Chronic pelvic pain (CPP) is a complex and often debilitating condition that affects a significant portion of the female population. It is commonly defined as pain perceived to originate from the pelvic region that has been present for longer than six months. This differs from acute pelvic pain, which usually has a clearly identifiable cause…
Diagnosing chest pain symptoms is a common occurrence in the primary care setting. Approximately 1% of all visits to primary care are related to chest pain, but rarely are these visits due to an acute coronary syndrome, according to Arpit Agrawal, M.D., cardiologist with Norton Heart & Vascular Institute. Acute chest pain often needs to be…
Katherine L. Billue, M.D. Wound Care Vladimir Orlov, D.O. Urgent Care Paul Weinberger, D.O. Emergency Medicine Kristen Browning, PA-C Hospital Medicine Saima Chishti, PA-C Medical Oncology Allie Davis, PA-C Hospital Medicine Amber L. Dumstorf, PA-C Hospital Medicine Casie McBurney, PA-C Hospital Medicine Kayla L. Day, APRN Medical Oncology Elaura M. Haynes, APRN, CNM Obstetrics and…
Robot-assisted sacroiliac joint (SIJ) fusion surgery can, in about 1% of cases, injure the superior gluteal artery (SGA), but preoperative imaging, precise robot-assisted screw insertion and soft tissue protection can mitigate risks, according to a recently published study in the Journal of Neurosurgery: Case Lessons. The study describes the case of an 80-year-old man who…
Safer controlled substance prescribing begins with a thorough patient workup, an appropriate diagnosis and a comprehensive treatment plan, according to Kelly C. Cooper, M.D., an addiction medicine specialist with Norton Behavioral Medicine. “We just tend to go for the pills first. And it’s not just as providers, it’s patients as well,” Dr. Cooper said during…
Sotatercept was recently approved by the Food and Drug Administration (FDA) to treat adults with pulmonary arterial hypertension (PAH) after completing a Phase 3 clinical trial at Norton Pulmonary Specialists and other leading pulmonary hypertension centers. Sotatercept, sold under the brand name Winrevair, is a new class of therapy for pulmonary arterial hypertension. It has…
Artificial intelligence (AI) like ChatGPT can compose essays or emails, write computer code, even generate art, but how well can it manage complex patient care? A team that included Norton Healthcare researchers decided to find out. They compared ChatGPT’s recommendations for managing an 81-year-old patient with nonresolving pneumonia with those of a pulmonary specialist. “What…
John T. Garner, M.D. Hospital Medicine Ishan J. Parikh, D.O. Hospital Medicine Aleksandr Pevtsov, D.O. Emergency Medicine Elizabeth Fahey, PA-C Orthopedic Hand Surgery Amy Seldon, PA-C Emergency Medicine Gregory A. Hart, APRN Emergency Medicine Amy B. Hughes, APRN Emergency Medicine Kathryn A. Karem, APRN Urgent Care Jason W. Raggard, APRN Emergency Medicine Ashley R. Trautwein,…
Prehabilitation, or “prehab,” refers to optimizing general health and well-being before surgery to improve surgical outcomes. Prehab takes a multidisciplinary approach, focusing on strength and aerobic exercises, nutrition, smoking cessation, alcohol reduction, and psychological factors such as mitigating stress, anxiety and depression. The approach is primarily designed for patients who are at the highest risk…
Patients 18 years of age and older with cystic fibrosis now have an option of participating in a Phase 1 trial of a novel, broad-spectrum, orally delivered enzyme replacement therapy for cystic fibrosis (CF). The randomized, active-treatment trial is testing the safety, tolerability and effect of four dose levels of ANG003, a compound developed by…
The patient A 64-year-old woman tripped after “missing a step,” fracturing her left tibial plateau and resulting in deformity of the joint. This was managed conservatively, with a leg brace removing weight from the extremity. She developed persistent numbness and tingling in her left leg, as well as weakness. She was evaluated in the Norton…
Paul A. Kniery, M.D. Internal Medicine Stephen Love, M.D. Behavioral Medicine Sarah A. Mayfield, M.D. Internal Medicine Emmanuel A. Nidhiry, M.D. Medical Oncology and Hematology Anupama Raghuram, M.D. Infectious Diseases Elizabeth Fahey, PA-C Hand Surgery Kathryn Hardesty, PA-C General Surgery Kyla M. Byard, APRN Family Medicine Stacie S. Cheney, APRN Family Medicine Anna N. Ertel,…