Transcatheter Aortic Valve Replacement (TAVR) in Paducah, Kentucky

Transcatheter aortic valve replacement, or TAVR, is a minimally invasive surgery used to replace narrowed heart valves. Learn more about TAVR with Baptist Health Paducah.

HealthTalks Transcript

Martin Rains, MD, Interventional Cardiology:

TAVR stands for transcatheter aortic valve replacement. This is a less invasive way to replace a severely narrowed valve for a patient who is having severe symptoms from that problem. Traditionally, the only way to offer a correction when the valve itself became severely narrowed was open-heart surgery. Sicker, older patients maybe don’t fare as well with a big operation so, this procedure was actually developed for use in patients who were too sick to undergo the traditional surgery.

Roger Dale Anderson, Murray, Kentucky:

I started feeling rough because I couldn’t do what I had always done before — get up and walk around, go to the places I went to every morning.

Dr. Rains:

For Mr. Anderson, the tipping point that ultimately made us decide TAVR, was his prior open-heart surgery, making any repeat open-chest procedure that much riskier. We did it and we all were pleased with how immediate and obvious the results were. He woke up saying that he was breathing better than he had in months. We repeated pictures of his heart two days later, before he left the hospital, and it already showed his failing heart pump was recovering closer back to normal.

Anderson:

Since I had that heart valve put in, I’m a new man now.

Dr. Rains:

If Mr. Anderson had not gotten a TAVR, he would have had a 50% chance of death within two years. For us to be able to offer this here is a huge step forward for the community. This shows that we are legitimate players in cardiovascular care.

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Baptist Health is known for advanced, superior care for patients with heart disease and the diagnosis, management and treatment of aortic valve stenosis, including transcatheter aortic valve replacement (TAVR) for patients who need a new valve but who may be deemed too high of a risk for traditional surgery.

Learn More about Heart Valves

Selection Criteria for TAVR in Paducah, Kentucky

For patients who qualify for a TAVR procedure, Baptist Health Paducah can now provide big-city care with a personalized touch. Learn more and find a TAVR doctor near you.

HealthTalks Transcript

Michael Faulkner, MD, Interventional Cardiology:

Patients who qualify for transcatheter aortic valve replacement are usually categorized as having severe native aortic valve stenosis. In common terms, the aortic valve the patient was born with is now degenerating to a point where it is no longer functional, and because of that the patient will develop symptoms, things like chest pain, shortness of breath, and even lightheadedness, dizziness or passing out.

Nicholas Lopez, MD, Cardiothoracic Surgery:

The traditional or gold standard answer for many years has been a surgical valve, and that’s where somebody undergoes the classic division of the breast bone, which can be a big barrier for some folks.

Dr. Faulkner:

Transcatheter aortic valve replacement, or TAVR, is a minimally invasive way to replace a patient’s aortic valve. TAVR is new to Baptist Health Paducah. It’s the first time a procedure like this has been performed in this area. Historically, these patients who have had to undergo TAVR have had to travel long distances to be able to get this procedure done, so now we are able to keep these patients local and in our region.

Dr. Lopez:

The importance of having TAVR in Paducah is a very important thing. We can take on that more complex, more high-risk patient who may have thought they couldn’t go through the operation, or they didn’t want to leave our city. Now, we can offer that very advanced therapy — people call it “big city” therapy — here, locally. I like to say “In our small town, with a personal touch, you still get that big-city care.”

Have Questions?

Baptist Health is known for advanced, superior care for patients with heart disease and the diagnosis, management and treatment of aortic valve stenosis, including transcatheter aortic valve replacement (TAVR) for patients who need a new valve but who may be deemed too high of a risk for traditional surgery.

Learn More about Heart Valves

Pediatric Care Doctors in Paducah, Kentucky

Partnering with Baptist Health pediatric doctors means a team approach between doctors and parents. Learn more about the Baptist Health Paducah approach and our pediatricians.

