At some point in their life, 1 in 8 women will develop breast cancer. Approximately 20% of breast cancer cases are familial, affecting two or more women in the same family, usually at a later age. An estimated 5% to 10% of breast cancers are caused by a genetic mutation, called hereditary breast cancer. Red…
Patients often suspect a thyroid condition is responsible for their weight gain or their weight loss struggles. Much of the stimulus for this belief is based on the internet, according to Lisal J. Folsom, M.D., M.S., a pediatric and adult endocrinologist with Norton Community Medical Associates and Norton Children’s Endocrinology, affiliated with the UofL School…
Primary care and sports medicine providers hear frequently from patients about hip and knee pain, especially among older adults. The threshold for referral to an orthopedic specialist for possible joint replacement focuses on pain and disability. Most hip and knee replacements are done between ages 50 and 80, but hip and knee replacements have been…
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…