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 2019 Pediatric Bioethics Day

2019 Pediatric Bioethics Day

The upcoming Pediatric Bioethics Day on Wednesday, Sept. 4, gives physicians, nurses, social workers, chaplains, therapists and hospital ethics committee members the opportunity to discuss approaches that can support families when life-sustaining medical interventions are no longer considered medically beneficial. Appropriate communication can be difficult when parents and providers do not share the same values …

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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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Pediatrics Expectant mothers with gestational diabetes should consult maternal-fetal medicine specialist

Expectant mothers with gestational diabetes should consult maternal-fetal medicine specialist

According to the American Diabetes Association, more women in the U.S. are developing gestational diabetes. About 6 percent to 8 percent of pregnant women are diagnosed every year. RISKS OF GESTATIONAL DIABETES Women with gestational diabetes are more likely to develop Type 2 diabetes later in life. The disease also can be harmful to the unborn …

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Pediatrics Why you should refer to Norton Children’s Radiology

Why you should refer to Norton Children’s Radiology

Norton Children’s Radiology is composed of ten providers who treat pediatric patients for medical and surgical conditions including trauma, infection, tumors, congenital abnormalities, autoimmune disorders and more. Norton Children’s Radiology clinicians and radiologists are experienced and knowledgeable in imaging for pediatric diseases through magnetic resonance imaging, computed tomography scans, radiographs, fluoroscopy and nuclear medicine, among …

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Pediatrics Norton Children’s Heart Institute care highlights

Norton Children’s Heart Institute care highlights

Norton Children’s Heart Institute is growing. We recently added a third pediatric cardiac surgeon, who assumes the leadership role long held by Erle H. Austin III, M.D. Housed in Norton Children’s Hospital, the state’s only free-standing, full-service children’s hospital, in collaboration with UofL Physicians, the institute is dedicated to ensuring that patients in Kentucky and …

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CME Save the Date for the 2019 ‘Just for Kids’ Pediatric Care Symposium

Save the Date for the 2019 ‘Just for Kids’ Pediatric Care Symposium

Save the date and register now for the 2019 ‘Just for Kids’ Pediatric Care Symposium, a clinical update on the management of the pediatric patient, taking place at the Galt House Hotel in Louisville, Kentucky on Friday, April 26, 2019. With the combined efforts of Norton Healthcare and the University of Louisville School of Medicine, …

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Cancer Episcleral Plaque Brachytherapy at Norton Cancer Institute

Episcleral Plaque Brachytherapy at Norton Cancer Institute

Episcleral plaque brachytherapy (EPB) has been used to treat intraocular (eye) tumors since the early 1900s. The two most common indications for EPB are ocular/choroidal melanoma and retinoblastoma. Local control is paramount, as failure to achieve this goal results in both local (vision loss, pain) and systemic (liver, lung, bone metastasis) consequences, including death. Prior …

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Pediatrics Norton Children’s Urology offers new treatment option for kids with chronic constipation

Norton Children’s Urology offers new treatment option for kids with chronic constipation

An estimated one in three children suffers from constipation at some point. In fact, constipation in kids is the cause of thousands of pediatrician visits every year, according to the American Academy of Pediatrics. Constipation is even more common in children with neurogenic bowel dysfunction, a condition in which the nerves that control bowel function …

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Pediatrics Norton Children’s Heart Institute Heart Transplant Program gains CMS accreditation

Norton Children’s Heart Institute Heart Transplant Program gains CMS accreditation

By demonstrating outcomes that meet or exceed national benchmarks and a commitment to high-quality transplant care, the Heart Transplant Program at Norton Children’s Heart Institute, affiliated with the University of Louisville, recently received accreditation from the Centers for Medicare & Medicaid Services (CMS). The accreditation ensures your patient will receive transplant care from a multidisciplinary …

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Orthopedics New interactive technology makes physical therapy feel like a virtual reality game

New interactive technology makes physical therapy feel like a virtual reality game

The new Norton Mobility Lab, supported by the Children’s Hospital Foundation, provides new technology that takes mobility or gait therapy to a whole new level with virtual reality simulations. It’s the only technology of its kind in Kentucky. With the new technology, therapists can create a number of different interactive simulations, such as walking in …

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Orthopedics Severe scoliosis cases on the rise in children

Severe scoliosis cases on the rise in children

John R. Dimar, M.D., orthopedic surgeon with Norton Leatherman Spine Center believes the lack of scoliosis screenings in schools across the country may be contributing to the increase in severe scoliosis cases. Many school districts stopped screening for scoliosis several years ago, when it no longer became a state requirement. “Some scientific articles suggest that …

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Neuroscience CDC releases first guidelines on concussions in children

CDC releases first guidelines on concussions in children

For the first time ever, the Centers for Disease Control and Prevention (CDC) has released guidelines on treating children with concussions and other mild traumatic brain injuries. The timing is fitting, with contact sports such as soccer and football now in full swing. “This is the time of year when concussion numbers hit a peak,” …

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Pediatrics Welcome Brittany K. Albers, M.D. to Norton Children’s Radiology

Welcome Brittany K. Albers, M.D. to Norton Children’s Radiology

Brittany K. Albers, M.D., is the newest member of Norton Children’s Radiology. Dr. Albers is a native of Texas and earned her medical degree at Texas Tech University in Lubbock. She completed her internship and diagnostic radiology residency at Mayo Clinic in  Jacksonville, Florida. During her residency, Dr. Albers decided to pursue fellowship training in …

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CME Register now for 30th annual Tri-State Craniofacial Conference

Register now for 30th annual Tri-State Craniofacial Conference

Registration is now open for the 30th annual Tri-State Craniofacial Conference, taking place Friday, Oct. 26, 2018 from 8:15 a.m. to 3:15 p.m. at Norton Children’s Hospital in downtown Louisville. Provided by Norton Healthcare and Norton Children’s Hospital with support from the Children’s Hospital Foundation, the goal of this activity is to bring together physicians, …

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Pediatrics Services available through Wendy Novak Diabetes Center

Services available through Wendy Novak Diabetes Center

At the Wendy Novak Diabetes Center, we help children with Type 1 and Type 2 diabetes and their families through all phases of their diagnosis, treatment and ongoing care. Our goal is to provide a personalized management plan, helping families achieve better blood sugar control and live healthier, more active lives. With the opening of …

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Orthopedics Welcome Norton Children’s Orthopedics of Louisville surgeon, Kent L. Walker, D.O.

