Pediatrics Recognitions for excellence mark Norton Children’s Endocrinology growth

Recognitions for excellence mark Norton Children’s Endocrinology growth

Kupper A. Wintergerst, M.D., has overseen the transformation of the endocrinology and diabetes program at Norton Children’s Hospital into one of the best in the country. U.S. News & World Report recognized the hospital recently as one of the top 20 nationally for endocrinology and diabetes care. “We could never have achieved these goals without …

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CME CME opportunity: Pediatric Neurology Update Aug. 7

CME opportunity: Pediatric Neurology Update Aug. 7

The 18th annual Pediatric Neurology Update will be livestreamed (via BlueSky) Friday, Aug. 7, 2020, from 8 a.m. to 3:50 p.m. The continuing medical education opportunity will cover developments in identification of neurological disorders and evidence-based care. Register today to receive the agenda, conference link and continuing education credits upon completion. To register, visit NortonCME.com …

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Pediatrics Diagnosing HLH can be difficult, but rapid treatment can be effective

Diagnosing HLH can be difficult, but rapid treatment can be effective

Because it is rare and has varied symptoms, hemophagocytic lymphohistiocytosis (HLH) can be difficult to diagnose. Without quick diagnosis and timely HLH treatment, however, it can be life-threatening. HLH can be inherited (primary or familial HLH), or it can be acquired and caused by another disease (secondary HLH). When the disease is acquired, it’s typically …

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Pediatrics 2 years after emergency heart surgery when he was born, Trent is happy and energetic

2 years after emergency heart surgery when he was born, Trent is happy and energetic

Trent Robinson was rushed to Norton Children’s Hospital by ambulance from a nearby hospital just after being delivered by emergency cesarean section in March 2018. “He was turning blue. I got to see him for a split second as I was lying on the operating table,” said Brooklynn Robinson, Trent’s mother. Trent was diagnosed with …

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Pediatrics Highly trained professionals give care in the Jennifer Lawrence Cardiac Intensive Care Unit

Highly trained professionals give care in the Jennifer Lawrence Cardiac Intensive Care Unit

By Deanna R. Todd Tzanetos, M.D. The Jennifer Lawrence Cardiac Intensive Care Unit (CICU) at Norton Children’s Hospital is staffed by a dedicated team of highly trained and specialized professionals. Each morning a multidisciplinary team of physicians, nurses and allied health professionals gather at each patient’s bedside for rounds. The team includes: Pediatric intensivists – …

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Pediatrics American Academy of Pediatrics president to speak at Norton Children’s CME symposium

American Academy of Pediatrics president to speak at Norton Children’s CME symposium

Sara H. Goza, M.D., FAAP, president of the American Academy of Pediatrics, will be the guest faculty presenter at the 2020 “Just for Kids” Pediatric Symposium. The continuing medical education (CME) opportunity — with up to 6.0 AMA PRA Category 1 creditsTM — will be held by video conference July 24 from 8 a.m. to …

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Pediatrics As part of PC4, Norton Children’s Heart Institute shares and learns among the best

As part of PC4, Norton Children’s Heart Institute shares and learns among the best

Michael D. Ruppe, M.D. Norton Children’s Hospital is a member of the Pediatric Cardiac Critical Care Consortium (PC4), focused on collaborative quality improvement in the delivery of care to patients with critical pediatric and congenital cardiovascular disease. Participating centers include more than 50 of the top children’s hospitals in the United States. As a pediatric …

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Pediatrics Support for families at Norton Children’s Heart Institute and at home

Support for families at Norton Children’s Heart Institute and at home

Norton Children’s Heart Institute, affiliated with the UofL School of Medicine, offers an umbrella of patient support to help children and families during their hospital stay and after they transition home. A multidisciplinary team including doctors and nurses, a dietitian, a pharmacist and a nurse consultant round each day to ensure all aspects of care …

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Pediatrics ‘Updates in Pediatrics’ CME opportunities

‘Updates in Pediatrics’ CME opportunities

Norton Children’s will host a monthly livestreamed continuing medical education series starting Wednesday, June 17. The series will highlight clinical guidelines and best practices on a variety of topics relevant to the pediatric provider. Topics will provide evidence-based practices in the management and treatment of pediatric and adolescent patients. This program will be livestreamed on …

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Infectious Disease Providers: Telephone consultations available with pediatric infectious disease specialists

