Life-changing, advanced cancer technology has arrived at Norton Audubon Hospital for patients with pancreatic cancer. William B. Evans III, M.D., gastroenterologist with Norton Gastroenterology Consultants of Louisville, recently became the first and only physician in Kentucky to perform endoscopic ultrasound-guided radiofrequency ablation (EUS-RFA) for pancreatic cancer. “It’s an honor to be the first in the state to…
Primary care physicians are frequently the first health care providers to encounter patients with cognitive concerns. While Alzheimer’s disease typically dominates discussions regarding dementia, vascular contributions to cognitive impairment and dementia, collectively referred to as vascular cognitive impairment (VCI), represent a critical but underrecognized cause of cognitive decline. Modern neuroimaging techniques readily allow for early…
Logan M. Eberly, M.D., an adult congenital heart disease cardiologist, serves patients across both Norton Heart & Vascular Institute and Norton Children’s Heart Institute, affiliated with the UofL School of Medicine. He brings expertise but also a unique dual perspective to adult congenital heart disease (ACHD) care that is maximizing outcomes. Growing need for specialized…
Dementia care presents challenges that extend far beyond memory loss. Nearly 7 million Americans live with Alzheimer’s disease, supported by more than 11 million unpaid caregivers, 70% of whom report feeling stressed and unprepared. A multidisciplinary team approach is widely recognized as best practice, ensuring patients and families receive comprehensive and coordinated support. Dementia clinical…
U.S. News & World Report has released its 2025 “Best Hospitals” rankings, showing Norton Healthcare’s adult-service facilities as No. 1 in the Louisville area. Overall “high performing” ratings were given in the following specialties: “This No. 1 ranking is a testament to our caregivers and support staff who work tirelessly to provide care for the community,”…
The Patient A 52-year-old male with a long-standing history of poorly controlled high blood pressure despite adherence to a four-drug antihypertensive regimen (including a calcium channel blocker, ACE inhibitor, thiazide diuretic and beta-blocker). The patient reported persistent systolic blood pressures in the range of 170–190 mmHg, confirmed by ambulatory monitoring. He had no evidence of…
The patient A 79-year-old man with essential tremor in the bilateral hands for at least 10 years Over the years, the severity of the tremor worsened, along with its negative impact on his life. First-line medications, propranolol and primidone, both were tried, without significant impact on the severity of tremor and the patient’s disability. Feeding…
The patient A 45-year-old man with bilateral thumb carpometacarpal joint arthritis for several years (Figures 1 and 2): He tried bracing and steroid injections, which eventually provided diminishing relief. He works as a mechanic for UPS but was having an increasingly difficult time at work due to pain and loss of pinch and grip strength….
The patient A 48-year-old male with a past medical history significant for malignant thymoma status post thymectomy and right lower lobe lobectomy, and myasthenia gravis, presented to Norton Women’s & Children’s Hospital emergency department with dyspnea on exertion (DOE). His CT was concerning for possible pulmonary embolism. His labs on this admission showed B-type natriuretic…
Menstrual migraine affects approximately 60% of women with migraine yet remains significantly underdiagnosed in clinical practice. This hormonal-triggered condition requires coordinated care to improve patient outcomes and quality of life. “In a primary care setting, especially OB/GYN offices, it’s important to expect migraine,” said Ricardo A. Herrera, M.D., neurologist and headache medicine specialist with Norton…