Adult Services, News, Orthopedics

Norton Louisville Arm & Hand becomes Norton Arm & Hand Institute

Norton Arm & Hand Institute is the new name for Norton Louisville Arm & Hand, as of March 1, 2024. The goal of Norton Arm & Hand Institute is to be a destination program by establishing itself as a thought and practice leader in upper extremity care. The institute is founded upon five pillars: clinical…

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Adult Services, Infectious Disease

Antimicrobial stewardship

The Norton Healthcare Antimicrobial Stewardship Program was recognized this year as the first and only antimicrobial stewardship center of excellence in the United States by the British Society of Antimicrobial Chemotherapy. The international collaboration is part of the society’s new Global Antimicrobial Stewardship Accreditation Scheme. The accreditation process, developed by BSAC and led by experts…

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Adult Services, Oncology/Hematology, Research

Norton Cancer Institute enrolling patients for gotistobart (ONC-392) Phase 3 trial

Norton Cancer Institute is enrolling metastatic lung cancer patients in a Phase 3 clinical trial to test a promising new anti-CLTA-4 antibody, gotistobart (ONC-392). The study will test whether gotistobart is more effective than the chemotherapy agent docetaxel in prolonging life in patients with metastatic, non-small cell lung cancer whose disease progressed on anti-PD-1/PD-L1 antibody…

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Adult Services, Medical Group

February 2024 Norton Medical Group new providers

Scott M. McClain, M.D. Emergency Medicine Stephen R. Roszell, M.D. Urgent Care Jerome J. Tuitt, M.D. Hospital Medicine Shengnan Zheng, M.D. Hospital Medicine Timothy J. Ziolkowski, M.D. Emergency Medicine Katharine Adelstein, APRN Psycho-oncology Lunden A. Barnes, APRN Urgent Care Rachel F. Bass, APRN Family Medicine Taylor D. Burkhardt, APRN Urgent Care Megan A. Cramer, APRN…

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Adult Services, Sports Health

How evidence-based “exercise snacks” can combat sedentary lifestyles

What are “exercise snacks”? A newer concept for evidence-based exercises, called “exercise snacks” or “activity snacks,” is gaining traction for helping improve health outcomes for patients with sedentary lifestyles. These “snacks,” which involve short bursts of exercises implemented throughout the day, can offer many health benefits without significantly disrupting a patient’s existing daily routines. Studies…

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Adult Services, Cardiovascular, Obstetrics

Peripartum cardiovascular disease makes pregnancy history a critical part of evaluating patients

Patients who have been pregnant and especially those who had complicated pregnancies are at higher risk for cardiovascular disease, but the condition typically arises 10 or 15 years after the pregnancy. Patients are screened months after their pregnancy for cardiovascular disease, but as the patient ages, pregnancy is a very important part of their medical…

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Adult Services, Oncology/Hematology

Diagnosing early stage lung cancer with robotic bronchoscopy lung nodule biopsy

The patient A 67-year-old woman with a past medical history of chronic obstructive pulmonary disease and emphysema presented with a spiculated right upper-lobe nodule that was previously 8 millimeters in size on CT scan of the lung. In six months, it had increased in size to 1.1 centimeters. The challenge The lung nodule was small,…

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Adult Services, Spine

Advantages of minimally invasive spine surgery

Spine surgeries have come a long way from the large open procedures that were the standard of care for many years. A wide range of minimally invasive surgeries are now possible for patients, with excellent results and faster recovery. Our goal with minimally invasive surgery is to decrease soft-tissue disruption yet accomplish the same results…

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Adult Services, Spine

Managing osteoporosis and spine surgery

Osteoporosis in the aging population is now estimated to affect over 10 million people and significantly affects postmenopausal women, although the condition can occur in other groups. There are many predisposing factors, including a family history (genetics), race, smoking, alcohol abuse, chronic illness, cancer, deficient vitamin D3 levels and living a sedentary lifestyle. The condition…

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Adult Services, Spine

Improving surgical decision-making for cervical spine patients

Difficulty with standing balance is a frequent clinical issue with multiple possible etiologies. It may be seen with normal aging or common pathologies such as diabetic neuropathy. In patients with cervical degenerative disease, progressive standing and gait imbalance can be an indication of cervical spinal cord dysfunction, termed cervical spondylotic myelopathy (CSM). As opposed to…

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Adult Services, Gynecology

Helping patients talk about their menopause symptoms

Women in their 40s and 50s who are starting to experience symptoms of menopause and perimenopause frequently don’t know what to expect, and they are often reticent about bringing up symptoms during visits with their primary care providers. By asking questions and explaining symptoms, providers can normalize symptoms of menopause and perimenopause and put patients…

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Adult Services, Oncology/Hematology, Pulmonology

Lung cancer screening guidelines

The U.S. Preventive Services Task Force updated its lung cancer screening guidelines in 2021 to include younger patients and those who smoked less than the previous recommendation. The current USPSTF lung cancer screening guidelines are for adults between ages 50 and 80 who have a 20-pack-year smoking history and currently smoke or have quit within…

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