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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MFM, Pediatric Services

Teamwork for placenta accreta and other complicated deliveries

Karen Reed, M.D., has been delivering the babies in high-risk pregnancies for more than three decades and still feels the exhilaration of such a meaningful medical role. “It’s the excitement of something new, a new challenge every day, every minute,” Dr. Reed said. “I don’t call myself an adrenaline junkie. It’s just the uniqueness of…

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NMG, Pediatric Services

September 2021 Norton Children’s Medical Group New Providers

Dylan C. Brock, M.D. Pediatric Neurology Jessica Ford, D.O. Neonatology Roddy D. McDowell Jr., M.D. Pediatric Cardiology Delwyn E. McOmber, M.D. Pediatric Cardiology Kristin E. Reeve, M.D. Maternal-Fetal Medicine Julia S. Spalding, M.D. Neonatology Lindsey Shader, APRN Pediatric Cardiology

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Cancer, Pediatric Services, Research

Offering the latest childhood brain tumor therapies so kids and their families don’t have to travel far from home

Brain tumors are now the leading cause of cancer-related deaths among children. Year after year, Kentucky ranks among states with the highest incidence of children with brain tumors, and Kentucky currently ranks third in the nation. At Norton Children’s Cancer Institute, affiliated with the UofL School of Medicine, our goal is to be able to…

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Adult Services, Neuroscience

Specialized physical rehab technology in Louisville

Cressman Neurological Rehabilitation, a part of at Norton Neuroscience Institute, now has expanded offerings, including technology and treatments you can’t find anywhere closer than Louisville. It is located in a newly opened space at Norton Neuroscience Institute – Brownsboro. G-EO This system from Reha Technologies offers the latest in robot-assisted gait therapy. End-effector gait trainers…

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