Welcome Norton Children’s Orthopedics of Louisville surgeon, Kent L. Walker, D.O.

Kent L. Walker, D.O., pediatric orthopedic surgeon, has joined Norton Children’s Orthopedics of Louisville. Dr. Walker earned his undergraduate degree from Belmont University in Nashville, Tennessee, and medical degree from Lincoln Memorial University-DeBusk College of Osteopathic Medicine in Harrogate, Tennessee. He completed his residency at Wellmont Holston Valley Medical Center in Kingsport, Tennessee, and a pediatric …

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Pediatrics Norton Children’s Urology physicians publish case report on rare condition, Lesch-Nyhan syndrome

Norton Children’s Urology physicians publish case report on rare condition, Lesch-Nyhan syndrome

Eran Rosenberg, M.D. and Dennis S. Peppas, M.D. with Norton Children’s Urology recently published a case study on Lesch-Nyhan syndrome, a rare inborn error of pure metabolism marked by a complete deficiency of the enzyme hypoxanthine-guanine phosphoribosyltransferase (HPRT). Inherited as an X-linked recessive genetic disorder that primarily affects males, patients with Lesch-Nyhan syndrome exhibit severe …

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Pediatrics Electron microscopy aids in diagnosing unexplained bleeding

Electron microscopy aids in diagnosing unexplained bleeding

Norton Healthcare’s Special Coagulation Laboratory offers sophisticated testing for patients who present with unexplained bleeding. Among the tests available is electron microscopy to assess the number of dense granules in platelets. A lack of dense granules can indicate a rare disorder called delta storage pool deficiency. “If you have a paucity of dense granules, you …

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Pediatrics Maternal-fetal medicine physician leads fetal anemia procedures

Maternal-fetal medicine physician leads fetal anemia procedures

Intrauterine transfusion is an essential treatment for severe fetal anemia. The procedure is performed between 18 and 35 weeks after fetal ultrasound is suggestive of fetal anemia or hydrops. In a sterile environment, fetal blood is obtained via percutaneous umbilical blood sampling. Transfusion is recommended for a fetal hematocrit less than 30 cc, which can …

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CME What’s new in pediatric orthopedics

What’s new in pediatric orthopedics

Register now for the 2018 Pediatric Orthopedic Symposium: What’s New In Pediatric Orthopedics on Friday, September 28, 2018 from 7 a.m. to 4 p.m. at the Muhammad Ali Center. This continuing medical education symposium is designed to assist primary care physicians and emergency health care providers in delivering appropriate care to children with orthopedic injuries …

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Cancer Introducing the Norton Eye Cancer Program

Introducing the Norton Eye Cancer Program

Norton Children’s offers one of the country’s few programs dedicated to treating retinoblastoma. A rare cancer in the eye, retinoblastoma affects the retina, which detects light and color. The disease often reveals itself as a white glow in the pupil that shows up in photographs. Eye drifting is another symptom. Retinoblastoma usually affects children younger …

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Pediatrics Norton Children’s Hospital one of three with national diabetes certification

Norton Children’s Hospital one of three with national diabetes certification

Wendy Novak Diabetes Center at Norton Children’s Hospital now one of three with national certification Designation recognizes integrated care Norton Children’s Hospital has received national recognition for its treatment of children with diabetes. The Joint Commission, a national health care accrediting organization, has awarded the Wendy Novak Diabetes Center at Norton Children’s Hospital with a …

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Pediatrics Welcome new Norton Children’s providers

Welcome new Norton Children’s providers

Jamil T. Elfarra, M.D. Norton Children’s Maternal-Fetal Medicine Specialty: Maternal-Fetal Medicine Dr. Elfarra earned his medical degree from King Saud University, Riyadh, Saudi Arabia. He completed his internship with King Khalid University Hospital, Riyadh. He completed obstetrics and gynecology residencies with King Fahad National Guard Hospital, Riyadh; St. Vincent’s Hospital/New York Medical College; and The …

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Pediatrics Child neurologist uses acupuncture to treat migraines

Child neurologist uses acupuncture to treat migraines

Elizabeth S. Doll, M.D., was recently featured in MD Update about her use of acupuncture to treat children with migraines. An accomplished child neurologist, she also spent hundreds of hours at Harvard University, training in the art of acupuncture. She offers acupuncture as a way to help with migraines and severe headaches in teens and children …

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CME Save the date for 2018 Pediatric Orthopedic Symposium

Save the date for 2018 Pediatric Orthopedic Symposium

Mark your calendar for the 2018 Pediatric Orthopedic Symposium: What’s New in Pediatric Orthopedics. Friday, Sept. 28, 2018 7 a.m. to 4 p.m. Muhammad Ali Center Continuing education credits will be provided. Presented by: Norton Healthcare and Norton Children’s Hospital Click here to register, or for more information call the Norton Healthcare Center for Continuing …

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