Providers: Telephone consultations available with pediatric infectious disease specialists

Amid the shifting manifestations of COVID-19 in children, Norton Children’s is providing infectious disease telephone consultations to providers. Option 9 on the Norton Children’s helpline, (800) 722-5725, puts any provider with questions about pediatric COVID-19 — including multisystem inflammatory syndrome in children (MIS-C) — in touch with an infectious disease specialist. Norton Children’s has a …

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CME Provider update: Multisystem inflammatory syndrome in children (MIS-C) [Video]

Provider update: Multisystem inflammatory syndrome in children (MIS-C) [Video]

Leading pediatric physicians with Norton Children’s presented an update Tuesday, May 19, on COVID-19 and multisystem inflammatory syndrome in children. The panel discussion provided the latest updates and answered questions. The moderator was Mark J. McDonald, M.D., FAAP, medical director of Norton Children’s Hospital and Norton Children’s Medical Center. Panelists: Kristina A. Bryant, M.D., pediatric …

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Pediatrics First-class care after the cardiac intensive care unit

First-class care after the cardiac intensive care unit

By Delwyn E. McOmber, M.D. Even after children no longer need care in the Jennifer Lawrence Cardiac Intensive Care Unit (CICU) at Norton Children’s Hospital, they continue to be followed by the multidisciplinary team at Norton Children’s Heart Institute, affiliated with the UofL School of Medicine. After leaving the CICU, patients can step down to …

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Pediatrics Transitioning to adult OB/GYN care

Transitioning to adult OB/GYN care

Turning 18 comes with a lot of milestones and new beginnings for young adults. One milestone young women should consider after turning 18 is transitioning from pediatric gynecologic care to an OB/GYN provider who works with adults. Providers can help with that transition by starting conversations with patients before these young adults start managing their …

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Pediatrics 2020 Child Abuse Prevention and Recognition Conference in March

2020 Child Abuse Prevention and Recognition Conference in March

The 2020 Child Abuse Prevention and Recognition Conference will help improve health care workers’ recognition of high-risk situations to enhance child abuse and neglect prevention efforts. The conference will be held March 20, 2020, at Norton Children’s Hospital, in the S. Randolph Scheen Family Conference Center. The conference is intended for physicians, physician extenders and …

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Pediatrics Norton Children’s Hospital receives clinical ultrasound accreditation

Norton Children’s Hospital receives clinical ultrasound accreditation

The Norton Children’s Hospital emergency department is now accredited through the American College of Emergency Physicians Clinical Ultrasound Accreditation Program (CUAP). CUAP provides standards for the administration of ultrasound programs; education and training of health care providers; performing and interpreting ultrasound examinations; equipment management; transducer disinfection; image acquisition and retention; and confidentiality and privacy. Norton …

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Pediatrics Norton Healthcare, University of Louisville finalize pediatric integration

Norton Healthcare, University of Louisville finalize pediatric integration

The affiliation between Norton Healthcare, UofL Physicians – Pediatrics and the University of Louisville School of Medicine was finalized on Sunday, March 1, 2020. Under the newly formed Norton Children’s Medical Group, affiliated with the UofL School of Medicine, 21 former UofL general pediatric and pediatric subspecialist practices are now part of Norton Healthcare. Approximately …

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Heart & Vascular Erle H. Austin III, M.D., reflects on Norton Children’s Heart Institute growth

Erle H. Austin III, M.D., reflects on Norton Children’s Heart Institute growth

By Erica Coghill The newly opened Jennifer Lawrence Cardiac Intensive Care Unit (CICU) at Norton Children’s Hospital was made possible by gifts to the Norton Children’s Hospital Foundation and is specifically for cardiac patients. It provides an opportunity to reflect on how far heart care at Norton Children’s Hospital has come. Kentucky’s first pediatric open …

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Cancer Finding a path to medicine as a pediatric leukemia patient

Finding a path to medicine as a pediatric leukemia patient

Bradley Wilson’s journey to medical school started in the Norton Children’s Hospital emergency department when he was 13. Unable to walk, losing consciousness and with his skin grayish, Bradley was rushed by his parents to the emergency department. He was diagnosed with leukemia and started on a path toward recovery and, ultimately, his calling. Discovering …

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Pediatrics Behind the scenes of the Jennifer Lawrence Cardiac Intensive Care Unit

