The patient A 25-year-old woman presented with recurrent left second metacarpal giant cell tumor of bone. She previously was treated with extensive curettage, bone graft substitute placement and Kirschner wire fixation. Giant cell tumor of bone is a benign aggressive tumor with a high rate of local recurrence and development of lung metastases in approximately…
Using 3D, computer-generated spine navigation systems to position implants has transformed spinal surgery. Not only can we place the spinal implants with greater precision, navigation has allowed us to perform more surgeries using a minimally invasive approach. Minimally invasive surgery means smaller incisions, less muscle dissection, shorter hospital stays, less narcotics use, and a quicker…
Luke A. Beggs, M.D. Orthopedic Sports Medicine Angelo A. Ciliberti Jr., M.D. Rheumatology Amber Z. Deptola, M.D. Internal Medicine Hassan Khan, M.D., MPH Electrophysiology Kathryn J. McCarthy Mullooly, M.D. Spine Surgery Kenechukwu O. Obiokoye, M.D. Infectious Disease Chioma O. Onyekwelu, M.D. Cardiology Joshua E. Preiss, M.D. Thoracic Surgery Heidi C. Rogers, M.D. Rheumatology Ruth M….
Dementia is an umbrella term that includes a range of symptoms associated with cognitive decline. Perhaps one of the best known and most common types — Alzheimer’s dementia — represents 60% to 80% of all dementia. It’s characterized by memory loss and, from a biological perspective, amyloid plaques, neurofibrillary (tau protein) tangles and neurodegeneration, which…
Time saved is brain saved when it comes to stroke care. “Stroke is one of the leading causes of death in the U.S,” said Shervin R. Dashti, M.D., Ph.D., endovascular neurosurgeon and spine surgeon at Norton Neuroscience Institute. “Three-quarters of a million strokes per year, many million stroke survivors, and it’s one of the leading…
Additional data could lead to stronger guidelines extending the tPA window for ischemic strokes beyond the current 4½ hour limit in coming years, according to a Norton Neuroscience Institute stroke specialist. A common scenario faced in stroke centers is a patient who awoke with a deficit but doesn’t know when they had a stroke. The…
Iron supplementation is recommended for all patients at the beginning of their pregnancy, regardless of a patient’s race, and all obstetricians at Norton Healthcare should follow this guidance. Updated guidance for anemia in pregnancy In 2021, the American College of Obstetricians and Gynecologists (ACOG) changed its protocol for treating anemia by standardizing anemia values for…
A group of Norton Healthcare physicians is using a novel approach to mitral valve repair. Research has shown that many patients with suture-based left atrial appendage surgical ligation have incomplete closure that puts them at risk for thromboembolic events. Closure of the LAA, either via percutaneous or surgical methods, could decrease risk. Thrombi typically arise…
Nathaniel R. Beachy, M.D. Neurology Domenic R. Craner, M.D. General Surgery Alden Chase Currier, D.O. Internal Medicine Andrew D. Doering, M.D. Urogynecology Justin Gorski, M.D. Gynecologic Oncology Caitlin A. Grace, M.D. Internal Medicine Kevin A. Graham, M.D. Cardiothoracic Surgery Zachary J. Grove, M.D. Urgent Care Jeffrey Howard Jr., M.D. General Surgery Mohammad F. Mathbout, M.D….
Bereaved family members of adult oncology patients appear to have moderate acceptance and use of amplified cardiopulmonary recordings (ACPR) when created in the context of ongoing music therapy treatment, according to a recently published study. ACPR is a process-based music therapy intervention. Using a patient’s heartbeat to create a piece of music can be important…
Menopausal hormone therapy requires a customized approach to each patient that considers not only their clinical presentation and symptom severity, but the risks and benefits of hormone replacement, risk factors and the patient’s personal feelings about menopause and medication, according to a Norton Women’s Health gynecologist. Symptoms experienced by postmenopausal patients are very individualized, and…
Fewer mothers in Kentucky are giving their children valuable nutrients through breastfeeding, according to the latest data provided by the Centers for Disease Control and Prevention (CDC) National Immunization Surveys and the U.S. Department of Health and Human Services. Data reported measured children born in 2019. According to the data released in August 2022, 74.7%…