Adult Services, Research, Spine

New guidelines for bone health assessment before elective spinal reconstruction

The Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Perioperative Spine: Preoperative Osteoporosis Assessment recently was published in Neurosurgery. To develop these recommendations, the authors performed systematic review of the literature using national databases for studies relevant to preoperative diagnostic studies that predict increased risk of osteoporosis-related postoperative complications and whether the preoperative…

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Heart, Pediatric Services

Dysplastic pulmonary valve complicates HLHS palliation

The patient Newborn with hypoplastic left heart syndrome (HLHS) with a dysplastic pulmonary valve and progressive pulmonary valve stenosis The challenge The dysplastic pulmonary valve makes it unsuitable to proceed with the typical first stage of single ventricle palliation for hypoplastic left heart syndrome (HLHS) — the Norwood procedure, which would transition the pulmonary valve…

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Adult Services, Womens

Planning for postpartum birth control shared decision-making with patients

Postpartum birth control conversations with patients are best started prepartum as a conversation about the desire for and timing of any future pregnancies, according to Kathryn R. Bradley, M.D., obstetrician and gynecologist with Women’s Care Physicians of Louisville, a Part of Norton Women’s Care. “The American College of Obstetricians and Gynecologists (ACOG) advises this is…

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Pediatric Services

Championing the use of pediatric simulations in medical training

Pediatric simulation isn’t much different from the training that allowed airline pilot Chesley “Sully” Sullenberger make a successful emergency landing on the Hudson River after a bird strike caused engine failure on the passenger jet taking off from New York’s LaGuardia Airport. The so-called “Miracle on the Hudson” was possible only because pilots train on…

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Adult Services, Sleep Medicine

Kevin K. Trice, M.D., MBA, named medical director of Norton Sleep Centers

Kevin K. Trice, M.D., MBA, has been named medical director of Norton Sleep Centers. Dr. Trice is a native of Louisville, but has been working and training around the country for much of the past 20 years. Dr. Trice completed his undergraduate studies at the University of Louisville and received his medical training at UofL…

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Neuroscience, Pediatric Services

Three neuromodulation approaches to treating refractory epilepsy

For two-thirds of children with epilepsy, medications are effective at reducing seizures. After trying two or more anti-seizure medications without success, the remaining one-third have medically refractory epilepsy. For these children, surgery, a ketogenic diet or implantation of a neuromodulation device are options. Determining which of these is best for a particular child requires a…

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Behavioral and Mental Health, Pediatric Services

Medical treatment for depression and anxiety in pediatric patients

Before beginning medical treatment for depression or anxiety in a child or adolescent, it is helpful to rule out medical conditions such as anemia (checking iron, B12, and folate), diabetes, vitamin D deficiency and abnormal thyroid levels, according to Felissa P. Goldstein, M.D., child and adolescent psychiatrist with Norton Children’s Behavioral & Mental Health, affiliated…

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Adult Services, Orthopedics

Hand surgeon got first taste of orthopedics with her own broken ankle

As a Norton Louisville Arm & Hand surgeon, Lauren M. Fader, M.D., enjoys the wide range of patients she gets to see: from a child whose fingers have been closed in a door, to an athlete with an elbow injury, to an octogenarian with arthritis. “I love the variety,” Dr. Fader said. “I try to…

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Adult Services, NMG

November 2021 Norton Medical Group new providers

Jeffrey M. Goldberg, M.D. Gynecologic Oncology Carter Hahn, PA-C Hospital Medicine Kimberly Barnes, APRN, CNM Midwifery Lauren Bowlin, APRN Urgent Care Amanda Dewees, APRN Family Medicine Mary N. Fuller, APRN Family Medicine Brittney Ganshirt, APRN Urgent Care Casey L. Potter, APRN Family Medicine

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Adult Services, Heart & Vascular

Watchman FLX advances over previous version improve safety, efficiency

For patients with atrial fibrillation (A-fib) not caused by a heart valve issue, with at least moderate risk of stroke and issues taking long-term blood thinners, the Watchman device offers an alternative. The left atrial appendage (LAA) closure device significantly lowers stroke risk and can reduce or eliminate the need for long-term anticoagulation. Patients with…

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COVID-19, Infectious Disease, Pediatric Services

Kids can develop ‘long-haul’ symptoms after COVID-19 infection

Even though children are more likely to be spared serious illness from COVID-19, the so-called long COVID-19 in children has brought symptoms like headache and fatigue lasting a month or more. The U.S. Centers for Disease Control and Prevention (CDC) reports that long COVID-19 appears to be less common in children and adolescents than adults….

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