Behind the scenes of the Jennifer Lawrence Cardiac Intensive Care Unit

The Jennifer Lawrence Cardiac Intensive Care Unit (CICU) at Norton Children’s Hospital started taking its first patients this month. The new unit is part of Norton Healthcare’s $78.3 million investment to renovate several areas of Norton Children’s Hospital. Norton Children’s Hospital Foundation has committed to raising $20 million, with more than $15 million funded to …

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Pediatrics Adults born with heart defects need specialized care

Adults born with heart defects need specialized care

As many as 1 million U.S. children and 1.4 million U.S. adults are living with congenital heart defects — abnormalities in the heart that are present at birth. Some defects are mild, and some so complex that they may require many surgeries over a lifetime. A person has congenital heart disease for their entire life, …

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Pediatrics Southern Indiana firefighter ‘feels 100%’ after Ebstein anomaly cone procedure

Southern Indiana firefighter ‘feels 100%’ after Ebstein anomaly cone procedure

Luke Coward, a Southern Indiana firefighter born with Ebstein anomaly of the tricuspid valve, never felt limited by the condition. From the time he was diagnosed at 18 months old, he maintained an active childhood and adolescence. Then, as he grew into adulthood, he began presenting symptoms. At age 20, Luke began having intermittent heart …

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Pediatrics First patients welcomed at the Jennifer Lawrence CICU

First patients welcomed at the Jennifer Lawrence CICU

The first patients have moved into the Jennifer Lawrence Cardiac Critical Care Unit (CICU) at Norton Children’s Hospital. More than 60 staff members lined the hallway to welcome caregivers who will be working on the unit and the first official patient in early January 2020. “This is a very exciting day,” said Deanna R. Todd …

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Pediatrics Talking to parents about the pill for a child

Talking to parents about the pill for a child

You’ve seen the look. You’ve suggested a parent’s daughter may benefit from taking birth control. Emphasizing the purposes that have nothing to do with birth control can help explain your recommendation. The pill can regulate certain hormone levels and make life a little more bearable for the young patient. Here’s how the pill can help: …

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Pediatrics ‘Text neck’ syndrome and what kids can do to ease the strain

‘Text neck’ syndrome and what kids can do to ease the strain

“Text neck” describes the repeated stress or pain in the neck resulting from constantly looking down — either watching or texting — on a handheld device for an extended time. Symptoms include nagging or sharp pain in the neck or shoulders; general shoulder pain and tightness; and headaches, which are made worse when looking down or using a phone or …

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Pediatrics Register soon for the Pediatric Behavioral and Mental Health Symposium

Register soon for the Pediatric Behavioral and Mental Health Symposium

The Pediatric Behavioral and Mental Health Symposium will provide insight into key issues and challenges affecting children of Kentucky. These include the opioid crisis, pediatric suicidality, human trafficking and exposure to violence. Topics covered at the symposium include: Recommended screenings for suicidal ideation in elementary school-age children Treatment options for post-traumatic stress disorder and resources …

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Pediatrics Registration deadline soon for Wendy Novak Diabetes Symposium

Registration deadline soon for Wendy Novak Diabetes Symposium

Come to the Wendy Novak Diabetes Symposium to get up to date with the American Diabetes Association’s latest guidelines for pediatric diabetes patients. Topics include: New guidelines and limitations for the management of pediatric diabetes The multidisciplinary approach to care and how it improves patient outcomes New therapeutic modalities into the management of children and …

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Pediatrics Norton Children’s Neurosurgery using new virtual reality brain-modeling technology

Norton Children’s Neurosurgery using new virtual reality brain-modeling technology

Norton Children’s Neurosurgery, a Part of Norton Neuroscience Institute, now has Surgical Theater virtual reality (VR) technology. It creates an immersive, 3D view of a patient’s brain. This allows neurosurgeons, patients and families to see inside the patient’s brain to get a greater understanding of the condition and any potential procedures. Norton Children’s Hospital is …

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Pediatrics Pediatric heart rates during supraventricular tachycardia

Pediatric heart rates during supraventricular tachycardia

By Chris L. Johnsrude, M.D. It is important to understand that sometimes a recorded heart rate can confirm if a child or teenager is in supraventricular tachycardia (SVT), but not always. SVT is a common cause of abnormally fast heartbeats in children and teenagers, but the range of heart rates in SVT is pretty broad. …

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Pediatrics What are phimosis and paraphimosis?

