Early recognition of Parkinson’s disease requires health care providers to look beyond the classic tremor. Parkinson’s disease affects approximately 1 million people in the United States, with 90,000 new diagnoses each year. Despite its prevalence, early recognition remains challenging for health care providers. Parkinson’s disease is the most common neurodegenerative movement disorder, characterized by abnormal…
By focusing on small steps, physicians can help patients make meaningful, lasting improvements to lifestyle habits that contribute to chronic disease. Time constraints and patient resistance can make conversations about activity, diet, stress reduction and other improvements feel secondary. Even small, incremental lifestyle changes can lead to significant long-term improvements in health outcomes. The Small…
The patient An 18-year-old male with a history of heart transplantation for cardiomyopathy after a durable ventricular assist device presented with progressive cardiac allograft vasculopathy (CAV) and severe diastolic graft failure. The patient presented to the cardiac intensive care unit after a recovered cardiac arrest in extremis with impending multiorgan failure. He initially underwent placement…
Provider Team The patient The patient is a now 13-year-old girl with a history of anxiety and headaches dating back to approximately age 7, although she did not present to neurology until age 9. At that time, she was reporting approximately 15 out of 30 headache days per month and was meeting criteria for chronic…
Pediatric migraine management requires a nuanced approach that differs significantly from adult protocols. While migraine affects up to 10% of children and adolescents, treatment decisions must account for developmental considerations, family dynamics and the substantial placebo effect observed in younger patients. This evidence-based guide synthesizes current best practices for clinicians managing pediatric migraine, from initial…
Myocarditis represents a significant cause of morbidity and mortality in pediatric patients, yet its clinical presentation can be deceptively subtle. As inflammation of the heart muscle and conduction system, myocarditis affects the heart’s ability to contract effectively and maintain normal rhythm, potentially leading to sudden cardiac death even in previously healthy children. Epidemiology and risk…
Recent advances in colonoscopy techniques are helping physicians detect more colon cancers while reducing complications, according to updated medical guidelines that emphasize quality indicators and improved detection methods. William B. Evans III, M.D., gastroenterologist with Norton Gastroenterology Consultants of Louisville, presented the findings at a continuing medical education session, outlining key changes in how physicians…
Norton Heart & Vascular Institute and UK HealthCare Gill Heart & Vascular Institute joined forces to present a timely and insightful continuing medical education session, “Advancing Heart Failure Care: Innovation Meets Equity.” The session explored the latest advancements in heart failure management while emphasizing the critical need to address disparities in care. This collaboration highlights…
The patient A 75-year-old male presented with a left neck mass, referred by his community otolaryngologist. The patient reported a history of sleep apnea, cough and recurrent upper respiratory infections. Imaging and fine needle aspiration of the neck mass confirmed p16 positive squamous cell carcinoma (SCC). Positron emission tomography (PET)/CT demonstrated a hypermetabolic left level…
Imagine a world where every woman recovering from breast cancer surgery can feel whole again. That is now possible thanks to new technology available through Norton Cancer Institute and Norton Plastic & Reconstructive Surgery. After a mastectomy, a patient may wish to have breast reconstruction, which involves multiple steps to prepare for implants. Until now, implants were only…