer Institute, specializing in treating cancers of the female reproductive system, including ovarian, uterine and cervical cancers. Dr. Gorski is a board-certified gynecologic oncologist. He received his medical training at the Drexel University College of Medicine in Philadelphia and completed his residency at the Icahn School of Medicine…
The patient A 6-year-old girl was admitted to Norton Children’s Hospital on May 11, 2020, with uncontrolled seizures that progressed to status epilepticus. The challenge After maximal medical intervention, neurosurgery was consulted on June 12, 2020. Her electroencephalogram (EEG) showed a possible seizure focus in the left central and posterior regions, but her MRI showed…
New American College of Cardiology/American Heart Association (ACC/AHA) guidance strongly recommends coronary computed tomography (CT) imaging as a noninvasive, first-line tool for evaluating patients with stable chest pain suspected of having possible coronary artery disease (CAD). The new guideline cites high-quality evidence in concluding coronary CT angiography (CCTA) is “effective for diagnosis of CAD, risk…
Lauren R. Albers, M.D. Cardiology Erika Banta, PA-C Hospital Medicine Edward Brown, PA-C General Surgery Sarika S. Chandiramani, M.D. Pulmonology Elissa Grider, APRN Environmental Medicine Matthew Heckroth, M.D. Hospital Medicine Haylee M. Kerber, APRN Neurology Ivy Lewis, M.D. General Surgery Richard Lewis, M.D. Neurology Elizabeth Osborne, APRN Family Practice Lindsey Redd, APRN Cardiology Brittany M….
Sleep apnea was first diagnosed in 1965. For years, treatment was a tracheostomy, a surgery to bypass the upper airway obstruction. In the 1980s, continuous positive airway pressure (CPAP) took over as the leading treatment for a disorder that impacts just about every facet of life. In the late 1970s, sleep science gained momentum and…