HealthTalks Transcript

David Schell, MD, Pediatrics:

At Baptist Medical Group Pediatrics, we are a group of physicians and nurse practitioners, five total, who provide care from newborn to 18 years of age.

Kari Farris, Paducah, Kentucky:

I’m glad that Dr. Schell and his group decided to join Baptist Health. I feel like it’s easy as parents to be able to get those referrals whenever we need specialty care that require referrals. Keeping it within that Baptist network and getting in and getting out very quickly is a huge advantage.

Dr. Schell:

Parents are more involved in their child’s care. Used to it was, we did what the doctor said, but now I think it’s more of a team approach for the doctor and parent to decide what’s going to be done with their child. I believe it is very crucial that the child comes to us on a regular basis, and he recognizes us when he comes in because he’s used to seeing us. That gives him more confidence and makes him — he or she — not as apprehensive. When you know a family, you know a patient, and you know how they are, that helps you make decisions concerning their healthcare.

Farris:

If I ever have any concerns, it’s always easy for me to just call Dr. Schell in his office and make sure that they get seen, because I’d rather be safe than sorry when it comes to their health.

Have Questions?

The Baptist Health Pediatric Unit is specially designed to be friendly, attractive and appealing to children throughout Kentucky. We understand that children are not just miniature adults.

Learn More about Pediatrics in Paducah

Heart Attack Treatment (Coronary Angiography) in Richmond, Kentucky

Heart catheterization (or coronary angiography) can help identify any blockage in the heart. Learn more about this heart attack treatment procedure from Baptist Health.

HealthTalks Transcript

Scott Cook, MD, Interventional Cardiology:

There’s over 735,000 patients who have a heart attack every year. About two-thirds of those patients, that’s their very first heart attack. The major warning signs for a heart attack would be chest pain or chest discomfort, pain in the left arm, you might get pain that radiates into the neck or the jaw, sometimes you get extremely sweaty. We also know that women present a little atypically — they tend to have more GI symptoms, they might get a burning in the stomach that radiates into the chest.

The sooner you suspect a heart attack and the quicker you get medical care, the faster we can intervene and abort the heart attack. The standard treatment is to go in and basically open up that blockage. We do that with a procedure called coronary angiography or a heart cath. We go up with very small tubes into the arteries of the heart and look at it under an X-ray, and that will identify the blockage. If we do find blockage, we can then use balloons and stents to open that artery up. The quicker you get that artery open again, the more potential heart muscle we can save, and the better patients tend to do.

After that, we’re pretty aggressive with modifying risk factors. One of the most important things we do is get patients enrolled in cardiac rehab, which we also have here at Baptist Richmond. Within about two weeks, we get them enrolled in a monitored exercise program. My hope is that they come out feeling better than they did prior to their heart attack.

Have Questions?

Are you curious about your heart health? Learn how the Baptist Health Richmond Heart Care team works as a team to help patients.

About Richmond Heart Care

Rotator Cuff Injury Treatment in Madisonville, Kentucky

Rotator cuff tears are a common injury with numerous treatments available. Learn more about torn rotator cuff treatment with Baptist Health Madisonville.

HealthTalks Transcript

James Criss Yelton, MD, Orthopedic Surgery:

Rotator cuff problems are some of the most common problems I see in my practice, especially in people past the age of 50 or so. It can be a degenerative process, but it’s also fairly common in younger patients, especially people involved in athletics. Typically, it’s diagnosed pretty easily by history or talking with the patient and also doing a physical exam. Usually, that’s supplemented by plain X-rays in the office, and usually you can make the diagnosis with that.

If somebody is having a lot of problems with the shoulder, especially if it is limiting them on a regular basis, there are some simple treatments that can really be helpful. Those can range from minor things like exercise and anti-inflammatory medications. Oftentimes, injections can be helpful as well. People who have this kind of problem typically can be helped quite a bit with some simple treatment in the office. So, there’s no reason to be concerned about it being a real burdensome treatment when you come to the office.

Have Questions?

