Adult Services, Neuroscience

Your patients: Pregnancy and epilepsy

Patients who have epilepsy and are thinking of getting pregnant may have questions about how epilepsy affects pregnancy or a fetus. Epilepsy affects each person differently, based on medication, hormones and other factors. Here are some things to know if your patient has epilepsy and wants to have a baby. Epilepsy is an umbrella term…

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Adult Services, Research, Spine

Addressing smoking and opioid use prior to spine surgery could reduce dependence after discharge

In-hospital consumption of opioids after elective spine surgery is driven chiefly by age, previous opioid use, smoking and the number of levels fused, according to a recent study published in the Journal of Spine Surgery. With as many as 38% of patients nationally still on opioids one year after elective spine surgery, the researchers sought…

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Adult Services, Oncology/Hematology

New lung cancer screening guidelines draw attention to prevalence in Black men

In its March 2021 revised guidelines for lung cancer screening, the U.S. Preventive Services Task Force (USPTF) noted Black men have a higher incidence of lung cancer than white men, and Black women have a lower incidence than white women. Reasons for the disparity were likely prevalence of smoking and other social risk factors, the…

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Adult Services, Medical Group

May 2021 Norton Medical Group new providers

William B. Evans III, M.D. Gastroenterology Kenneth E. Marshall, M.D. Family Medicine Elizabeth Ash, PA-C Medical Oncology Meaghan E. Baumgardner, APRN Pulmonology Kimberly N. Epperson, APRN Obstetrics and Gynecology Jamie Martens, APRN Urgent Care Sally J. Pike, APRN Urgent Care Rachel H. Ray, APRN Pulmonology

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Adult Services, Obstetrics

Blake Russ, APRN, joins Norton Women’s Care urogynecology

Blake Russ, APRN, has joined Norton Urogynecology Center as a seventh provider treating pelvic floor disorders, pelvic organ prolapse, urinary incontinence and related conditions. Blake most recently served as an emergency department nurse practitioner at Norton Women’s & Children’s Hospital caring for patients of all acuities, performing lifesaving measures and less intensive procedures in collaboration…

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Adult Services, Orthopedics

Norton Louisville Arm & Hand growing, adding 9th surgeon

Norton Louisville Arm & Hand, part of Norton Orthopedic Institute, is growing in size and scope. Norton Louisville Arm & Hand currently has eight surgeons and a ninth arriving in September. This practice provides comprehensive coverage of issues with upper extremities, from the elbow to fingertips. As the practice grows, Norton Orthopedic Institute’s role with…

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Adult Services, Weight Management

How long do I have to stay in the hospital after weight loss surgery?

How long will you have to stay in the hospital after weight loss surgery? The average is two to five days, but a Louisville physician is getting most patients home the day after bariatric surgery. There are several types of weight loss surgery. Laparoscopic sleeve gastrectomy (LSG) restricts a patient’s stomach capacity and limits the…

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Adult Services, Neuroscience

3 things to know about caring for your patient after stroke

As a stroke neurologist, I provide acute care in the hospital. When it comes to stroke recovery and prevention of a recurrence, the real work happens outside of the hospital in the primary care setting in the months and years that follow. After stroke patients have been discharged, the primary care provider is there to…

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Adult Services, Orthopedics

Norton Orthopedic Institute Medical Director Spotlight: Cyna Khalily, M.D.

More patients choose Norton Orthopedic Institute for hip or knee replacements and other orthopedic procedures than any other health care provider in Louisville, Kentucky, or Southern Indiana. Cyna Khalily, M.D., serves as Medical Director of NOI and is a practicing orthopedic surgeon who specializes in surgeries of the hip and knee. Education & Training Bachelor’s…

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Adult Services, Neuroscience

A team approach to brain tumor care

As a neurosurgeon, the traditional way of managing patients was straightforward: Did they need surgery or not? Patients who didn’t need surgery usually were referred to an oncologist or another specialist, who took over their care. From there, patients might be referred, again, to another physician, or to a physical therapist or speech pathologist. At…

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Adult Services, Neuroscience

Radial approach: The future of endovascular surgery

Cardiologists have used the radial approach for years. Now, endovascular neurosurgeons are discovering this approach as a better way to treat aneurysm and stroke. It’s more complex, but the benefits are worth it. Using the radial artery, rather than the femoral artery, means most patients recover faster and the procedure is significantly more comfortable. There’s…

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Adult Services, Case Study, Neuroscience

Brain tumor study: Successful laser ablation of thalamic tumor

The patient An 18-year-old man initially presented with the incidental finding five years earlier of a lesion in the left thalamus. He was followed with stable surveillance imaging until 2017 when the lesion started to enlarge. He underwent a stereotactic biopsy confirming juvenile pilocytic astrocytoma. The challenge Juvenile pilocytic astrocytomas are typically benign, well-defined tumors…

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