Adult Services, Oncology/Hematology

Advances in early detection of ovarian cancer

Ovarian cancer is personal to me. Two of my mom’s sisters died of the disease. One of the major issues with successfully treating ovarian cancer is how late it is typically diagnosed: stage IIIC. At that point, the cancer has spread throughout the abdominal cavity, and there are distant metastases throughout the omentum. Standard treatment…

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Health Equity

Comprehensive care includes treating mental illnesses

Mental disorders are so common that 1 in 5 Americans will deal with mental illness at some point in their lives — and many of these conditions and related symptoms are treatable. According to the National Institute of Mental Health, approximately 47 million U.S. adults grappled with some type of mental, behavioral or emotional disorder…

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Adult Services, Case Study, Neuroscience

Mechanical thrombectomy for middle cerebral artery stroke leads to discharge 2 days later with NIH Stroke Scale score of 0

Incident details:   Date: 4/26/2022 Patient: Male Age: 66 Arrival to emergency department:11 a.m. Tom L. Yao, M.D., endovascular neurosurgeon, Norton Neuroscience Institute   Nadeem A. Talpur, M.D. stroke neurologist, Norton Neuroscience Institute   Richard Carlisle, M.D., emergency medicine physician, Norton Brownsboro Hospital Presenting complaint Confusion, comprehension deficit, slurred and garbled speech Emergency medical services…

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Gynecology, Obstetrics, Pediatric Services

When should pediatric gynecology patients transition to adult OB/GYN care?

The transition from pediatric gynecology care to an adult OB/GYN provider comes with several considerations. “The best time for a patient to transition from pediatric to adult care can depend on their individual needs and circumstances,” said Rosemary C. Sousa, M.D., OB/GYN with Norton Women’s Care. What is the best age to transition from pediatric…

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Adult Services, Cardiovascular

Hybrid ablation for persistent atrial fibrillation

Hybrid ablation is used as treatment for long-standing persistent atrial fibrillation (A-fib), the most severe form of the condition affecting about 45% of A-fib patients. Steven M. Peterson, M.D., cardiothoracic surgeon with Norton Heart & Vascular Institute Structural Heart Program, gave a clinical case review of a hybrid ablation procedure. He was joined by Kent…

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Pediatric Services

Cullen S. Marshall, M.D., joins Norton Children’s Neuroscience Institute

Pediatric neurologist Cullen S. Marshall, M.D., has joined Norton Children’s Neuroscience Institute, affiliated with the UofL School of Medicine. Dr. Marshall recently completed a residency in child neurology at Cincinnati Children’s Hospital Medical Center. He earned his medical degree from the University of Louisville School of Medicine in 2017. While in residency, Dr. Marshall was…

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Adult Services, Orthopedics

3D printing adds precision to arm and hand malunion osteotomy surgeries

When a fall off the monkey bars leaves a 10-year-old with a distal radius fracture that heals incorrectly, or a 12-year-old gymnast lands wrong and the bone remodeling results in limited range of motion, the bone needs to be surgically rebroken. Malunion osteotomy surgery, a technically challenging procedure, now can be more precise and predictable…

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Case Study, Pediatric Services

Case study: Shunt relieves pressure from arachnoid brain cyst, allowing boy to continue leukemia treatment

The patient A 4-year-old boy presented to the hospital with fever, fatigue and weakness. He also complained of blurry vision. He had recently had nose bleeds and oral bleeding. A complete blood count showed pancytopenia, as well as blasts on his peripheral smear. A bone marrow aspiration and biopsy were performed. He was diagnosed with…

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Adult Services, Spine

Patients benefit from orthopedic and neuroscience team approach at Norton Leatherman Spine

Norton Leatherman Spine is named for Kenton D. Leatherman, M.D., a pioneering surgeon whose groundbreaking work treating scoliosis brought him worldwide renown. We’re still known as a place where patients can receive innovative surgery from outstanding surgeons. But Norton Leatherman Spine is a lot more than surgeons and surgery. We offer coordinated, multidisciplinary care for…

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Adult Services

Surgeon with Kentucky roots and public health background joins Norton Surgical Specialists

When he spent time shadowing physicians in Eastern Kentucky, where he grew up, Jeffrey D. Howard, M.D., MBA, MPH, was struck by a rural doctor’s ability to take care of any case that came through the door. One of these “Docs,” as their patients called them, performed a carotid endarterectomy on his wife’s uncle, managed…

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Pediatric Services

Differentiating tics and other pediatric movement disorders

Pediatric movement disorders are characterized by impaired voluntary movements, abnormal involuntary movements or movements at inappropriate times. Tic disorders are the most common pediatric movement disorders and can be divided into motor tics and phonic or vocal tics. They tend to peak between the ages of 8 and 12 and are much more common in…

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Medical Group, Pediatric Services

October 2022 Norton Children’s Medical Group New Providers

  Desarae Brymer, LCSW Pediatric Behavioral Medicine Amanda Bush, PA-C Pediatric Cardiothoracic Medicine Katherine S. Cecil, APRN Pediatric Surgery Minh D. Duong, M.D. Pediatric Nephrology Vanessa R. Goode, APRN Pediatric Gastroenterology Alexis R. Gyurjan, APRN Pediatric Behavioral Medicine Treasure N. Hurst, APRN Pediatric Neurology Katelyn Ann James, Psy.D. Pediatric Psychology Tammy Pasko, APRN Pediatrics Erika…

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