Are you wondering if you have a torn rotator cuff? Baptist Health Madisonville Orthopedics offers comprehensive orthopedic services, including orthopedic surgeries and emergency care for the entire family.

Learn about Torn Rotator Cuff Symptoms

Orthopedics is a field that appeals to me because, for a lot of conditions, we can take the patient and make them better and allow them to do the things they want to. That’s one of the things that interests me about the work is that I feel like I’m a benefit to my patients. I make people better, and that gives me satisfaction.

The Signs and Symptoms of Shaken Baby Syndrome in Madisonville, Kentucky

Signs of shaken baby syndrome include irritability and head trauma. Learn more about shaken baby syndrome and its symptoms with Baptist Health Madisonville.

HealthTalks Transcript

Alejandro Soriano, MD, Neonatal-Perinatal Medicine:

Shaken baby syndrome is when a baby’s head is jerked front-to-back or sideways. With the neck muscles so immature, the baby doesn’t have the right mechanism to prevent the brain from sloshing inside the skull. Bleeding inside the head and swelling of the brain can happen. This can cause learning disabilities, irreversible brain damage, blindness, deafness, seizures, paralysis or death. Oftentimes, infants who have survived this condition may need lifelong medical care.

Shelby Hill, parent, Madisonville, Kentucky:

Wyatt is a survivor of shaken baby syndrome. In 2016, I was dating a guy who shook him while I was taking a shower. In those few minutes, Wyatt’s whole life changed. He’s 3 years old now, and he’s still living and still with us, and he does do more than breathe. He doesn’t do what a normal 3-year-old should do, by no means, but we just continue to give him the best life that we possibly can. The advice I would give to a new parent is first of all, be very cautious of who you leave your baby with. If you are feeling stressed, the best thing to do is really to just walk away and take a break. Give yourself a few minutes and then go back and check on your baby.

Have Questions?

At Baptist Health Madisonville, our maternity care team offers the personalized care, comfortable facilities and medical expertise you might expect from a much bigger hospital. But because we’re a small, community-oriented hospital, you’ll get a warm welcome and extremely attentive care from our expert medical team.

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Pulmonary Embolism Treatment Options in Louisville, Kentucky

Baptist Health offers two types of procedures for pulmonary embolism: percutaneous embolectomy and catheter-directed thrombolysis. Learn more about our pulmonary embolism treatment options.

HealthTalks Transcript

Christopher Semder, MD, Interventional Cardiology:

You see more pulmonary emboli in patients who are post-op from orthopedic surgeries. A pulmonary embolism is a blood clot that travels, typically, from a leg vessel through the heart and lodges itself in the pulmonary artery. That’s a blood vessel that leaves the right ventricle and goes to the lungs.

There are two different types of procedures that we offer here at Baptist Health Louisville. One of those procedures is a percutaneous embolectomy. That’s a fancy way to say that we go into the pulmonary arteries with a catheter and extract the pulmonary embolus from the pulmonary arteries.

The other procedure that we offer is catheter-directed thrombolysis. This is a procedure where we place catheters inside of the pulmonary artery and into the clot. Over a period of about 10 hours, we release a clot buster, a medication that we previously have used in both heart attacks and in stroke patients.

I think what makes Baptist Health unique in the care of pulmonary embolus is our multidisciplinary team. We have a very educated and informed ER. We receive notification about patients with pulmonary embolus as soon as they receive their CT scan. The case is then discussed very quickly with a multidisciplinary team, including cardiac surgeons, interventional cardiologists and intensive care doctors. Then we’re able to make a decision together about what type of care would be best suited for that patient.

Have Questions?

Baptist Health is known for advanced, superior care for patients with heart disease and the diagnosis, management and treatment of pulmonary embolism. You will appreciate timely appointments and a professional, friendly atmosphere where we take time to listen to your concerns.

