Adult Services, Oncology/Hematology

Stereotactic ablative radiation therapy (SABR) for oligometastatic disease

Stereotactic ablative radiation therapy (SABR) is playing an important role in treating oligometastatic patients with breast, lung, colorectal and prostate tumors, according to a review of published literature. With each of these cancers, SABR showed benefits for oligometastatic patients, defined as one to five metastases in one to three organs. SABR gives some patients with…

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Adult Services, Cardiovascular

Reducing heart patient readmissions with intentional follow-up care

Using scheduled, intentional touch points for follow-up care, Norton Heart & Vascular Institute is aiming to drive down the readmission rate for heart failure patients and those who’ve had open heart surgery. Mindful that heart failure readmissions typically happen in the first two weeks after discharge, all three touch points take place in that time…

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Adult Services, Medical Group

December 2021 Norton Medical Group new providers

Jeffrey M. Goldberg, M.D. Gynecologic Oncology Danielle Baumgarten, APRN Urgent Care Lauren Bowlin, APRN Urgent Care Jamie Cannady, APRN Urgent Care Tess C. Quinlan, APRN Pulmonology Jessica Samson, APRN Urgent Care Amanda Floyd, LCSW Behavioral Medicine Briseyda E. Alas, LCSW Behavioral Medicine Janice D. Bolling, LCSW Behavioral Medicine Taylor Haynes, LCSW Behavioral Medicine

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Pediatric Services

Asymptomatic pediatric cardiomyopathy makes family history important

Pediatric cardiomyopathy is progressive and may be asymptomatic up to sudden death, making family history an important tool in deciding when to refer patients, according to a cardiologist at Norton Children’s Heart Institute, affiliated with the UofL School of Medicine. Anyone who has a first-degree relative who was diagnosed with a cardiomyopathy or who had…

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Pediatric Services

Delwyn E. McOmber, M.D., joins Norton Children’s Heart Institute

Pediatric cardiologist Delwyn E. McOmber, M.D., has joined Norton Children’s Heart Institute, affiliated with the UofL School of Medicine, as part of the Pediatric HeartCare Partners integration with Norton Children’s. In addition to practicing pediatric cardiology, Dr. McOmber also will serve as medical director of the Norton Children’s Medical Group pediatric exercise lab and University…

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Adult Services, Gastroenterology

Multidisciplinary gastroenterology clinic: Your one-stop-shop for upper digestive cancers

Upper gastrointestinal (GI) cancers affect the esophagus, stomach, liver, biliary tract and pancreas. Many patients require the care of several specialties for a specific condition at the same time. The coordination of care and time commitment of having multiple appointments can be difficult for some people to manage. Multiple specialists provide services at our multidisciplinary…

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Gastroenterology, Pediatric Services

When to refer a constipated child to a pediatric gastroenterologist

The following pediatric constipation referral guidelines and recommended outpatient treatments were developed by John T. Stutts, M.D., pediatric gastroenterologist at Norton Children’s Gastroenterology, affiliated with the UofL School of Medicine. Dr. Stutts practices at the Novak Center for Children’s Health downtown and at Norton Medical Plaza II – Brownsboro on Norton Brownsboro Hospital/Norton Children’s Medical…

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Adult Services, Maternal Fetal Medicine, Neonatology, Obstetrics, Pediatric Services

Seamless transition between maternal-fetal medicine team and other specialists, including neonatology and others

When a pregnant patient is referred for maternal-fetal medicine (MFM) care at Norton Children’s, they step into a multidisciplinary team of specialists, including obstetricians with expertise in high-risk pregnancies and pediatric specialists who can help with any challenges the baby is facing. “We have numerous specialists that we rely on,” said Mureena Turnquest-Wells, M.D., a…

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Pediatric Services

Common causes of pediatric back pain

Back pain occurs in about a third of patients at some point in their adolescence and is fairly common in children over the age of 10. Very rarely, however, is it the result of a structural issue such as a disc condition or nerve irritation, according to Joshua W. Meier, M.D, pediatric orthopedic surgeon with…

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Pediatric Services

Minimally invasive PDA repair allows faster extubation of micro-preemies

Until recently, patent ductus arteriosus (PDA) repair in premature infants in the neonatal intensive care unit (NICU) required an involved surgical procedure. The surgeon would enter from the side, collapse the lung, find and ligate the vessels, reinflate the lung, and close. The patient usually required significant support for the next two to three days…

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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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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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