What are phimosis and paraphimosis?

By Kimberly Huston Phimosis and paraphimosis are issues that affect the foreskin of the penis. Phimosis is when the foreskin can’t retract (pull down) from the tip of the penis. Paraphimosis occurs when the foreskin is retracted but can’t be replaced over the glans penis. They are common conditions in boys, but serious complications can …

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Pediatrics Norton Children’s Hospital nationally recognized for combating overuse of antibiotics

Norton Children’s Hospital nationally recognized for combating overuse of antibiotics

Overuse of antibiotics is a worldwide problem, reducing the drug’s effectiveness and making serious bacterial infections resistant to treatment. For its efforts to improve antibiotic prescribing, Norton Children’s Hospital has been named an Antimicrobial Stewardship Center of Excellence. The Infectious Diseases Society of America awards the distinction to hospitals that effectively prescribe antibiotics and combat …

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Pediatrics Transitional care for young adults with reproductive conditions

Transitional care for young adults with reproductive conditions

Transitioning healthy young women from pediatric to adult health care can be a challenge. However, patients who have undergone reproductive surgical procedures during their childhood present added complexity. Adolescents with gynecological anomalies, disorders of sexual development (DSD) and other ovarian conditions can benefit from communication and long-term planning about their care. Paige Hertweck, M.D., pediatric …

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Pediatrics Fetal echocardiograms: Finding more heart defects before birth

Fetal echocardiograms: Finding more heart defects before birth

In 2011, Norton Children’s Heart Institute identified an area where we could improve the care provided to families in our region. We have been working hard to make things better ever since. We reviewed the records of all babies who had heart surgery at Norton Children’s Hospital. We found that only about one-third of the …

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Pediatrics Ten fellowship-trained pediatric radiologists at Norton Children’s Radiology

Ten fellowship-trained pediatric radiologists at Norton Children’s Radiology

Norton Children’s Radiology comprises 10 fellowship-trained pediatric radiologists with training in various subspecialties, including pediatric neuroradiology, cardiac imaging, musculoskeletal imaging and interventional radiology, plus a registered radiologist assistant. Our clinicians and radiologists are experienced and knowledgeable in imaging for pediatric diseases using magnetic resonance imaging, computed tomography scans, radiographs, fluoroscopy and nuclear medicine. If imaging …

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Pediatrics Continuing medical education: Update on newborn infections

Continuing medical education: Update on newborn infections

Speakers from Norton Children’s Neonatology and the University of Louisville School of Medicine Department of Pediatrics will present the latest recommendations and practice guidelines for common infectious complications affecting newborn infants. Dinner will be served. This activity is intended for physicians and advanced practice providers in pediatrics, family medicine and neonatology. Registration The registration deadline …

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Pediatrics Child maltreatment prevention, recognition and response-reporting: How to spot child abuse for physicians

Child maltreatment prevention, recognition and response-reporting: How to spot child abuse for physicians

By Vinod B. Rao, M.D. Child maltreatment is a significant concern in society today. The primary goal should always be to prevent child maltreatment; however, when abuse does occur it is important for everyone to know how to recognize signs and how to respond. The following will discuss strategies for how you can help with …

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Pediatrics Lisa A. Norfleet, M.D.

Lisa A. Norfleet, M.D.

Lisa A. Norfleet, M.D., is an OB/GYN with Norton Children’s Maternal-Fetal Medicine. She cares for women with high-risk pregnancies admitted to the hospital, providing consultations and emergency care. Dr. Norfleet earned her medical degree from the University of Louisville, where she completed her obstetrics and gynecology residency. Dr. Norfleet also has an MBA in health …

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Orthopedics Complex scoliosis surgery aided by 3D model of patient’s severely curved spine

Complex scoliosis surgery aided by 3D model of patient’s severely curved spine

Pediatric orthopedic surgeons at Norton Children’s Orthopedics of Louisville recently printed a 3D model of a patient’s severely curved spine to prepare with greater precision for her complex surgery. The 3D model of Gracie Latkovski’s spine was used to create custom-made drill guides for each of her affected vertebra. Joshua W. Meier, M.D., and his …

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Heart & Vascular Ebstein anomaly discovered in pregnancy treated with interdisciplinary care