Learn about Pulmonary Embolisms

The Dangers and Hazards of Vaping in Lexington, Kentucky

Vaping is a dangerous epidemic with many associated health risks. Learn more about the health hazards and dangers of vaping with Baptist Health Lexington.

HealthTalks Transcript

Arvind Bansal, MD, FCCP, Pulmonary & Critical Care Medicine:

An electronic cigarette is a battery-operated device, which heats up a liquid that contains nicotine, among other substances, and forms a vapor that the consumer inhales. There is a vapor produced, actually it’s more of an aerosol, which has fine particles that are in organic compounds. The propellant that is in there, when it gets heated up, it can form into potentially cancer-causing chemicals. When it goes into the body when people inhale it, it can cause inflammation in the lungs.

We have a lot of cases of what you call chronic bronchitis, which is inflammation in the lung causing cough and sputum production. There are cases of some unusual pneumonias that have happened in people. More recently, there is a rash of cases of acute lung injury which have happened in the United States. A number of deaths, even in younger people as young as 25, has really put this into focus as a national emergency to keep it controlled.

In my mind, there is no safe cigarette. There is no safe vaping product. There is no safe tobacco product. The earlier you quit, the better it is. Just as for regular cigarettes, the same goes for vaping or any other commercial products that are out there.

Have Questions?

If you have questions or a history of vaping, the Baptist Health Lexington respiratory care team can help.

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Acute Pain Management Relief and Reducing Opioids in Lexington, Kentucky

Managing pain while reducing opioids is possible with our treatment. Learn more about pain management treatments in Lexington on the Baptist Health blog.

HealthTalks Transcript

John M. Edwards, CRNA, MS, Acute Pain Management:

One of the things we specialize in at Baptist Health Lexington is really acute surgical pain management, and taking that beyond just regular pain medicines.

Theresa Newton, Lexington, Kentucky:

I came into Baptist Health Lexington due to having a right rotator cuff tear. It was a complete tear.

Edwards:

When Theresa came to us, we wanted to place an interscalene catheter to help manage her pain for her shoulder. We were able to manage her pain for about four days with the disposable infusion pump that we sent her home with. It helps us to really reduce the amount of overall narcotics or opioids that our patients need.

Newton:

I lost my son to an addiction. It was very important to me to not be on any pain medication when I got home. I was given some pain medication, but with the nerve catheter I did not need it. I did not hurt whatsoever.

Edwards:

We’ve really worked hard to find a way to provide a convenient way to dispose of those opioids. The use of an opioid disposal packet allows them to do that.

Newton:

They actually gave me a pamphlet, and they educated me on a little packet that’s attached to that pamphlet. If I did not need my pain medication, then I could just put three-fourths cup of water in my medication container, dispense that in, and then shake that up, and it’s just gone. You just throw it in the garbage.

Edwards:

After a couple of weeks when her pain is well managed she can, in the comfort of her own home, dispose of those conveniently.

Have Questions?

Baptist Health Lexington, a 391-bed tertiary care facility, is also a major medical research and education center.

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Colonoscopies in La Grange, Kentucky

Colon screenings are crucial for detecting cancer and ensuring overall health. Learn more about the importance of colonoscopies today at Baptist Health.

Stephen Overstreet, MD, Gastroenterology:

Colonoscopy is very effective. It prevents more than 90% of colon cancers when we get a chance to find the cancer in a benign growth before it even starts.

Both men and women are at equal risk of colon cancer. We like to screen everyone at 45, up until the age of 85. Though people have great concern over preparing the colon for their colonoscopies, it is the most important part. What an adequate preparation of the colon provides you with is an excellent exam visually, to be able to detect the smallest, even 2-millimeter, polyps that can then be removed to prevent you from having colon cancer.

How I like to encourage my patients who have some anxiety over having their colonoscopy is that the preoperative preparation of your colon is actually very simple, if you adhere to the instructions you are given. My recommendation is to remain as hydrated as possible. I think you’ll find that it goes much smoother than you would imagine. The procedure itself is sedated. Patients tend to wake up feeling as if they’ve had a very nice nap.

