Baptist Health Richmond: Cardiac Cath Lab Technology
Baptist Health’s cath lab in Richmond has been renovated to improve patient safety and care. Learn more about the heart cath lab and its new technology.
Cardiac Cath Lab Technology in Richmond, Kentucky HealthTalks Transcript
Scott Cook, MD, Interventional Cardiology: Here at Baptist Health Richmond, we’re very excited about our newly renovated Cath Lab. We brought in a bunch of state-of-the-art technology associated with the Cath Lab that’s really going to benefit not only the community, but the patients of Richmond who go to heart cath or have coronary angiography, and also our staff and providers.
Larry Todd Breeding, MD, Interventional Cardiology: Having state-of-the-art imaging capabilities greatly impacts patient safety and care because it allows us to visualize the arteries of the heart with much greater detail and much greater accuracy. In addition to improving our standard X-ray imaging capabilities, we are now able to incorporate an imaging technology that allows us to visualize the inside of the artery, which gives us very accurate details about the specifics of a particular stenosis and how we would approach treating that with a stent. It also allows us to optimize the stent result that we achieve, leading to improved patient outcomes, which is our ultimate goal.
It’s relatively rare to see imaging capabilities of this quality in community-based, rural hospital settings. We are extremely fortunate to have this here at Baptist Health Richmond, and this should greatly improve our ability to care for heart patients in the future.
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Heart care at Baptist Health Richmond is a team approach where we provide the latest technologies to help our patients every step of the way.
Baptist Health Richmond: Peripheral Vascular Disease
Peripheral vascular disease affects blood flow in the legs and can be caused by multiple risk factors. Learn more about treatment options from Baptist Health.
Peripheral Vascular Disease in Richmond, Kentucky HealthTalks Transcript
Scott Cook, MD, Interventional Cardiology:
Vascular disease is a disease process that can involve any artery in the body. In peripheral vascular disease, we’re specifically talking about disease processes involving the arteries that go to the limbs and particularly the legs. The process usually begins with risk factors. When you have diabetes, you have high circulating glucose running throughout the arteries. In people who smoke products associated with nicotine, this can cause inflammation in the arteries.
Over time, that inflammation develops into a plaque. If that plaque continues to grow, it can start to narrow blood flow in a certain vessel. Whenever blood flow gets compromised, for example to a leg or limb, you start getting the symptoms of claudication, which is a sign of peripheral vascular disease.
That basically involves pain in the extremity, especially when you’re trying to move around or ambulate. Patients, typically when they’re walking, start to notice that they get severe cramping or discomfort in the leg. That’s a pretty specific sign for arterial disease or blockage in those arteries that are feeding the leg.
For treating peripheral arterial disease, we have several percutaneous options where we insert a catheter. That’s a minimally invasive type of surgery. There’s no incision typically involved, and the recovery is usually fairly quick. Usually, by the end of the day, patients are able to get up and walk around and be discharged home.
Discover more about PVD, including symptoms, risk factors and additional treatment options from Baptist Health.
Baptist Health Paducah: Pediatric Care for Child Development
Pediatricians can monitor your child’s development and get them use to going to the doctor. Learn more about our compassionate and skilled pediatricians.
Pediatric Care for Child Development in Paducah, Kentucky HealthTalks Transcript
Caitlyn Cecil, MD, Pediatrics:
It’s important to see your pediatrician on a regular basis to monitor the growth and development of your child and to get your routine vaccinations. It’s also important that the child becomes used to coming to the doctor and gets to know their pediatrician, and that the parents get to develop a relationship with their child’s pediatrician as well.
Shelbie Evans, Parent, Benton, Kentucky:
As a new mother, I felt like one of the most important things with Dr. Caitlin was she will collaborate with you. You don’t want to overstep your boundaries with a new mother. You want to listen to her intuitions. Dr. Caitlin definitely helps and feeds off of your motherly intuitions, and she collaborates care with you to do what’s best for your child.
