Treating the pain associated with endometriosis usually requires a combination of surgical and medical interventions. There are now several medications on the market that can be used. The newest is Orilissa (elagolix), which is indicated for the management of moderate to severe pain associated with endometriosis, and was approved by the Food and Drug Administration…
Liggins and Howie’s landmark paper in 1972 demonstrated that a single course of corticosteroids given to women at risk for preterm delivery reduced the incidence of respiratory distress syndrome and mortality in the offspring. After almost 50 years and a plethora of studies, the optimal timing of corticosteroid remains unclear. The benefits of a single…
In this update: New definition for postpartum hemorrhage from the American College of Obstetricians and Gynecologists Tranexamic acid as first-line medication 1:1 ratio of packed red blood cells (PRBC) to fresh frozen plasma (FFP) Postpartum hemorrhage is defined as cumulative blood loss greater than or equal to 1,000 mL or bleeding associated with signs/symptoms of…
Physicians are seeing more cases of an otherwise rare spine infection — osteomyelitis — that can be caused by injecting bacteria along with heroin. A recent Norton Leatherman Spine study took a closer look at osteomyelitis patients. The study revealed the number of Norton Leatherman Spine patients with spine infections that required surgery increased twelvefold…
At the 22nd annual Primary Care Update: A Clinical Update on the Management of the Adult Patient, Marjorie L. Pilkinton, M.D., Norton Urogynecology Center, presented on the evaluation and management of urinary incontinence. The goal of the annual Primary Care Update is to educate and provide awareness to primary care practitioners on treating a variety…
Immunotherapy drugs often will seek to unblock the checkpoint, which suppresses the body’s immune system, unmasking the cancer cell as a target for the body to fight. Louisville researchers are turning their success with immunotherapy toward a new foe — the deadly glioblastoma brain cancer. Renato V. LaRocca, M.D., a neuro-oncologist and cancer medicine specialist…
As the clinical program for headache medicine has expanded within Norton Neuroscience Institute and further clinical developments have been made in the field of treating headache disorders, our clinical research department has grown. We have participated in several trials that have ultimately led to the FDA approval of products, as well as products that are…
Trigeminal neuralgia is a disorder of the sensory division of cranial nerve V, which results in severe pain in the face. The pain usually is brief, intense, and on a single side of the face in any branch or in several branches of the trigeminal nerve. An estimated four to five people per 100,000 suffer…
Heavy periods affect one in five women in the United States, according to the Centers for Disease Control and Prevention. Symptoms of a heavy period, called menorrhagia, include soaking through one or more super-size pads or tampons every hour for several consecutive hours, prolonged bleeding for more than seven days, and passing blood clots larger than…
Comprehensive cancer services come together under one roof with focus on patient-centered care fueled by innovative design, advanced technologies and personalized integrated therapies. This new $38 million comprehensive cancer care center in northeastern Jefferson County represents an investment that brings all Norton Healthcare oncology subspecialties and services together for the first time in one location.“We…
Primary care physicians manage most patients with headache disorders but may lack the confidence to diagnose migraine. A study published in the journal Headache reported that one in four patients with IHS-defined migraine did not receive a clinical diagnosis of migraine. “Primary care physicians need to find a consistently reliable and efficient way to diagnose…
In May 2018, the Norton Cancer Institute Breast Health Program was awarded a three-year reaccreditation by the National Accreditation Program for Breast Centers (NAPBC). Accreditation by the NAPBC is only given to those centers that have voluntarily committed to provide the highest level of quality breast care and that undergo a rigorous evaluation process and…