On the day of your procedure, your physician should talk to you about the immediate result. If polyps were removed, you will be told that day and then you’ll be called to be informed of the results of your polyps and the recommendations on when a repeat exam would be recommended. With respect to colorectal cancer, this is an easy thing to do to save lives. Our removing polyps is the best work I do.

Have Questions?

A colonoscopy is the best screening test available for colon cancer. For the average person, the American Cancer Society recommends starting a screening program around age 45.

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Concussion Assessment, Diagnosis and Treatment in New Albany, Indiana

Assessing concussions is extremely important in treating them. Learn more about concussion symptoms, diagnosis and treatment at Baptist Health today.

HealthTalks Transcript

William A. Davis II, DO, Sports Medicine:

Sports medicine is the comprehensive care of the athlete. Our Sports Medicine program has been set up to where we have athletic trainers at a lot of our local high schools. Having conversations with those athletic trainers, we usually get a patient in that day of the injury, if not the very next morning. Jalen had an injury running into a wall in the outfield playing baseball.

Jalen Hines, Austin, Indiana:

I was going for a fly ball and ran into a fence, hit my head, and knocked the breath out of me. I got back up and was really dizzy. I had never had a headache like that before, and certain things were making my head hurt, like lights and noise. I figured I might have had a concussion.

Dr. Davis:

These are all classic signs of concussion. A concussion is defined as a transient disturbance in brain function. Usually what we do is use either something called computerized impact testing or a sideline concussion assessment tool, which is a paper form of a diagnostic evaluation. What we did for Jalen is took him out of really stimulating brain activity, had him completely rest for a couple of days, and then started him on a couple of natural vitamins that have been proven most recently in the literature to help with neuro-regeneration.

Hines:

I had to take two weeks off from all sports that I was playing. Then, I started to feel a little more normal, no more head pain.

Dr. Davis:

As he progressed from day-to-day, we saw from testing and taxing his brain a little bit more that he could continue to work without any symptoms or problems. Eventually, we got him back to the sport that he loves, got him back to playing baseball without any other repercussions or other injuries.

Have Questions?

The Sports Medicine Program at Baptist Health Floyd consists of a comprehensive lineup of specialists who team up to treat athletes of all ages and abilities. Middle and high school athletes, college athletes and recreational athletes at any level are evaluated and treated.

Our Sports Medicine Team

General Surgery Services in New Albany, Indiana

General surgeons are physicians who handle a broad scope of surgical problems. Learn more about Baptist Health’s general surgery services and procedures today.

HealthTalks Transcript

Ashley Lankford, MD, FACS, General Surgery:

A general surgeon is a physician practitioner who handles a broad scope of surgical problems. We handle benign and malignant disease of the breast, gall bladder disease, hernia, colon cancer, diseases of the skin and soft tissue, like skin cancer and melanoma. You may be referred to the Emergency Department for abdominal pain that may be consistent with appendicitis. There are a broad-based number of reasons that patients may ultimately be referred here.

In general surgery, we are trained in a broad-based fashion to handle a variety of different disease processes. Sometimes they require an open approach. Now, often we do many things with what we call laparoscopic or minimally invasive [surgery]. The advantage to that is that the incisions are smaller, which means the recovery time is shorter, patients have less pain, and ultimately, the goal being sooner return to their normal activities and lifestyle.

I am really happy and proud to be a part of the Baptist community in this area. I think it allows patients in New Albany and the southern Indiana area to get outstanding care without having to be displaced, or go to a bigger market that they might not prefer or be comfortable with. I love the ability to take care of people and to fix them and see almost an instant benefit for a lot of what I do. If I can’t make the patient healed, oftentimes I can make them better or their quality of life improved. That’s extraordinarily gratifying to me.

Have Questions?

At Baptist Health Floyd, we offer inpatient and outpatient services 24 hours a day, seven days a week. We also strive to provide you and your family with the best experience possible.

Learn about General Surgery