The patient A man in his forties with a history of epilepsy and ankylosing spondylitis presented with acute onset neck pain after he was found down on the ground next to his bed by his father. The patient is amnesic to the event. The challenge The care team The solution The patient was placed in…
Norton Healthcare and Norton Children’s are now contributing vital resources to diabetes research efforts nationwide. As a new member of the Integrated Islet Distribution Program (IIDP), the Norton Islet Cell Research and Transplant Program, housed within Wendy Novak Diabetes Institute, supplied its first round of human pancreatic islet cells to researchers across the country, including…
Heart failure affects more than 6 million Americans, with Kentucky facing particularly high death rates of this complex cardiovascular syndrome. For primary care providers, understanding the full spectrum of heart failure — from at-risk patients to those requiring advanced therapies — is crucial for improving outcomes and quality of life. Chioma O. Obiokoye, M.D., heart failure…
New robotic technology has arrived at Norton Brownsboro Hospital. Justin M. Givens, M.D., orthopedic surgeon with Norton Orthopedic Institute, is among the first five surgeons in the country — and the first in Kentucky — to perform a new groundbreaking, robotic-arm assisted reverse shoulder replacement surgery with Mako SmartRobotics. This procedure hopes to offer a higher degree…
Life-changing, advanced cancer technology has arrived at Norton Audubon Hospital for patients with pancreatic cancer. William B. Evans III, M.D., gastroenterologist with Norton Gastroenterology Consultants of Louisville, recently became the first and only physician in Kentucky to perform endoscopic ultrasound-guided radiofrequency ablation (EUS-RFA) for pancreatic cancer. “It’s an honor to be the first in the state to…
Primary care physicians are frequently the first health care providers to encounter patients with cognitive concerns. While Alzheimer’s disease typically dominates discussions regarding dementia, vascular contributions to cognitive impairment and dementia, collectively referred to as vascular cognitive impairment (VCI), represent a critical but underrecognized cause of cognitive decline. Modern neuroimaging techniques readily allow for early…
Dementia care presents challenges that extend far beyond memory loss. Nearly 7 million Americans live with Alzheimer’s disease, supported by more than 11 million unpaid caregivers, 70% of whom report feeling stressed and unprepared. A multidisciplinary team approach is widely recognized as best practice, ensuring patients and families receive comprehensive and coordinated support. Dementia clinical…
U.S. News & World Report has released its 2025 “Best Hospitals” rankings, showing Norton Healthcare’s adult-service facilities as No. 1 in the Louisville area. Overall “high performing” ratings were given in the following specialties: “This No. 1 ranking is a testament to our caregivers and support staff who work tirelessly to provide care for the community,”…
The patient A 79-year-old man with essential tremor in the bilateral hands for at least 10 years Over the years, the severity of the tremor worsened, along with its negative impact on his life. First-line medications, propranolol and primidone, both were tried, without significant impact on the severity of tremor and the patient’s disability. Feeding…
The patient A 45-year-old man with bilateral thumb carpometacarpal joint arthritis for several years (Figures 1 and 2): He tried bracing and steroid injections, which eventually provided diminishing relief. He works as a mechanic for UPS but was having an increasingly difficult time at work due to pain and loss of pinch and grip strength….