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April/May/June 2010
Healthy
a publication of Norton Healthcare
Hope for
headache relief
See page 6.
Kosair Children’s Hospital • Norton Audubon Hospital • Norton Brownsboro Hospital • Norton Hospital • Norton Suburban Hospital
Kosair Children’s Medical Center – Brownsboro • Norton Immediate Care Centers
When physicians
Recently Voyles had difficulty walking, so her primary
care physician Robert W. Shaw III, M.D., referred
her to Louie Williams, M.D., physical medicine and
it’s a win Williams could help her regain strength and improve her
balance.”
for patients
“Anytime I have a problem, I tell Dr. Shaw,” Voyles said.
“He’s been taking care of me for many, many years. He’s
very upbeat and shows a lot of care.”
E dna Voyles celebrated her 90th birthday on Dr. Williams diagnosed Voyles with drop foot
Valentine’s Day. In spite of coping with some serious syndrome, a weakening of the foot and ankle that impairs
health issues over the years – Type 2 diabetes, heart walking. He prescribed a special leg brace and a course of
attack and stroke – she considers herself “very blessed.” rehabilitation. After just three months of physical therapy,
Part of Voyles’ longevity can be attributed to well- Voyles’ physicians are pleased with her progress.
coordinated care among her physicians, on whom she Medical care that is seamlessly coordinated by primary
depends to meet her changing health care needs. She gets and specialty care physicians not only helps patients
annual physical exams and listens to the advice of her but helps keep health care costs down by avoiding
primary care physician when he recommends a referral for duplication of services. Specialists often are brought in as
specialty care. consultants while the patient is in the hospital to discuss
transition of care after discharge, and the primary care
physician follows up to ensure specialty care meets the
patient’s needs.
Edna Voyles of Louisville
“The primary care physician stabilizes patients
medically,” Dr. Williams said. “Then my goal is to address
their rehabilitation and pain needs to allow them to return
to the level of independence and activity to which they are
accustomed.”
–Tammy Warren
On the cover: Ron Cutler found relief from uncommon headache pain.
See page 6.
2 Get Healthy
FIBROIDS AND FAMILY PLANNING
Treatment advancements could preserve fertility
“For women who want to have children,
3
S pring is right around the corner. While most people
Seasonal
are looking forward to the world becoming green
again, the Schofield family is gearing up for trouble.
Two of their three children have severe allergies.
allergies or
At 3 months old, Mackenzie Schofield, now 5, had
her first bout of bronchiolitis. By 7 months, she had
her first set of ear tubes. She continually suffered from
sinus infections or other allergy-induced illnesses.
asthma?
Kyle Schofield, now 3, had his first set of ear tubes at
5 months. He always had a runny nose and frequent
sinus infections.
“I knew there had to be an underlying cause,” said the
kids’ mother, Michelle Schofield. “We decided to have
Determining Mackenzie tested for allergies when she was around
2 years old and Kyle at 18 months.”
the difference According to James L. Sublett, M.D., allergy and
immunology, these are common complaints when kids
have allergies.
“An allergy is when the immune system mistakes a
harmless substance for a dangerous one and produces
an antibody called immunoglobulin E,” Dr. Sublett said.
“Most people think that allergies start when kids are
around 6 or older. In reality, we see kids
as young as 6 months old who suffer
from symptoms.”
Though the best way to
control allergies is to avoid them
altogether, that can be easier said
than done. Your child’s pediatrician
may recommend one of many
medications approved for children.
Another option is allergy shots, or
immunotherapy, which help build
up tolerance to the allergen. It’s
important to speak with your
pediatrician or allergist before
giving your child any
medication.
The Schofield’s
story illustrates that
children can
have many
different
4 Get Healthy
symptoms that can signal allergies. To further complicate
things, it’s easy to mistake the signs and symptoms of Pediatric expertise comes
asthma as allergies, colds or coughs. Asthma often goes to northeastern Jefferson
undiagnosed because the symptoms may be hard for County
parents and physicians to recognize. Kosair Children’s Medical Center – Brownsboro,
According to Nemr S. Eid, M.D., pediatric pulmonology, opening May 26, is bringing children’s health care
asthma doesn’t generate the concern it should from doctors designed “Just for Kids” to northeastern Jefferson
or parents. County. The full-service outpatient center will be
Asthma is a condition in which the bronchial airways equipped with the latest technology for testing
become inflamed and over-reactive, causing increased lung function so that a personal asthma therapy
mucus, swelling and muscle contraction. Asthma becomes plan can be developed for each patient. The
serious when repeated swelling of the airways leads to center also will offer emergency services, pediatric
scarring and blockage, according to Dr. Eid. diagnostic imaging, a pediatric outpatient surgical
“When asthma goes untreated or is not treated properly, center and more – all designed to be friendly and
children are at risk,” Dr. Eid said. “Once airway damage accommodating to children, teens, young adults
sets in, it may become irreversible.” and families.