Ebstein anomaly discovered in pregnancy treated with interdisciplinary care

Audrey Sims’ first clue that her twins’ birth would be complicated came at 14 weeks of pregnancy, when a routine ultrasound found that one of her sons, Aiden, had a cystic hygroma, a fluid collection on the neck. Audrey’s OB/GYN at King’s Daughters’ Hospital in Madison, Indiana, referred Audrey and her husband, Andrew, to Norton …

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Heart & Vascular Your pediatric patients don’t need to travel too far from home for quality heart care

Your pediatric patients don’t need to travel too far from home for quality heart care

Norton Children’s Heart Institute, affiliated with the University of Louisville, includes an expansive outreach service, with 29 participating sites in the region. These sites, throughout Kentucky and Southern Indiana, link directly to Norton Children’s Hospital and the specialists at Norton Children’s Heart Institute. Technicians perform echocardiograms on patients from in utero to young adults to …

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Pediatrics Stacie Hartlage, R.N., guides pediatric heart patients and their families to quality care at a stressful time

Stacie Hartlage, R.N., guides pediatric heart patients and their families to quality care at a stressful time

If you have a patient with a congenital heart disease, you want to make sure he or she gets quality care. But it’s also comforting to know your patient will be well supported and guided through the often complex world of specialist medical care. Stacie Hartlage, R.N., is nurse navigator with Norton Children’s Heart Institute, …

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Cancer Experienced pediatric cancer care

Experienced pediatric cancer care

Norton Children’s Cancer Institute provides the latest in pediatric cancer treatments, programs for treating rare tumors and blood disorders, a blood and marrow transplant program, and resources to support the needs of young patients and the entire family. Norton Children’s Cancer Institute features a skilled cancer care team that is completely focused on the needs …

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Pediatrics CME opportunity: ‘Pediatric Urology for Primary Care Physicians’

CME opportunity: ‘Pediatric Urology for Primary Care Physicians’

Dennis S. Peppas, M.D., FAAP, chief of urology for Norton Children’s Hospital, will lead “Pediatric Urology for Primary Care Physicians,” a continuing medical education training on in Frankfort on March 12, 2019. This CME is intended for physicians, physician assistants, nurse practitioners, nurses and other healthcare professionals. The training will focus on the following learning …

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Pediatrics New procedure for referral admissions to Norton Children’s Hospital

New procedure for referral admissions to Norton Children’s Hospital

For nearly two decades, Norton Children’s Hospital has partnered with our community’s pediatric health care providers to assist with the admission of patients through the emergency department’s Admission Express Unit (AEU). At the time it was created, the mission of this unit was to streamline the process for children referred for admission to Norton Children’s …

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Pediatrics Services treat pregnant women with substance use disorders and their babies

Services treat pregnant women with substance use disorders and their babies

The opiate epidemic has changed the face of prenatal and perinatal care, and Norton Healthcare has special programs in place to help mother and child confront drug-related health issues. The Norton Maternal Opiate and Substance Treatment (MOST) Program is designed to reduce the stigma for pregnant women with substance use disorders by providing prenatal and …

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CME Register now for the 2019 ‘Just for Kids’ Pediatric Care Symposium

Register now for the 2019 ‘Just for Kids’ Pediatric Care Symposium

Don’t forget to register for the 2019 ‘Just for Kids’ Pediatric Care Symposium, a clinical update on the management of the pediatric patient, taking place Friday, April 26, 2019 from 7 a.m. to 5:30 p.m. at the Galt House Hotel in Louisville, Kentucky. Keynote Speaker Provided by Norton Children’s Hospital and the University of Louisville …

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Pediatrics Update on antenatal corticosteroids in women at risk for preterm delivery

Update on antenatal corticosteroids in women at risk for preterm delivery

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 …

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Neuroscience Migrainous disorders in children

Migrainous disorders in children

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 …

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Pediatrics Updates on obstetric hemorrhage

Updates on obstetric hemorrhage

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 …

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Pediatrics Multidisciplinary approach to newborn diaphragmatic hernia repairs

Multidisciplinary approach to newborn diaphragmatic hernia repairs

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 …

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Pediatrics Welcome Jeffrey T. White, M.D., Ph.D., to Norton Children’s Urology

Welcome Jeffrey T. White, M.D., Ph.D., to Norton Children’s Urology

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 …

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