Adult Services, Case Study, Neuroscience

MS case study: Specialized care allows for early therapy that resolves symptoms in months

The patient A 29-year-old woman with no major medical issues awoke with blurry vision. As the day went on, she began to see double. She looked in the mirror and saw that one of her eyes was pointing in the wrong direction. She also noted tingling across her body and severe fatigue. An immediate evaluation…

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Adult Services, Cancer

Basel Altoos, M.D., joins Norton Cancer Institute

Basel M. Altoos, M.D., a board-certified radiation oncologist, has joined Norton Cancer Institute and will see patients downtown and at King’s Daughters’ Health in Madison, Indiana. Refer a patient To refer a patient to Norton Cancer Institute, visit Norton EpicLink and choose EpicLink referral to Oncology. Refer online Call (888) 4-U-Norton / (888) 486-6786 Dr….

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Adult Services, Case Study, Heart & Vascular

Hybrid ablation case study: Left ventricular function normalized, medication reduced

The patient A woman presented to Norton Audubon Hospital with shortness of breath and dizziness and was noted to be in new-onset atrial fibrillation (A-fib). She underwent immediate cardioversion but had recurrent A-fib and then was placed on flecainide with a repeat successful cardioversion. Her echocardiogram showed normal left ventricular function. The providers Kent E….

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Adult Services, NMG

October 2021 Norton Medical Group new providers

Emily K. Camp, M.D. Emily K. Camp, M.D. Internal Medicine Terrence Hadley, M.D. Hematology Oncology Julio Ramirez, M.D. Infectious Disease Christopher M. Moser, D.O. Internal Medicine Kristina R. Trubey, D.O. Internal Medicine Morgan Frierson, PA-C Pulmonology Lauren Hamilton, PA-C Orthopedic Surgery Michael Hughes, PA-C Orthopedic Surgery Caitlyn Morales, PA-C Hospital Medicine Ruth Carrico, PhD, DNP,…

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Pediatric Services, PMR

Phenol neurolysis for spasticity management

Precisely placed phenol injections can relieve spasticity by inducing axon necrosis, essentially destroying the nerve causing the spasticity. As a focal treatment, the phenol needs to be injected at the motor points of the right muscles. Targeting only the motor neve is very important, otherwise the patient could have sensory issues from the denaturation, according…

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Hematology, Pediatric Services

Identifying common bleeding disorders in pediatric patients

Signs of common bleeding disorders in children can take many forms from birth through adolescence, according to Ashok B. Raj, M.D., pediatric hematologist/oncologist with Norton Children’s Cancer Institute, affiliated with the UofL School of Medicine. A newborn bleeding from the umbilical stump, an infant who’s just starting to walk having a painfully swollen joint after…

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Pediatric Services

New emergency department algorithms for assessing febrile neonates, abdominal pain and bronchiolitis

In recent years, emergency departments have changed how they assess three common pediatric issues: febrile neonates, abdominal pain and bronchiolitis. Reflecting the evolving nature of evaluating patients, these new algorithms seek to reduce interventional risk, Kerry S. Caperell, M.D., MBA, pediatric emergency medicine physician with Norton Children’s Emergency Medicine, affiliated with the UofL School of…

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Adult Services, Orthopedics, Womens

For people in their 40s, bone health becomes more important

Besides exercise, diet and lifestyle choices, bone health is of critical importance as we age. A house is only as strong as its foundation, and bones are the body’s foundation. People reach peak bone density in their 30s, then bone loss begins to exceed the rate of bone formation. While you can’t regain full bone…

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Adult Services, Research, Spine

New evidence-based guidelines published for perioperative spine surgery assessments

New evidence-based guidelines covering five key perioperative spine assessments were issued recently by the Congress of Neurological Surgeons. The guidelines, published in the medical journal Neurosurgery, provide insight on the following: Preoperative osteoporosis assessment Preoperative nutritional assessment Preoperative pulmonary evaluation and optimization Preoperative opioid evaluation Preoperative surgical risk assessment A team of eight physicians from…

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Heart, Pediatric Services

Pediatric aortic and mitral valve repair versus replacement

Repairing the aortic and mitral valves of children is not as common as replacement with mechanical or tissue valves, but it has distinct advantages. If we can keep the child’s own tissue and have good function of the valve, we don’t have to deal with the risk of clotting or bleeding that comes with a…

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Adult Services, Cancer, Research

Drug targeting prostate cancer cells to deliver radioisotope prolongs survival in trial

A cutting-edge new treatment specifically targets prostate cancer cells to deliver a tumor-killing radioisotope and helped extend patients’ lives longer in an international clinical trial (VISION Study), according to a study published in the New England Journal of Medicine (NEJM) on Sept. 16, 2021. The drug, lutetium-177–PSMA-617, was used to treat patients with metastatic castration-resistant…

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Adult Services, Gastroenterology

William B. Evans, M.D., joins Norton Gastroenterology Consultants of Louisville, offering endoscopic therapy expertise

William B. Evans, M.D., FASGE, has joined Norton Gastroenterology Consultants of Louisville, providing experience in therapeutic endoscopy and a vision to lift the overall excellence of gastroenterology care. After completing a fellowship in advanced therapeutic endoscopy at the University of Florida in Gainesville, Dr. Evans has been able to provide care that is comprehensive and…

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