For more information about the new
Could it be asthma? pediatric outpatient center, visit
Consider the following questions: MedicalCenter.KosairChildrens.com.
• Does your child cough a lot at night or in the
morning?
• While exercising or playing does your child wheeze or Want to know more?
cough? Tune in to the “Get Healthy with Norton Healthcare”
• When exposed to dust, allergens, smoke or strong TV show April 10 at noon to learn more about
odors does your child wheeze, cough or experience childhood asthma and allergies. For details, visit
chest tightness?
www.wlky.com/gethealthy.
• When your child has a cold, does it seem to settle
into his or her chest and take more than 10 days
to clear up?
• Do you have to give your child cough medicine
more than once a month?
• Has your child had pneumonia or bronchitis more
than once in any given year?
If you answered “yes” to any of these
questions, your child may have asthma. Talk to
a pediatrician about your child’s symptoms.
5
Making headway
Headaches can be complex and r
W ith as much as 90 percent of
the population experiencing
at least one headache a year, few
are lucky enough to say they never
get headaches. Ron Cutler was one
of those lucky few – until shortly
after Christmas last year when he
experienced severe headache pain
like he had never felt before.
Thinking it was a sinus infection,
Cutler visited an urgent care center
before flying out for a business trip.
“After I left the doctor, I started
having double vision, but I couldn’t
miss my trip,” Cutler said. “Tylenol
and other pain relievers wouldn’t
help. I was in pain and dealing with
double vision over the course of more
than a week.”
Once Cutler was back in
Louisville, his wife brought him
to the emergency room, where he
underwent tests and finally got some
pain relief. But the source of his
Nick Bonura photo
6 Get Healthy
require specialized treatment
An MRI revealed Cutler had Cutler is now back to normal
trochlear nerve palsy, which is caused thanks to medications that restored Get to know the
by a blockage in a vessel supplying blood flow in his eye.
blood to a nerve in his eye. He also “Mr. Cutler’s condition is unlikely
physician
had associated tension-type headache to recur, assuming he makes the Tad Seifert, M.D.
due to stress being placed on his eye, appropriate lifestyle modifications,
according to Dr. Seifert. like improving his diet, increasing Where did you
“Trochlear nerve palsies can arise regular exercise and monitoring blood grow up?
from a number of potential causes,” pressure,” Dr. Seifert said. I grew up in Enid,
Dr. Seifert said. “In Mr. Cutler’s case Okla., a small
it was due to hardening of arteries Headache & rural community
and plaque build-up in vessels in northwestern
providing blood to his trochlear
Concussion Center Oklahoma, just
nerve. The trochlear nerve is vital for opens in Louisville outside of Oklahoma City.
allowing smooth eye movements. Norton Healthcare has opened the
Once the nerve is affected, it limits Headache & Concussion Center, a Why did you choose to
the movement of the eye, resulting in part of Norton Neuroscience Institute. specialize in headaches?
undue stress that subsequently can The center is the only treatment I’ve always had a special interest
result in headaches.” facility of its kind in the region and in headaches, migraine especially,
Though Cutler’s type of headache offers expertise in treating all types after growing up watching both my
is rare, there are many types of of headaches and sports-related mother and sister suffer from them
more common headaches that concussions. The center is led by frequently. It’s greatly rewarding for
over-the-counter pain relievers – Tad Seifert, M.D., the only fellowship- me to see patients and help find a
and sometimes even prescription trained headache neurologist in treatment plan that finally works
medications – will not help. The most Kentucky. The center treats all types for them. The progress made in
common is the migraine. of headaches, including: headache medicine the last decade
• Migraine headaches has been tremendous, and I enjoy
As many as 28 million • Chronic daily headaches passing that knowledge along to my
Americans suffer from • Cluster headaches patients.
migraines, and another 17 • Menstrual-associated headaches
• Tension headaches What do you enjoy doing in your
million suffer from other
• Post-concussive headaches free time?
types of chronic, recurring • Post-traumatic headaches Lifting weights has always been a
headaches. • Sports-related concussions great stress release for me. I also
Patients must have a physician love to read, play with my beagle-
“Doctors are now gaining ground
referral to make an appointment. For mix “Poona Bear,” and watch the
on what causes migraines, and new
more information, call the center at greatest college football team known
treatments are being developed to
(502) 899-6782. to man – the Oklahoma Sooners!
effectively prevent and treat them,”
Dr. Seifert said. –Jennifer Reynolds
“While not all headache pain What is your favorite thing to do
requires medical attention, some in the Louisville area?
types can be a symptom of a more My wife and I love to try local
serious health issue,” Dr. Seifert said. restaurants. Our current favorites
“It’s important to seek prompt medical are Sapporo and Seviche.
attention for recurrent or severe
headaches, like those Mr. Cutler
experienced.”
