Bipolar disorder commonly is seen first in primary care settings, although it is a relatively rare condition — only about 1% of people will struggle with it in their lifetime. The treatment of bipolar disorder often is supervised by patients’ primary care physicians and not a psychiatric specialist. “Bipolar disorder is a severe but manageable…
The initial evaluation for trigeminal neuralgia is typically in primary care, but patients frequently also present to dental and ear, nose and throat settings, according to Brian M. Plato, D.O., a neurologist and headache specialist with Norton Neuroscience Institute. The uncommon condition is characterized by facial pain within the distribution of the trigeminal nerve. Abigail…
As a medical oncologist at Norton Cancer Institute, I’ve seen remarkable advances in how we treat lung cancer. Lung cancers caught early can now often be successfully treated. Unfortunately, Kentucky has a massive lung cancer problem. We have the highest rate of lung cancer in the nation, and we rank 45th among the 49 states…
Insulin administration has advanced well beyond the “old school” delivery with a vial and syringe. Patients with Type 1 and Type 2 diabetes mellitus cared for at Wendy Novak Diabetes Institute, a part of Norton Children’s Endocrinology, affiliated with the UofL School of Medicine, are often prescribed a prefilled insulin pen with a choice of dosing…
Studies have shown patients with diabetes who have poorly controlled blood sugar are more likely to have more adverse outcomes after elective surgery. At the same time, patients do not want to wait for spine surgery. Waiting means prolonging their pain, disability and immobility — and results in significant patient dissatisfaction. To improve surgical outcomes…
A heavyset, 51-year-old truck driver with a history of hypertension presented at Norton Heart & Vascular Institute with four months of intermittent, sharp, substernal chest pain that was exacerbated by activity and becoming increasingly frequent. Should he be evaluated with anatomic or functional testing? Updated clinical practice guidelines offer guidance on whether to choose coronary…
Atrial fibrillation, or A-fib, is an increasingly common chronic condition seen in the primary care setting. Management is multifaceted and requires a team-based approach. Risk for A-fib increases with age and is greater if there is a family history. Modifiable risk factors for A-fib are obesity, diabetes, hypertension, sleep apnea, and excessive caffeine or alcohol…
“Gastrointestinal cancers can occur anywhere from the esophagus to the rectum. This includes cancers of the esophagus, stomach, small intestine, colon, rectum and anus, as well as the bile duct, pancreas and liver,” said Robert C.G. Martin, M.D., Ph.D., surgical oncologist with Norton Cancer Institute. “They include the second- and third-deadliest cancers in the United…
Jennifer O. Hockenbury, M.D. Pediatric Emergency Medicine Angela M. Jeffries, M.D. Pediatric Gastroenterology Benjamin H. Lyvers, M.D. Pediatric Emergency Medicine Ivory J. Shelton, M.D. Pediatric Emergency Medicine Leena Mohapatra, Ph.D. Pediatric Neurosurgery Jennifer L. Dumey, APRN Child Abuse Pediatrics Missy S Hawes, APRN Pediatrics Julianne Higdon, APRN Pediatric Cardiology Karen L. Jennings, APRN…
Janet L. Smith, M.D. Cardiology Sydney Davidson, PA-C Emergency Medicine Dara Jackson, PA-C Emergency Medicine Kacie L. Albertsen, APRN Head and Neck Surgical Oncology Jannetta Barger, APRN Emergency Medicine Roshana D. Cheek, APRN Orthopedic Surgery Maria F. Daniels, APRN Emergency Medicine Brittany R. Long, APRN Behavioral Oncology
Different substrate mapping techniques are available to identify myocardial sites for catheter ablation in ventricular tachycardia (VT) patients. A recent study has for the first time looked at how well they work compared with one another. Published in the journal Heart Rhythm, the study, “Comparison of Combined Substrate-based Mapping Techniques to Identify Critical Sites for…
Rachel L. Evans, M.D. Pediatric Neurology Stephanie M. Green, D.O. Pediatric Physical Medicine and Rehabilitation Kelly A. Jenkins, M.D. Pediatric Orthopedic Surgery Michael S. Orangias, M.D. Pediatric Pulmonology, Pediatric Sleep Medicine Huma N. Rasheed, M.D. Pediatric Cardiology Zachery T. Sensing, M.D. Hospital Medicine Jennifer Smith, M.D. Pediatric Hospital Medicine Frederick J. Stocker…