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…
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…
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…
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…
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….
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…
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…
Kevin A. Graham, M.D., a cardiothoracic surgeon, has joined Norton Heart & Vascular Institute. Dr. Graham, who earned his medical degree from Indiana University, Indianapolis, and completed his residency there, has been practicing in Illinois. Dr. Graham has participated in the Summit trial, Optimize Pro study, Early TAVR trial and, as site principal investigator, the…
Carpal tunnel, the most common type of peripheral nerve compression, is primarily a clinical diagnosis and is usually confirmed with a combination of physical exam and history. A nerve test is also possible in cases where a diagnosis is not clear. Risk factors for carpal tunnel include diabetes, obesity, excessive alcohol use and hypothyroidism. Patients…
Ryan A Bricknell, M.D. Hospital Medicine Manikya Kuriti, M.D. Endocrinology Michael Beasley Jr., PA-C Family Medicine Stephanie L Goodman, APRN Pulmonology Alexis W Owens, APRN, DNP Family Medicine Aliah D. Rose, APRN Geriatrics