Adult Services, Neuroscience

Imaging could lead to further expansion of tPA window

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…

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Adult Services, Obstetrics

Iron supplements for all pregnant patients, regardless of race, can help prevent anemia

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…

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Adult Services, Cardiovascular

New approach to left atrial appendage occlusion

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…

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Adult Services, Medical Group

August 2022 Norton Medical Group new providers

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….

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Adult Services, Oncology/Hematology

Amplified cardiopulmonary recordings as a music therapy intervention

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…

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Adult Services, General Surgery

A gynecologist’s guide to menopausal hormone therapy

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…

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Adult Services, Obstetrics

Norton Healthcare provides multiple resources to help breastfeeding mothers

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%…

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Adult Services, Spine

Leading advancements in spine care and helping patients

In the years after World War II, Kenton D. Leatherman, M.D., pioneered new approaches to treating scoliosis. More than half a century later, we are doing our best to carry forward that legacy of innovative scoliosis care. We are always working to make our surgeries more effective, less invasive and safer for our patients with…

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Adult Services, Oncology/Hematology

Mia Jusufbegovic, M.D., joins Norton Cancer Institute

Mia Jusufbegovic, M.D., has joined Norton Cancer Institute as its first head and neck oncology and microvascular reconstructive surgeon treating complex ear, nose and throat oncology cases. Dr. Jusufbegovic earned her medical degree from the University of Louisville School of Medicine, where she also completed her residency training in otolaryngology and head and neck surgery….

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Adult Services, Cardiovascular, Case Study

Case study: Treating protamine anaphylaxis in adult congenital heart disease patient

The patient A 33-year-old male presented with a history of a bicuspid aortic valve. He had previously undergone two aortic valve replacements. The patient first underwent aortic valve replacement in 2009 due to severe aortic insufficiency. A porcine valve was selected due to the patient’s status as a competitive football player. The patient’s recovery for…

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Adult Services, Weight Management

Talking about weight with patients

Obesity affects approximately 70 million Americans. Kentucky consistently ranks in the top 10 states for obesity. According to Kentucky Health Facts, 32% of adults in Jefferson County are classified as obese. Yet physicians may be reluctant to discuss weight with patients. What is obesity? Obesity is a complex metabolic condition that is the result of…

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Adult Services, Medical Group

July 2022 Norton Medical Group new providers

Karyn R. Watters, M.D. Occupational and Environmental Medicine Mary Spiker, PA-C Medical Oncology Stephen J. Buckner, APRN Internal Medicine Katelynn O’Daniel, APRN Endocrinology Deanna Valdivia, APRN Family Medicine Elizabeth Venegas, APRN Neurosurgery Kara A. Wedding, APRN Endocrinology Andrea Frickman, G.C. Genetic Counselor

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