I knew from the time that I started my medical training that I wanted to come back to Paducah. Paducah is my hometown. I love my hometown. When I came back, I had the opportunity to work with my dad starting out. It’s very cool to be able to see my dad’s former patients coming in with their own little ones. Now I get to be their doctor, and he was their doctor growing up — their parents’ doctor. Also, former teachers, grandkids, and a lot of my friend’s children, I’m getting to take care of. That is very special, being able to come back to my own community and work.
You can help protect your child from serious diseases by following an easy vaccination schedule. Learn more about the importance of child immunization.
Vaccines for Children in Paducah, Kentucky HealthTalks Transcript
Jeffery Mudd, MD, Pediatrics:
Childhood immunizations are important because your child will be protected against potentially deadly diseases. Also, in the long run, it protects vulnerable members of the community because we see fewer cases of these diseases. Unfortunately, since the COVID-19 outbreak has happened we have seen children not receive their immunizations on time. Lots of parents are still scared to come out into the community despite safeguards taken at the hospital to protect the children. So, this has led to some children, especially smaller ones, falling behind on their immunization schedule.
Courtney Schwinn, Parent, Boaz, Kentucky:
As a mother and a nurse, I think the benefit outweighs the risk. The hospital is doing all the precautions and helping to prevent the spread of COVID, so it’s important for parents to follow up with the vaccines.
The worries are that if a child falls behind on their immunizations, these diseases we can protect and prevent will start reappearing. I’m often asked how vaccines are important to children. One of my favorite ways to answer is that we have a poster in our office listing all the diseases that children should be vaccinated for, either completing their entire vaccination series or at least started by the time they are 2 years old. On this poster, it lists some of the side effects of these illnesses. If a child catches the illness, in 13 of 14, one of the side effects is death. There are illnesses that we prevent with vaccinations that I have never seen. Hopefully, some of these illnesses that I see today, my grandchildren will never have and will never be exposed to them.
Baptist Health Madisonville’s Primary Care in Dawson Springs, Kentucky HealthTalks Transcript
Maryssa Coyle, APRN, Primary Care, Dawson Springs: Here in Dawson Springs, we offer a variety of services for our patients. We offer annual wellness visits, sick visits, and Medicare wellness visits, which are a little bit different from a regular annual wellness visit.
We offer visits like vitality exams for insurance, companies, or sports physicals. We offer a slew of things that you can get here in Dawson Springs, and you don’t have to drive a long way.
Annual wellness visits, also known as preventive care visits, are important because they promote health and prevent disease. I recommend patients come in once a year for these visits. During these visits, we measure their vital signs and do a physical examination. We discuss their past medical history, their family’s history, and we also do some blood work.
Your family medical history is important because when health problems run in the family, a patient would be at increased risk for those health problems. Those are things that we need to know and watch out for.
Here in Dawson, we have our own labs. You can get your blood drawn here right after your appointment. It’s very convenient. We also have X-ray, so if you were to need an X-ray, you can get that done right here.
I practice here in Dawson Springs. I actually grew up right down the road in a small community known as Rabbit Ridge. It’s just a privilege to take care of people in my own community and ensure that they stay in good health.
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Get connected with a Baptist Health primary care provider close to home.
Baptist Health Madisonville: Nonalcoholic Steatohepatitis (NASH)
Nonalcoholic Steatohepatitis is the buildup of liver fat in people who don’t drink alcohol. Learn about NASH symptoms, causes & treatment.
Nonalcoholic Steatohepatitis (NASH) in Madisonville, Kentucky HealthTalks Transcript
Sumalatha Satoor, MD, Gastroenterology:
NASH is nonalcoholic steatohepatitis. It is a form of fatty liver that happens in people who do not drink alcohol. There are a number of factors that could cause NASH, but the major one is obesity. Having higher BMI is one of the major factors. Essentially, in NASH, you have accumulation of fat in the liver that leads to scar tissue formation in the liver. That scar tissue actually is what eventually leads to end-stage liver disease or cirrhosis. When we see a patient with NASH, it is important for us to know how much scar tissue is already built in the liver. A fibrosis score and FibroSURE® help us to determine that part.
