Pediatric Services

It isn’t easy talking with parents about gun safety in the home

Why is it important to talk to parents about gun safety in the home? There is a gun in nearly one-third of American homes. Nearly 1.7 million children live in a home with a loaded, unlocked gun, according to the American Academy of Pediatrics (AAP). Each year, thousands of children are killed or injured due…

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Adult Services, Orthopedics

Is your patient ready for a joint replacement?

When patients are considering joint replacement surgery, we look at several important benchmarks to see if the patient is ready. The first consideration is pain. Is the pain they’re experiencing in their knee intermittent, occurring only during strenuous activity, or is it constant and interfering with their daily lives? If it’s only intermittent, the patient…

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Pediatric Services, PM&R

Classifying and treating cerebral palsy in children

Assessing a child for cerebral palsy treatment and therapy starts with understanding the etiology, which parts of the body are affected and identifying the predominant movement pattern, according to Catherine P. Schuster, M.D., medical director of Norton Children’s Physical Medicine & Rehabilitation, affiliated with the UofL School of Medicine. “The underlying cause of cerebral palsy…

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Adult Services, Neuroscience

What migraine patients need to know about treatment options

Those who experience migraine know the pain. It’s not sinuses or “just a normal headache.” But do they know all of the migraine treatments that are available? The numbers bear it out: Migraine is a common condition and not centered in Louisville or Southern Indiana. More than 47 million Americans live with migraine, over 15%…

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Adult Services, Neuroscience

Bryan E. Davis, Psy.D., joins Norton Neuroscience Institute, offering psychological care to patients with neurological disorders

Bryan Davis, Psy.D., has joined the Norton Neuroscience Institute, providing psychological care to patients with neurological disorders. Dr. Davis, a licensed clinical psychologist, completed his clinical health psychology fellowship at the Cleveland Clinic Mellen Center for Multiple Sclerosis in Ohio. At the Cleveland Clinic, Dr. Davis integrated behavioral medicine as part of the interdisciplinary team…

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Pediatric Services

A new intervention for fetal aortic stenosis and severe mitral regurgitation

A pioneering intervention to treat the typically fatal combination of fetal mitral dysplasia syndrome (which consists of critical aortic stenosis, severe mitral regurgitation and massively enlarged, dysfunctional left ventricle) is showing positive results at Norton Children’s Heart Institute, affiliated with the UofL School of Medicine. For a boy born at 37 weeks weighing just more…

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Pediatric Services, Urology

Multidisciplinary spina bifida clinic brings specialists together each month

On the third Wednesday of each month, a team of specialists from across Norton Children’s come together to provide multidisciplinary care to kids with spina bifida (SB). Since 2016, the Norton Children’s Spina Bifida Clinic — in coordination with the Kentucky Office for Children with Special Health Care Needs — has provided a care model…

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Adult Services

New guidelines for when to prescribe naloxone

Deciding when to prescribe naloxone (Narcan), especially during the COVID-19 pandemic, presents unique challenges. We must consider how these challenges can lead to deteriorating mental health and increased substance use, and therefore a higher risk of death by suicide or overdose. As stewards of our patients’ health, we seek to minimize these risks. It is…

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Pediatric Services

Monitoring of children at home between heart surgeries provides early warning

When parents take their babies home in between surgeries for a serious and complex heart condition, they also are leaving with a specially equipped iPad to send critical data through a connection to Norton Children’s Heart Institute, affiliated with the UofL School of Medicine. The device tracks key metrics of the baby’s health and can…

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Adult Services, Neuro-Oncology, Research

New use for tumor treatment fields device showing results for glioblastoma patients

After participating in a groundbreaking clinical trial that showed the Optune tumor treatment field device improves glioblastoma multiforme survival when combined with chemotherapy, neuro-oncologists at the Norton Healthcare Brain Tumor Center in Louisville, Kentucky, are treating non-trial participants. Approval by the Food and Drug Administration (FDA) of the device in conjunction with maintenance temozolomide chemotherapy…

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Adult Services, Research, Spine

Study shows durable improvement five years after complex adult spinal deformity surgery

Five years after complex adult spinal deformity surgery, patients reported durable improvement in a range of measurable outcomes, according to a recently published study. Patients reported improvements in lower-back pain functionality (Oswestry Disability Index), overall health (SF-36 physical and mental health scores), health-related quality of life (Scoliosis Research Society – 22R) and back and leg…

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Adult Services, Case Study, Neuro-Oncology

Brain tumor study: Using Gleolan fluorescent marker to reveal diffusely infiltrative glioma tumor

The patient A 57-year-old man presented to the Norton Brownsboro Hospital emergency department with complaints of headaches that started two weeks earlier and worsened over the preceding few days. In addition, his family reported subtle changes in behavior, including increased sleepiness and issues with memory. A magnetic resonance imaging (MRI) scan demonstrated a brain mass…

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