Children who are behind their peers in motor skills, speech, listening, understanding or social development are developmentally delayed, a common condition affecting 15% to 20% of children nationally. “It’s important to identify and screen for these children, because we clearly know that earlier recognition and earlier intervention leads to significantly greater gains later in life…
Precisely placed phenol injections can relieve spasticity by inducing axon necrosis, essentially destroying the nerve causing the spasticity. As a focal treatment, the phenol needs to be injected at the motor points of the right muscles. Targeting only the motor neve is very important, otherwise the patient could have sensory issues from the denaturation, according…
Signs of common bleeding disorders in children can take many forms from birth through adolescence, according to Ashok B. Raj, M.D., pediatric hematologist/oncologist with Norton Children’s Cancer Institute, affiliated with the UofL School of Medicine. A newborn bleeding from the umbilical stump, an infant who’s just starting to walk having a painfully swollen joint after…
In recent years, emergency departments have changed how they assess three common pediatric issues: febrile neonates, abdominal pain and bronchiolitis. Reflecting the evolving nature of evaluating patients, these new algorithms seek to reduce interventional risk, Kerry S. Caperell, M.D., MBA, pediatric emergency medicine physician with Norton Children’s Emergency Medicine, affiliated with the UofL School of…
Repairing the aortic and mitral valves of children is not as common as replacement with mechanical or tissue valves, but it has distinct advantages. If we can keep the child’s own tissue and have good function of the valve, we don’t have to deal with the risk of clotting or bleeding that comes with a…
Karen Reed, M.D., has been delivering the babies in high-risk pregnancies for more than three decades and still feels the exhilaration of such a meaningful medical role. “It’s the excitement of something new, a new challenge every day, every minute,” Dr. Reed said. “I don’t call myself an adrenaline junkie. It’s just the uniqueness of…
Dylan C. Brock, M.D. Pediatric Neurology Jessica Ford, D.O. Neonatology Roddy D. McDowell Jr., M.D. Pediatric Cardiology Delwyn E. McOmber, M.D. Pediatric Cardiology Kristin E. Reeve, M.D. Maternal-Fetal Medicine Julia S. Spalding, M.D. Neonatology Lindsey Shader, APRN Pediatric Cardiology
Brain tumors are now the leading cause of cancer-related deaths among children. Year after year, Kentucky ranks among states with the highest incidence of children with brain tumors, and Kentucky currently ranks third in the nation. At Norton Children’s Cancer Institute, affiliated with the UofL School of Medicine, our goal is to be able to…
Traditionally, quality improvement for surgeons focuses on cases that did not go as planned. These cases are dissected at weekly morbidity and mortality meetings. A little more than a year ago, Norton Children’s Heart Institute, affiliated with the UofL School of Medicine, completely revamped the classic morbidity and mortality process. We’re looking at trends, rather…
The most effective way to optimize patient care revolves around a combination of physicians, nurses, pharmacists, nurse practitioners, social workers and case managers. Members of the team work together to help with decision-making in each child’s care. Having a team follow the patient over their treatment course improves patient continuity and patient experience. Not only…
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…
This is an exciting time for Norton Children’s Cancer Institute, affiliated with the UofL School of Medicine. The clinical-academic partnership for all pediatric hematology/oncology inpatient, outpatient and pediatric infusion care provides more integrated care options, treatments, and resources for children throughout Kentucky and Southern Indiana. Patients receive high quality clinical care and have access to…