Medulloblastoma is one of the most common malignant brain tumors in children, with cases tending to surface around ages 4 or 5. Currently, the treatment protocol is resection of as much of the tumor as can be done safely, followed by concurrent radiation therapy and chemotherapy, according to Mustafa Barbour, M.D., pediatric hematologist/oncologist at Norton…
Every adult in Kentucky, regardless of profession, is required by law to report suspected child abuse or neglect. Health care providers should follow the updated TEN-4 FACESp clinical decision rule any time they are evaluating a young child. The TEN-4 FACESp guidelines can improve the detection of abuse in young children who present with bruising….
Researchers with Cleveland Clinic, the University of Louisville School of Medicine and Norton Children’s recently conducted a survey of pediatric attention-deficit/hyperactivity disorder (ADHD) care in Kentucky and found areas of deviation from established practice patterns for diagnosing and managing ADHD and for pharmacotherapy strategies. “The results indicate that some key recommended practice guidelines were not…
The patient A 39-year-old nursing student initially presented with complaints of a two-year history of intermittent numbness in the tips of the middle and ring finger on her left hand. Over the past six months, she developed episodic numbness in the left face and twitching in the left eye. An MRI scan demonstrated a brain…
The patient A 14-month-old female presented to the emergency department with fever and refusal to bear weight. She had bilateral ear tube insertion 13 days previously and presented to her primary care provider (PCP) three days prior for a viral respiratory infection. She presented to her PCP the day before her admission for refusal to…
Ayryn P. Chilton-Gelfo, PA-C, has joined Norton Heart & Vascular Institute. The physician assistant is seeing patients in offices in downtown Louisville, on the Norton Audubon Hospital, Norton Brownsboro Hospital and Norton Healthcare – St. Matthews campuses, and on Dixie Highway. Most recently, Ayryn worked at Norton Healthcare emergency departments for 14 years. Before that,…
Norton Women’s Doula Program has community-based doulas who serve as a source of information, support and advocacy for patients. “Our doula program is the first of its kind in the region,” said Cara L. Bland, director of operations, Norton Medical Group. “While doulas are welcome in many birthing hospitals, this is the first program in…
Not all headache or migraine symptoms in children signify red flags that require additional referrals or advanced treatment, said Elizabeth S. Doll, M.D., child neurologist at Norton Children’s Neuroscience Institute, affiliated with the UofL School of Medicine. “There are over 200 different types of headaches, but the majority of what we encounter in clinic are…
There are many types and subtypes of brain tumors in children, and heterogeneity is common among tumors with similar morphology, according to Mustafa Barbour, M.D., pediatric hematologist/oncologist at Norton Children’s Cancer Institute, affiliated with the UofL School of Medicine. Dr. Barbour is co-director of the Norton Children’s Cancer Institute Neuro-oncology Clinic. Many brain tumors in…
Douglas A. Nelson, M.D., has joined Norton Cancer Institute, practicing at the downtown Louisville and St. Matthews offices. Dr. Nelson most recently was an associate professor in the Department of Gastrointestinal Medical Oncology and Department of General Oncology at the University of Texas MD Anderson Cancer Center – The Woodlands, in Conroe. Dr. Nelson served as…
Norton Children’s Medical Group welcomes these new providers. Julie A. Klensch, M.D. Pediatric Emergency Medicine Vasudha Mahajan, M.D. Pediatrics Kelsie L. Houchens, APRN Pediatric Emergency Medicine Sable C. Iglesias, APRN Medical Oncology Elisha McAlmont, APRN Pediatric Urology
A multidisciplinary team of interventional cardiologists and a cardiothoracic surgeon performed Louisville’s first successful transcatheter replacement of a native mitral valve this week. The team with Norton Heart & Vascular Institute Structural Heart Program used a transcatheter aortic valve (commonly referred to as TAVR) to replace the patient’s mitral valve that was unable to be…