Epilepsy surgery cures roughly 60% to 80% of children with focal, drug-resistant epilepsy, yet it is still commonly positioned as a treatment of last resort. That misconception, according to Ahmad Marashly, M.D., pediatric epileptologist and director of pediatric epilepsy at Norton Children’s Neuroscience Institute, affiliated with the UofL School of Medicine, can delay referrals for…
When it comes to cardiac disease diagnosis in the primary care setting, choosing the right cardiac diagnostic test depends on several factors, including risk stratification, symptom frequency and clinical context. Here is a practical guide to navigating cardiology testing in primary care, adapted from a continuing medical education presentation by Mostafa O. El-Refai, M.D., interventional…
The patient An 81-year-old male presented to the hand surgery clinic reporting a sudden onset of weakness in his right hand’s ability to extend the middle, ring and small fingers. The index and thumb also were affected, to a lesser extent. There was no history of trauma; the symptoms began following a session of pushups…
A new radiation technology is helping make treatments faster, more comfortable and safer for patients at Norton Cancer Institute. ExacTrac Dynamic, developed by Brainlab, is a motion-tracking and patient positioning system that improves accuracy during radiation therapy, supporting stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT) across a range of cancer types. How ExacTrac…
What your patients eat may shape who they become A landmark study published in JAMA Network Open is giving pediatric providers new clinical ammunition for conversations about early childhood nutrition — and the findings go well beyond waistlines. Studies on the link between processed food and behavior have been around for a while and evaluate…
Norton Children’s Heart Institute, affiliated with the UofL School of Medicine, is pleased to announce that Felix W. Tsai, M.D., MBA, has joined the pediatric cardiothoracic surgery team. Dr. Tsai’s arrival expands our surgical team to three dedicated pediatric heart surgeons, increasing access and capacity while ensuring continuity of care for the complex pediatric cardiac…
Families in Kentucky and Indiana seeking specialized spine care for their children now have a centralized location and expertise close to home. Norton Children’s and Norton Leatherman Spine have established Norton Children’s Leatherman Spine, affiliated with UofL School of Medicine, a dedicated practice serving children with spine disorders at two Louisville locations: downtown on Gray…
Norton Leatherman Spine has reached a major milestone in the evolution of spine care. Jeffrey L. Gum, M.D., spine surgeon with Norton Leatherman Spine, has become the first in the world to perform spine surgery using a next-generation robotic-assisted platform designed to deliver greater precision and accuracy than any previous technology. Dr. Gum played a…
A standardized primary care approach to knee and shoulder conditions — X-rays, a couple months of physical therapy followed by possible MRI and maybe referral to orthopedics — can prevent chronic disability as well as unnecessary imaging and referrals, according to Nyagon G. Duany, M.D., an orthopedic surgeon and sports medicine specialist with Norton Orthopedic…
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