NortonHealthcare.com/GetHealthy 502-629-1234 7
Acting F.A.S.T. during a
stroke could save your life
E ach year, nearly 800,000 Americans experience a
stroke, and most don’t recognize the warning signs.
That’s what happened to Judy Lococo of LaGrange.
“I am one of the lucky ones,” Lococo said. “I was
immediately taken to the hospital and later transferred to
Norton Hospital for treatment. After several weeks in the
“I couldn’t move half of my body,” Lococo said. “I was hospital and time in rehabilitation, I’m pretty much back
home alone but was able to scoot across the floor to a to normal with no long-term lasting effects.”
phone to call for help.”
Once Lococo reached the phone, she realized she was STROKE – Act F.A.S.T. to save a life
experiencing another symptom of a stroke – the inability
to speak clearly. FACE – Ask the person to smile.
“When I tried to talk, my words were jumbled and Warning sign – One side of the face does not move
confused,” she said. “Luckily, the person on the other end as well as the other.
recognized my voice and knew something was wrong.
She instantly called for help.” ARMS – Ask the person to raise both arms.
Warning sign – One arm does not move or one
arm drifts.
SPEECH – Ask the person to repeat a simple
sentence, such as “You can’t teach an old dog new
tricks.”
Warning sign – The person slurs words or cannot
speak.
TIME – Find out when the person was last seen well.
Advantage – More advanced treatment options may
be available if medical care is received within three
hours of the start of symptoms.
If someone you know is experiencing one or more of these
warning signs, call 911 immediately.
– Steven Jenkins
no advanced warning,” said As’ad Ehtisham, M.D., stroke prevention and treatment options, visit
neurology. “Two million brain cells die every minute NortonNeuroscienceInstitute.com.
during a stroke, increasing the risk of permanent brain
damage, disability or death. It’s critical that people learn
the symptoms of a stroke and act fast.”
8 Get Healthy
A strike for treating
a deadly vascular
condition
NortonHealthcare.com/GetHealthy 502-629-1234 9
Give yourself
A half-hour workout you can do at home
30
:30 Start with 25 to 30 jumping jacks to warm :13 Lateral shoulder raises. Grab two canned
up your muscles and get your blood pumping. items from your pantry and use them as weights
:19 Crunches to strengthen the abs. :07 March in place to cool down.
Lying on your back, knees bent with feet :04 Stretch it out
on the floor and arms crossed on
your chest, slowly lift your head and
shoulders off the ground using your
abs. Do not pull with your arms. Good job! You’re done!
Repeat 20-30 times.
10 Get Healthy
More on the physicians in
prevention strategy?
internal medicine
director of community outreach
Norton Cancer Institute Prevention
& Early Detection Program
Norton Medical Plaza I – Suburban
Suite 300
85% 100%
Suite 200
3991 Dutchmans Lane
Louisville, KY 40207
(502) 899-6782
Since the introduction of The five-year survival rate for
Robert W. Shaw III, M.D.
Pap smears, deaths from cervical prostate cancer is nearly internal medicine
Norton Community Medical Associates
cancer have decreased by about 100 percent when detected – Barret
825 Barret Ave.
85 percent in the U.S. and treated early. Louisville, KY 40204
(502) 540-7200
80 to 80 to
James L. Sublett, M.D.
clinical professor and section chief
allergy and immunology
90% 90%
Department of Pediatrics
University of Louisville
School of Medicine
Even if colon cancer has already On average, mammography will Family Allergy & Asthma
9800 Shelbyville Road
developed, it can be cured in detect 80 to 90 percent of the Suite 220
Louisville, KY 40223
80 to 90 percent of cases if breast cancers in women without (502) 429-8585
detected in its earliest stage. symptoms. Early detection by Louie N. Williams, M.D.
physical medicine and rehabilitation
mammography can lead to better, Norton Rehabilitation Physicians
less aggressive treatment options. Norton Healthcare Pavilion, Suite 185
Louisville, KY 40202
(502) 629-5455
NortonHealthcare.com/GetHealthy 502-629-1234 11
Norton Healthcare
Stephen A. Williams, president and
chief executive officer
GET NONPROFIT ORG
Healthy
Russell F. Cox, executive vice president U.S. POSTAGE
and chief operating officer
PAID
Get Healthy Norton Healthcare Inc. LEBANON JCT., KY
April/May/June 2010 P.O. Box 35070 PERMIT NO. 677
Get Healthy is published Louisville, KY 40232-5070
by Norton Healthcare,
Marketing and Communications,
P.O. Box 35070,
Louisville, KY 40232-5070.
Contact us at (502) 629-8070, or at
gethealthy@nortonhealthcare.org.
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Executive editor - Steve Menaugh
Managing editor - Jennifer Reynolds
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