Adult Services, Cardiovascular, Case Study

Case study: Rapid diagnosis and treatment of rare giant cell myocarditis in cardiogenic shock

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…

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Adult Services, Neuroscience

Menstrual migraine treatment: The impact of hormones on headaches

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…

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Adult Services, Cardiovascular, Neuroscience

Norton Healthcare nationally recognized for commitment to providing high-quality cardiovascular and stroke care

Norton Healthcare has received American Heart Association Get With The Guidelines achievement awards for demonstrating commitment to following up-to-date, research-based guidelines for the treatment of heart disease and stroke, ultimately leading to more lives saved, shorter recovery times and fewer readmissions to the hospital. Heart disease and stroke are the No. 1 and No. 5 causes of…

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Adult Services, Behavioral and Mental Health

Opioid use disorder treatment in the primary care setting

The landscape of opioid use disorder (OUD) treatment is evolving, with recent Drug Enforcement Administration regulation changes enabling physicians to treat patients without obtaining the X-waiver. This shift underscores the pivotal role primary care providers can play in addressing treatment gaps and offering care for patients with OUD. Understanding opioid use disorder: Definitions and diagnosis…

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Adult Services, Neuroscience

Detecting early signs of Parkinson’s disease in a clinical setting

Early recognition of Parkinson’s disease requires health care providers to look beyond the classic tremor. Parkinson’s disease affects approximately 1 million people in the United States, with 90,000 new diagnoses each year. Despite its prevalence, early recognition remains challenging for health care providers. Parkinson’s disease is the most common neurodegenerative movement disorder, characterized by abnormal…

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Adult Services, Provider Wellness

Helping patients make lasting lifestyle changes

By focusing on small steps, physicians can help patients make meaningful, lasting improvements to lifestyle habits that contribute to chronic disease. Time constraints and patient resistance can make conversations about activity, diet, stress reduction and other improvements feel secondary. Even small, incremental lifestyle changes can lead to significant long-term improvements in health outcomes. The Small…

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Adult Services, Gastroenterology, Oncology/Hematology

New guidelines aim to improve colonoscopy quality and cancer detection

Recent advances in colonoscopy techniques are helping physicians detect more colon cancers while reducing complications, according to updated medical guidelines that emphasize quality indicators and improved detection methods. William B. Evans III, M.D., gastroenterologist with Norton Gastroenterology Consultants of Louisville, presented the findings at a continuing medical education session, outlining key changes in how physicians…

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Adult Services, Cardiovascular

Advances in heart failure care: Leading change through collaboration and technology

Norton Heart & Vascular Institute and UK HealthCare Gill Heart & Vascular Institute joined forces to present a timely and insightful continuing medical education session, “Advancing Heart Failure Care: Innovation Meets Equity.” The session explored the latest advancements in heart failure management while emphasizing the critical need to address disparities in care. This collaboration highlights…

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Adult Services, Case Study, Oncology/Hematology

Oropharyngeal cancer case study: Robotic-assisted tongue base resection

The patient A 75-year-old male presented with a left neck mass, referred by his community otolaryngologist. The patient reported a history of sleep apnea, cough and recurrent upper respiratory infections. Imaging and fine needle aspiration of the neck mass confirmed p16 positive squamous cell carcinoma (SCC). Positron emission tomography (PET)/CT demonstrated a hypermetabolic left level…

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