Diet is actually the cornerstone for the treatment of NASH because the majority of the time it’s insulin resistance that causes the fatty tissue deposition in the liver. We recommend steady weight loss, a change in lifestyle to a healthier one, with decreasing carbohydrate intake, and a moderate exercise regimen — at least five times a week, 20 minutes a day, would be helpful.
NASH is reversible. If you follow the exercise and lifestyle modification regimen, the liver fat can be reversed, and the liver can continue to function normally for years to come. You have to take care of your liver because it’s yours and you only have one liver to live with.
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Wondering if you have NASH or are you experiencing other GI symptoms?
Baptist Health Louisville: Long-Acting Reversible Contraception (LARC)
Long-acting and reversible birth control options include an implantable rod and intrauterine devices. Learn more about their benefits from Baptist Health.
Long-Acting Reversible Contraception (LARC) in Louisville, Kentucky HealthTalks Transcript
Laura Slone, MD, Obstetrics and Gynecology:
There are multiple options for birth control, including birth control pills and injectable contraceptives, and now there are long-acting reversible contraceptive options. These include an implantable rod that goes in the arm and intrauterine devices that are IUDs inserted into the uterus.
The implantable rod has a hormone in it called progesterone. It’s implanted in the arm just under the skin and helps to prevent ovulation every month. Intrauterine devices, there are five that are currently approved in the United States. All of the long-acting reversible contraceptive options are over 99% effective at preventing pregnancy.
The biggest benefit is that they’re approved for up to 10 years. Another big benefit is that they do not rely on the patient for long-term use and efficacy. They also, once they’re removed, allow return to fertility very rapidly. They can be placed in the office during a short procedure that is very safe.
Patients like the long-acting reversible contraceptive options because they can come into the office, have it placed, and then they can go home and forget about it. They don’t have to think about taking a pill or getting an injection. When they’re ready to get pregnant, they just come back into the office, and we take the device out.
Regular gynecology care is essential to optimal health. Whether you’re looking to schedule an annual exam or have a specific gynecologic concern, we can help.
Baptist Health Louisville: The Role of OB-GYN Hospitalists
OB-GYN Hospitalists serve as specialists to support private doctors in hospitals, available 24/7 for emergencies. Learn more about the role of OB Hospitalists.
The Role of OB-GYN Hospitalists in Louisville, Kentucky HealthTalks Transcript
Haley Strickland, MD, Obstetrics and Gynecology:
An OB hospitalist is an OB/GYN who works mainly in the hospital in conjunction with the private groups. We’re here 24/7. What that does is it provides an extra layer of safety to the private doctors. We work as their extensions, kind of like their extra eyes and ears, and we’re able to be available at a moment’s notice for any sort of emergency, whether that be an obstetric emergency or gynecologic emergency.
We love working with the private doctors. They trust us to care for their patients in cases of emergency. We’re available to them to assist in surgeries if they need us. They are able to rest easy when they’re not in the hospital, because we will give their patients the type of care that they would give their patients.
We deliver babies. We do C-sections. We’re all board-certified OB/GYNs who have practiced for many years and are very experienced. We love obstetrics, so we’re here for whatever a woman needs.
I chose to become an OB hospitalist because I love the entire field of OB/GYN, but my true passion lies with women who are pregnant. As an OB hospitalist, I am able to be with them in the most important time of their pregnancy, for the delivery part. I also have a passion for taking care of women for postpartum care, and being here in the hospital allows me to see those women when they need me the most, at a moment’s notice.
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Find out how our experienced team works to take care of mother and baby before, during and after delivery.
We probably date pregnancies ideally by knowing the patient’s first day of their last menstrual period. Then we confirm that with an ultrasound when they believe they’re about eight weeks based on that period. If the patient doesn’t know the first day of their last period, or if they have irregular periods, we try to use an ultrasound as early as possible in the pregnancy.
Indications for delivery prior to 39 weeks are numerous, but some common indications for delivery prior to 39 weeks would include if a patient has issues with blood pressure and pregnancy, whether that’s a prior diagnosis or a new diagnosis; if they have any issues with diabetes, whether that’s diabetes that they knew they had before they got pregnant or something diagnosed during pregnancy; or different issues with the placenta, whether it’s implanted lower in the uterus or over the top of the cervix. Then, other indications would involve the fluid amount surrounding the baby, or if we’re concerned the baby’s size is drastically lower than what we would expect at that gestational age.
