Tumors in the central nervous system (CNS) account for 20% of childhood cancers, with 5.65 cases and 0.72 deaths per 100,000 children under 14 in the United States. Brain tumors are second only to acute lymphoblastic leukemia in incidence. While recent advances have resulted in greater life expectancy for some childhood CNS tumor patients, the…
Clinicians managing a child or adolescent with Type 1 diabetes often have very little accurate information about the patient’s physical activity, but a new study shows activity monitors like wearable fitness trackers provide a clear picture to help balance activity with nutrition or insulin needs. “Patients often overestimate their amount of physical activity. This study demonstrated…
Primary care providers play an invaluable role in the diagnosis of diabetes in children. The hallmark clinical symptoms of diabetes include polyuria and polydipsia. Nocturia and fatigue are also common. If the hyperglycemia has been long-standing, weight loss occurs at presentation. Glycosuria and ketonuria also may be present at the time of diagnosis. About a…
Kimberly S. Barnes, APRN, CNM, has joined Norton Women’s Care as a certified nurse midwife, seeing patients on the campuses of Norton Women’s & Children’s Hospital and Norton Brownsboro Hospital. Kimberly comes to Norton Women’s Care with more than five years of experience providing antepartum, intrapartum, postpartum and gynecological care. She has 12 years of…
Over the past 20 years, the number of psychotropic medications children receive has increased dramatically, with large increases in attention-deficit/hyperactivity disorder (ADHD) medications and antipsychotics. Psychotropic medications can level the biologic playing field for children by treating established mental health disorders and controlling disabling symptoms such as hyperarousal and impulsivity. But they do not change…
The patient A 12-year-old boy born with double-inlet left ventricle (DILV), mitral stenosis, left-sided superior vena cava coronary sinus and pulmonary stenosis: The patient had been through surgical palliation as a baby, leaving him with Fontan circulation. The challenge Over the past decade we’ve learned that single-ventricle Fontan circulation has significant impacts on the heart…
Patients who are cognitively normal but have a family history or other concern about developing Alzheimer’s may be eligible to participate in a study looking at whether an investigational drug can slow or prevent the disease. Norton Neuroscience Institute is one of 230 centers around the country participating in the phase 3 trial of a…
The patient A 14-year-old female presented with worsening headache and deterioration of vision especially in the left eye. MRI detected a large hypothalamic enhancing tumor causing mass effect on the optic nerves. The pituitary gland appeared to be pushed inferiorly. The challenge Because of tumor location and potential complications with tumor resection, the multidisciplinary team…
When children have headaches or experience migraine, it is usually not necessary to make a referral to a neurologist right away. Michael K. Sowell, M.D. and Elizabeth S. Doll, M.D., pediatric neurologists at Norton Children’s Neuroscience Institute, affiliated with the UofL School of Medicine, share tips for how to begin treating a patient before making…
Wilson E. Reinke, M.D. Pediatrics Lilly Giang, APRN Pediatric Emergency Medicine
Today, Goodwill Industries of Kentucky and Norton Healthcare broke ground on the Norton Healthcare Goodwill Opportunity Campus at 28th Street and Broadway that will include a 120,000 square-foot opportunity center and the first hospital west of Ninth Street in more than 100 years. Together, both organizations are investing more than $100 million to transform a 20-acre brownfield site in…
Cristy Abreu, M.D. Hospital Medicine Thomas W. Johnston III, M.D. Hospital Medicine Lisa Coleman, LCSW Pediatric Neurology Clayton K. Condon, APRN Cardiology Loren Garza, APRN Gastroenterology Marie Honeycutt, APRN Family Medicine Hannah Niewadomski, APRN Gastroenterology Megan F. Potts, APRN Gastroenterology Andrea Frickman, G.C. Genetic Counseling