The patient This mid-60s gentleman presented with significant pain and decreased mobility while hospitalized for another procedure. He is a former smoker and quit two years prior to our evaluation. We were asked to evaluate him for large midline incisional hernia. A preoperative CT scan shows a hernia measuring 14 centimeters by 22.5 centimeters with…
Ablation for paroxysmal atrial fibrillation (A-fib) has been shown to be superior to medical management for the maintenance of sinus rhythm. Now, newer ablation techniques are making the procedure safer, more efficient and effective. The STOP AF First and EARLY AF trials published in the New England Journal of Medicine in early 2021 showed cryoablation…
Sable C. Iglesias, DNP, APRN, CPHON, has joined Norton Children’s Cancer Institute, affiliated with the UofL School of Medicine, as a certified pediatric hematology/oncology nurse. A Louisville native, Sable graduated from University of Louisville with two degrees: a Bachelor of Science in nursing and a doctorate in nursing practice. Sable is a nurse practitioner and advanced practice…
This is a condensed version of “One Family’s Clinical Odyssey From Evolving Phenotypic and Genotypic Knowledge of Catecholaminergic Polymorphic Ventricular Tachycardia and Long QT Syndrome,” which is open access and available to read in full here. Life-threatening arrhythmias in apparently healthy individuals can be due to diverse heritable cardiac channelopathies. Ongoing advances revealing the underlying…
Diffusion tensor magnetic resonance (MR) imaging of the brain combined with machine learning could provide a fast and objective alternative to traditional methods of diagnosing autism spectrum disorder (ASD), according to a recently published study. Currently, the gold standard for an autism diagnosis is a set of diagnostic evaluations, such as the Autism Diagnostic Observation…
Michele N. Bresler, D.O. Pediatric Emergency Medicine Sarah Grout, M.D. Neonatology Jessica D. Hatfield, APRN Pediatric Neurology William David Lohr, M.D. Pediatric Behavioral Medicine Adrian R. O’Hagan, M.D. Pediatric Pulmonology Kristin E. Maguino, APRN Pediatric Gastroenterology Kacy Metzner, APRN Pediatrics Naomi C. Warnick, M.D. Pediatric Emergency Medicine
Olivia N. Benzing, APRN Pulmonology Alexis Bowe, APRN Urgent Care Emmalee Burns, APRN Urgent Care Andrea Huey-Fahas, APRN Urgent Care Jessica Kremer, APRN Urgent Care Rachael A. Leneweaver, APRN Urgent Care Amy Martin, APRN Behavioral Oncology Melinda Ruberg, M.D. Hospital Medicine Lisa Todd, APRN Urgent Care
An imperforate hymen is a vaginal abnormality that may be discovered at birth or later during puberty. It is the most common type of vaginal blockage that eventually requires a corrective surgical procedure, which is usually deferred until puberty. Newborn patients When an imperforate hymen is found in a neonate, it is important to assess…
Diagnosing eating disorders can be challenging because telltale behaviors typically are hidden, even from those closest to the patient, according to Andrea L. Krause, M.D., who heads the team involved with the medical stabilization of eating disorder patients at Norton Children’s Hospital. Eating disorders listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)…
A new intraoperative technique during complex congenital heart surgeries allows us to map the location of conduction tissue. This is important, because damage to the tissue during surgery can result in a condition called heart block, where the heart does not revert to its preoperative rhythm. Children with heart block may require pacemakers for the…
[vc_row][vc_column][vc_column_text]We know babies with a congenital heart condition have a much better chance of survival if they are born near a pediatric surgical center. The challenge has been detecting these conditions before birth. Prenatal diagnosis of congenital heart disease (CHD) has been a problem over the years, with detection in our region in the early…
Often, after lifesaving cardiac surgery for congenital heart defects, neonates require help with breathing using a breathing tube and a mechanical ventilator. Deciding when to extubate, or remove the breathing tube and ventilator, after cardiac surgery is an extremely important decision with profound health implications. Extubation failure in this patient population has been associated with…