Liggins and Howie’s landmark paper in 1972 demonstrated that a single course of corticosteroids given to women at risk for preterm delivery reduced the incidence of respiratory distress syndrome and mortality in the offspring. After almost 50 years and a plethora of studies, the optimal timing of corticosteroid remains unclear. The benefits of a single…
The formal name for “childhood periodic syndromes” has changed from “childhood periodic syndromes that are commonly precursors of migraine” in ICHD-2 to “episodic syndromes that may be associated with migraine” in ICHD-3, partly because some of these disorders can affect adults. “Recognizing these migrainous disorders can help children get the treatment they need and potentially…
In this update: New definition for postpartum hemorrhage from the American College of Obstetricians and Gynecologists Tranexamic acid as first-line medication 1:1 ratio of packed red blood cells (PRBC) to fresh frozen plasma (FFP) Postpartum hemorrhage is defined as cumulative blood loss greater than or equal to 1,000 mL or bleeding associated with signs/symptoms of…
Physicians are seeing more cases of an otherwise rare spine infection — osteomyelitis — that can be caused by injecting bacteria along with heroin. A recent Norton Leatherman Spine study took a closer look at osteomyelitis patients. The study revealed the number of Norton Leatherman Spine patients with spine infections that required surgery increased twelvefold…
At the 22nd annual Primary Care Update: A Clinical Update on the Management of the Adult Patient, Marjorie L. Pilkinton, M.D., Norton Urogynecology Center, presented on the evaluation and management of urinary incontinence. The goal of the annual Primary Care Update is to educate and provide awareness to primary care practitioners on treating a variety…
Neurostimulator monitors for seizures and interrupts them without the patient feeling a thing In 2010, Heather Ritchey had a seizure. It came out of nowhere, and she didn’t have another one for two years. Unfortunately, when the next one hit, she was behind the wheel of her car. It’s the last time she’s driven. “I…
Norton Hospital and Norton Women’s & Children’s Hospital obstetric anesthesia services have been accredited by the Centers for Medicare and Medicaid Services (CMS). Anesthesia Services of Kentucky PLLC, the physician group providing anesthesia services at Norton Hospital and Norton Women’s & Children’s Hospital for labor and delivery, received a perfect score of 100 in quality…
When Samuel Johnson was born at Norton Children’s Hospital with a diaphragmatic hernia, a highly trained and specialized team was ready. “We have well-thought-out plans, a process in place to take care of children with diaphragmatic hernias,” said Ketan C. Mehta, M.D., of Norton Children’s Neonatology. “They are complicated cases and require aggressive and very…
Jeffrey T. White, M.D., Ph.D., is the newest member of Norton Children’s Urology. Dr. White earned his medical degree as well as a doctorate in developmental, cell and neurobiology from Louisiana State University School of Medicine, New Orleans. He completed his residency at the University of Texas Health Science Center at San Antonio, where he…
A new study shows cancer is on its way to becoming the leading cause of death in more counties nationwide.The study, published in the Annals of Internal Medicine, analyzed records for 32 million people in the U.S. who died between 2003 and 2015. It found that while overall deaths due to heart disease and cancer are…
Immunotherapy drugs often will seek to unblock the checkpoint, which suppresses the body’s immune system, unmasking the cancer cell as a target for the body to fight. Louisville researchers are turning their success with immunotherapy toward a new foe — the deadly glioblastoma brain cancer. Renato V. LaRocca, M.D., a neuro-oncologist and cancer medicine specialist…
The Norton Healthcare Center for Continuing Medical Education has made available speaker sessions from the 2018 Neuroscience Symposium, one including a presentation on a “Primary Care Physician’s Guide to Multiple Sclerosis” by Geeta A. Ganesh, M.D. of Norton Neuroscience Institute. The continuing education opportunity is available online here. At the conclusion of this offering, the…