Adult Services, Orthopedics

Stephanie A. Merimee, M.D., orthopedic surgeon and Louisville native, joining Norton Louisville Arm & Hand

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….

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Adult Services, Medical Group

August 2023 Norton Medical Group new providers

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…

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Adult Services, Oncology/Hematology

Benefits of ultrasound-guided fine needle aspiration biopsy

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…

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Adult Services, Oncology/Hematology, Research

Lutetium Lu 177 dotatate available for advanced neuroendocrine tumor treatment

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…

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Adult Services, Orthopedics, Sports Health

Treating biceps tendinitis to keep athletes on the field and throwing

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…

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Adult Services, Cardiovascular

Keith A. McLean, M.D., cardiologist, joins Norton King’s Daughters’ Health in Madison, Indiana

Norton Heart & Vascular Institute welcomes Keith A. McLean, M.D., cardiologist, to Norton King’s Daughters’ Health in Madison, Indiana. The office is located in the Norton King’s Daughters’ Health Downtown Medical Building at 630 N. Broadway. With the addition of Dr. McLean, the office will have three providers seeing patients Monday through Friday. Dr. McLean…

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Adult Services, Orthopedics

Anterior vs. posterior hip replacement approaches

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…

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Adult Services, Neuroscience

Long-term multiple sclerosis treatment: Understanding prognosis, effects and therapies

Early treatment for patients with multiple sclerosis (MS) reduces the number and severity of flare-ups, delays disease progression and is associated with decreased long-term disability from neurological deficits compared with MS patients who did not begin treatment early. “Getting and staying on disease-modifying therapy is important, even when no symptoms are present, because the disease…

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Adult Services, Diabetes, Obstetrics

Gestational diabetes diagnosis criteria and management

When considering gestational diabetes diagnosis criteria, carbohydrate intolerance with onset or recognition during pregnancy after 20 weeks is foremost. Gestational diabetes accounts for about 6 in 7 cases of diabetes in pregnancy. Risk factors are similar to nongestational diabetes: obesity, advanced maternal age, hypertension, family history of diabetes, nonwhite ethnicity and prior macrosomic infant. Diagnosing…

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Adult Services, Neuro-Oncology, Research

Glioblastoma immunotherapeutic SurVaxM studied at Norton Healthcare Brain Tumor Center

Researchers at the Norton Healthcare Brain Tumor Center are conducting a clinical trial to determine whether a promising new immunotherapy drug, SurVaxM, improves survivability of glioblastoma. SurVaxM targets survivin, a protein in 95% of glioblastomas and many other cancers. The immunotherapeutic is designed to trigger the patient’s immune system to attack cancer cells with survivin….

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Adult Services, Oncology/Hematology

Gastric cancer red flags

The prognosis for gastric cancer is closely tied to the stage of the diagnosis. When found early, gastric cancer has a better survival rate. “Given the difference early diagnosis can make, it’s important that clinicians are aware of the red flags for gastric cancer,” said Jaspreet S. Grewal, M.D., Ph.D., a gastrointestinal oncologist at Norton…

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Adult Services, Neuroscience

Adding some separation from the superior cerebellar artery relieves trigeminal neuralgia

The patient A 67-year-old woman presented to clinic with a four-year history of right-sided facial pain. After the onset of her trouble, the pain went into remission for six months. It then recurred, and she was prescribed carbamazepine. This led to significant pain relief but caused adverse changes to her mood and balance. She was…

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