[vc_row][vc_column][vc_column_text] Clinical challenge Radiation necrosis of the brain causes debilitating headaches, recurrent seizures, focal neurological deficits and subcortical neurocognitive slowing. Radiation necrosis occurs in about a fifth of patients who receive stereotactic radiation therapy (SRT) or stereotactic radiosurgery (SRS). Radiation therapy is increasingly used as a noninvasive treatment for benign diseases such as arteriovenous malformation…
A stroke occurs when blood flow to the brain is disrupted, either when a blood vessel is blocked (an ischemic stroke) or when a blood vessel bursts (hemorrhagic stroke). The brain uses constant blood flow to provide necessary oxygen and food supply. Without this flow, the brain cells begin to die. Once brain cells die,…
New treatments are available for patients with transthyretin amyloid cardiomyopathy (ATTR-CM), a rare, underdiagnosed condition that causes faulty proteins to build up in the heart. Untreated, the condition leads to heart failure and death. An oral medication, tafamidis, serves as a stabilizer, binding the misfolded transthyretin (TTR) protein to keep it from breaking apart. When…
Desarae Brymer, LCSW Pediatric Behavioral Medicine Andrea P. Roberts, APRN Neonatology Annie Shaughnessy, APRN Pediatrics
Shelbi Basham, APRN Urgent Care Devon Blandford, PA-C Hospital Medicine Julie N. Crawford, APRN Family Medicine Heather Hurst, APRN Urgent Care Lindsay Norton, M.D. Behavioral Medicine Whoy Yurn Shang, APRN Memory and Cognitive Disorders Neurology Paul A. Tennant, M.D. Head and Neck Surgical Oncology Melissa D. Wright, APRN Cardiology
In a recent continuing medical education presentation, Kelly C. McCants, M.D., executive medical director, Norton Heart & Vascular Institute Advanced Heart Failure & Recovery Program, and executive director, Institute for Health Equity, a Part of Norton Healthcare, described the state of health care disparities in Louisville. He also detailed how vulnerable communities struggle, in particular…
Most children who have diabetes get their medical care for their condition from a pediatric endocrinologist. As they get older and approach adulthood, they will transition into adult care. It’s important to discuss the process and timing for transition of diabetes care from the pediatric world to an adult diabetes provider. A recent publication from…
Andrew D. Doering, M.D., has joined Norton Urogynecology Center, caring for patients with a variety of urinary and pelvic conditions including: Bladder pain Pelvic floor disorders Pelvic organ prolapse Urinary incontinence Dr. Doering earned his medical degree from the University of Kentucky College of Medicine in Lexington. He completed his OB/GYN residency at The Ohio…
The patient A 27-year-old female presented with five months of progressive quadriparesis and paresthesias affecting both upper and lower extremities. She initially presented to her primary care provider five months prior, while eight months pregnant, with weakness, numbness and tingling in her right upper extremity. The symptoms initially were thought to be a result of…
Stroke is the sixth-leading cause of death in children, and early recognition is key. Those at higher risk of stroke include newborns and pediatric patients with sickle cell anemia, congenital heart defects, immune disorders, clotting disorders and hidden disorders, such as narrow blood vessels. If a pediatric stroke is suspected, Norton Children’s has implemented an…
The goal of Norton Leatherman Spine Back and Neck Pain Clinics is to see patients referred by primary care physicians, emergency departments or other clinicians in an expedited fashion. We strive to offer appointments within 72 hours of referral and often can see patients the next day. Even patients whose symptoms do not appear urgent…
With the addition of a pair of surgeons, Norton Cancer Institute Head and Neck Tumor Program is now a fully integrated multidisciplinary team caring for patients from diagnosis through treatment to follow-up. Paul A. Tennant, M.D., and Mia Jusufbegovic, M.D., are the program’s first head and neck oncology surgeons. Previously, we worked from patient to…