While endovascular aneurysm repair (EVAR) of aortic aneurysm has expanded over the last 20 years, there are still cases where this minimally invasive procedure has limitations. Using a new type of endograft called fenestrated endografts, surgeons at Norton Heart & Vascular Institute are repairing abdominal aortic aneurysms (AAAs) that are close to the renal or…
Lesbians may be at higher risk for HPV because of historical health care barriers that may have caused reluctance to get preventive screenings. Making matters worse, much of the discussion around sexually transmitted infections (STIs) has focused on heterosexual couples. “Providers and patients alike need to realize that the risks of sexually transmitted infections, including…
For individuals who have been unable to drive a vehicle due to neurological, orthopedic or other conditions, or for those who have experienced age-related changes in function, the loss of independence can be devastating. The Norton Hospital Driving Assessment Program, a service of Norton Neurosciences & Spine Rehabilitation Center, assists in returning individuals to safe,…
After many put off their preventive cancer screenings, Norton Cancer Institute is working to screen as many people as possible as early as possible for lung, colon and breast cancers. Adding urgency to the effort, Kentucky’s lung cancer rate is highest in the nation; it is second-highest for colon cancer and 25th for breast cancer,…
Norton Cancer Institute’s clinical research program was developed to ensure that cancer patients in our community and region have access to evolving clinical science. Guided by an experienced cadre of physicians and supported by a team of clinical research nurses and coordinators, Norton Cancer Institute oversees about 200 active clinical trials at any point in…
Norton Cancer Institute Women’s Cancer Center has a beautiful new home in Medical Towers South (234 E. Gray St., on the downtown Louisville medical campus) that reflects our goal of treating the whole person. Clinicians share the remodeled downtown clinic space with the behavioral oncology team. Just outside the clinic door is a resource area…
At any time, Norton Children’s Cancer Institute, affiliated with the UofL School of Medicine, is participating in dozens of clinical trials, representing a wide gamut of diagnoses and moving our understanding of childhood cancers forward. Norton Children’s Cancer Institute is a member of the Children’s Oncology Group and typically opens the same treatment studies and…
Inline revision of pedicle screws without increasing the screw diameter can be achieved using dual-pitch screws with cancellous pitch in the vertebral body and cortical pitch in the pedicle, according to a study published in The Spine Journal. “Dual-pitch screws may allow for inline revision of screws without upsizing screw diameter, minimizing the risk of…
Neurologist and movement disorders specialist Jason Crowell, M.D., MPA, has joined Norton Neuroscience Institute at the new location on the campus of Norton Brownsboro Hospital. Dr. Crowell received his medical degree from the University of Alabama School of Medicine. He completed a residency in neurology at the University of Virginia in Charlottesville and fellowship training…
The patient A 31-year-old otherwise healthy man presented with an enlarging and increasingly symptomatic left posterior ilium tumor. Biopsy revealed high grade osteosarcoma. Additional staging studies demonstrated no distant metastases. He was treated with neoadjuvant MAP chemotherapy (methotrexate, Adriamycin, cisplatin). The challenge Pelvis osteosarcomas have lower overall survival than those of the extremities. Positive surgical…
The patient A 48-year-old woman presented with a history of morbid obesity (376 pounds, BMI 66 kg/m²), hypertension (142/80 on multiple antihypertensive medications), uncontrolled diabetes mellitus (hemoglobin A1C of 9.1), worsening fatigue and increasing facial hair. Cushing’s syndrome is characterized by abnormally elevated levels of cortisol and causes symptoms of obesity, hypertension, hyperglycemia, hirsutism, thin…
The following guide for sexually transmitted infection (STI)/sexually transmitted disease (STD) screening is adapted from the Centers for Disease Control and Prevention (CDC). Chlamydia Assigned female at birth Sexually active under 25 years of age Sexually active ages 25 years and older if at increased risk (Those who have a new sex partner, more than…