Here at Baptist Health Lexington, we always want to assure the best experience for our patients and their families and ultimately assure safety for them and their children. Part of that includes trying to limit doing any type of elective induction prior to 39 weeks.
Labor and Delivery at Baptist Health Lexington
Discover why Baptist Health Lexington is the right choice for you, your baby and your family.
With standard 2D mammography, it is sometimes challenging to know whether there is a real abnormality on the image or not because of the breast tissue overlapping. With the thinner slices of 3D mammography, we are better able to discriminate between what is actually real, and what is abnormal versus normal. Of course, that’s critical when we’re trying to determine if we have a small cancer. Early detection certainly leads to a better patient outcome, and it gives us more treatment options if we detect the cancer sooner.
The American College of Radiology and the Society for Breast Imaging both recommend that women undergo a screening mammogram every year after age 40.
With the 3D mammograms, women will notice minimal if any change from the standard 2D mammogram. The machine is very similar in appearance, and the compression is similar. The breath-hold technique is similar to prior 2D mammogram studies as well.
3D mammography has been available here at La Grange for some time, and it is the standard of care nationally. We’re pleased to offer our 3D mammography services here at Baptist Health La Grange and also at our Crestwood imaging facility, as well as other locations in the Louisville-metropolitan area.
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Find out more about mammograms at Baptist Health La Grange.
The majority of patients have obstructive sleep apnea due to obstruction in the airway, which is behind the tongue. Usually, we screen the patients with what we call a “STOP-BANG screening tool.” So, STOP, S-T-O-P: S stands for snoring; T stands for tiredness; O stands for observed apneas; and P stands for pressure, blood pressure. BANG is B-A-N-G. B stands for body mass index, which is more than 35; A stands for age, more than 50 years; N is neck size, 17 inches; and G is gender. Being a male is another risk factor.
The treatment of sleep apnea is using a CPAP or a BiPAP.
The main cause of sleep apnea is closure of the airway. When we are breathing, we are sucking air into the lungs with a negative pressure, and when we sleep, the muscles are relaxed, and the airway collapses. So, we are converting this negative pressure to a positive pressure where you push air into the lungs so that you don’t have collapse of the airway. You splint it open.
Some of my patients who come back say, “Oh, I should have done this about five years ago. Why didn’t I do it?” They feel so much better.
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Continue learning about sleep apnea types, symptoms, diagnosis and treatment from Baptist Health Floyd.
Baptist Health Floyd: Breast Cancer Treatment in New Albany, Indiana
Developing a breast cancer treatment plan is critical for recovery and avoiding relapse. Learn more about Baptist Health’s breast cancer treatment options.
Breast Cancer Treatment in New Albany, Indiana HealthTalks Transcript
Roseline Okeke, MD, Oncology:
Breast cancer is a very common medical disease in the United States. About 250,000 women will be diagnosed with breast cancer, but it is also highly curable as long as it’s found early. Whenever a woman presents to us with a lump in her breast, we usually do a clinical assessment of the size of the lump. If the cancer is limited only to the breast, then we have discussions regarding management. This could include lumpectomy to remove the lump. Once we’ve already done surgery and looked at the pathology report, this tells us the exact extent of disease. We’ll use that information to make treatment decisions.
When a woman is diagnosed with breast cancer and she undergoes lumpectomy, part of completing her local treatment to prevent breast cancer relapse is to offer her additional radiation treatments. The purpose of radiation is to kill those small cancer cells that we are not able to see even on X-rays and prevent relapse within the breast. When a woman has been diagnosed with invasive breast cancer the question usually arises, does she need chemotherapy? Chemotherapy helps to kill small cancer cells that may be circulating in the blood.
These combination therapies are usually recommended for women who have high-risk for disease and relapse. The great news is breast cancer is highly curable, and our ultimate goal is to get women back to their normal lives.
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Continue learning about breast cancer diagnosis and treatment options from Baptist Health Floyd.