Signs & Treatment of Gallbladder Disease

Baptist Health La Grange: Signs & Treatment of Gallbladder Disease

Thomas K. Hart, MD, explains gallbladder disease, including symptoms and treatment. Learn the signs of a gallbladder attack.

Signs & Treatment of Gallbladder Disease HealthTalks Transcript

Thomas K. Hart, MD, General Surgery:
What the gallbladder does is stores and concentrates the bile from the liver, and it’s released into the small intestine to help you digest your fats in your diet.

The signs and symptoms of a gallbladder attack are primarily right upper quadrant pain. The patient may also have some nausea and vomiting, fever or chills. They may notice that their urine is dark in color, or their stool is light in color.

People often look on the internet for answers to their health questions, and sometimes that can be problematic, particularly with gallbladder disease. There are certain diets called gallbladder purges. That is dangerous. It can increase your risk for getting pancreatitis, and I can’t emphasize [enough] that patients should stay away from this kind of self-treatment.

The main treatment for gallbladder disease would be surgical removal. Gallbladder surgery has evolved over the last 25 years. Now, most gallbladder surgeries are done laparoscopically or through the scope, with either three or four small incisions, and it’s generally done on an outpatient basis.

After your gallbladder is removed, there will be no restrictions on your diet. You’ll be able to eat whatever you would like that is healthy. You’ll feel well generally two weeks after your gallbladder is removed. Baptist Health La Grange treats people for gallbladder disease on a daily basis. We have a long history with this type of disease and this type of surgery.

Getting Athletes Back in the Game at Floyd

Baptist Health Floyd: Getting Athletes Back in the Game at Floyd

Kristopher Abeln, MD, covers the way the sports medicine and orthopedics program at Baptist Health Floyd helps athletes recover from injuries and get back in the game.

Getting Athletes Back in the Game HealthTalks Transcript

Kristopher Abeln, MD, Orthopedic Surgery & Sports Medicine:
At Baptist Health Floyd, we have a comprehensive program with orthopedic physicians, sports medicine physicians, athletic trainers, physical therapists. We provide year-round, comprehensive care to those athletes on the field, in the office, in surgery, and in the recovery phase. We provide trainers at multiple high schools and middle schools in southern Indiana. They’re on the field for practice and games and available to the coaches to help cover and maintain safety at their schools.

Our philosophy is to try to have a role in injury prevention and some of the training before injuries happen. Once they do unfortunately happen, we provide prompt treatment to get things stabilized and healing correctly from the start and then get them back to play. That’s the three areas where we really feel we intervene, and our trainers are vital in that.

Griffin is a soccer player at one of the high schools where we provide athletic training coverage. Unfortunately, he suffered a fall, which is a common injury for these types of athletes. His athletic trainer was worried about an injury based on his evaluation on the sideline. That worry prompted a call to me, to get him in and see him, which we aim to do sometimes same-day or sometimes within 24 hours. We unfortunately confirmed that he did suffer a fracture in the bone of his arm, and we were able to immediately treat that, correct it, and start him on the healing process. Our ultimate goal with our athletic trainers and myself is to get the kids back on the field injury-free, recovered and having fun.

Understanding & Treating Lymphedema in Corbin

Baptist Health Corbin: Understanding & Treating Lymphedema

Baptist Health uses advanced medicine for the diagnosis and treatment of lymphedema. Learn more about the process and the cure for lymphedema.

Understanding & Treating Lymphedema HealthTalks Transcript

Barbara Canada, OT, Certified Lymphedema Specialist:
Lymphedema is abnormal swelling of your lymph fluid. You can have primary or secondary lymphedema.

Primary is where it’s inherited. Secondary is generally caused from an insult — cancer, radiation treatments, injury. I’ve seen folks who have had crush injuries, and they end up with lymphedema. What happens is — once you’ve had that injury, your lymph can’t move. Lymph is fluid that our body uses to help get rid of bacteria and infection. That’s our first and primary defense against infection.

When I get somebody referred to me, then I do my initial exam. I use a SOZO™ machine as a diagnostic tool. It tells me your fat level. It tells me your skeletal muscle mass. It tells me your active muscle mass, and it can tell me within a tablespoon of fluid in your body. That’s pretty good because when we’re talking about lymphedema, we’re talking about fluid.

Once you’re referred to a specialist, the treatment involves compression therapy and manual lymph drainage. That’s where I use my hands and we do a massage on the person. If we are successful, we want it to incorporate back into your body. Then, we try to guide it all back into your trunk, and your body will take it back up and use what it can. It’s amazing. It’s truly amazing that we have this available here. We’re close to home.

Understanding Priority Care in Corbin

Baptist Health Corbin: Understanding Priority Care

Baptist Health Corbin uses emergency room triage (acuity) levels to determine the order in which patients are seen.

Understanding Priority Care HealthTalks Transcript

Melissa Haddix, DO, Emergency Room Medical Director:
When you come to the ER, really it should be for a life-threatening condition. We will see anyone who walks through those doors, but at the same time, the ER is meant to save your life. If you think you need to come, come, because we will see you. Just try not to get frustrated with us, because we try to treat everybody like we would want our family treated.

Rhonda Thornton, RN, Emergency Care:
All patients are important here at Baptist Health Corbin, but you are treated according to your acuity level, and acuity level can range from one to five — one meaning that you need immediate intervention. If you have a diagnosis of chest pain, you’ll be taken right back into the triage area, and an EKG will be performed. If you come in for an earache, you may be asked to sit in the lobby and wait for a few minutes, because a person’s chest pain is more serious than an earache.

Dr. Haddix:
This ER is probably one of the busiest ERs I’ve been in. We see about 46,000 patients a year. So, it’s about 136 patients a day. We have 15 beds in the main side and we have 12 in the fast track. We see a lot of sick people, and I just can’t imagine how this community would suffer if we did not have this facility. The good thing about Baptist Health Corbin is that the physicians are invested in the community. They’re from the community, they want to give back to the community, and they want to treat patients as family. That means a lot.

Overdose Response at the Hospital

Baptist Health Richmond: Overdose Response at the Hospital

Baptist Health Richmond follows responsible prescribing practices when treating an overdose. Learn what happens when you go to the hospital for an overdose and the hospital protocol from Baptist Health.

Overdose Response at the Hospital HealthTalks Transcript

Paul Turley, MD
Most of the time when they come in as an overdose, EMS has given them Narcan in the field. Other times, they bring them in, and they’re not necessarily responsive and they’ll take multiple doses, particularly when we get these new batches of heroin in town that a relation with fentanyl or other much more potent narcotics.

That largest thing that we do is responsible prescribing practices. Currently, with the state database for controlled substances, it makes it much easier to see if a patient has been prescribed opioids before, if they’re on them chronically, if they’ve been doctor shopping. We’re just trying not to feed into the epidemic anymore, because a lot of the people who end up being addicts, they were prescribed something very legitimately at one time.

We’re very fortunate. We are linked in with a Corbin psychiatric facility. They do a lot of treatment. Normally what happens is we do a medical screening. We try to ensure that they are healthy enough to actually go into rehab and don’t have other comorbidities. Then we consult our Behavioral Health department. We have a liaison who comes in, interviews the patient, interviews the family, and determines if they’re suitable for the facility in Corbin. We’re very fortunate to have Behavioral Health here.

We are committed to our community, mostly as a resource for people who are looking for help. Our job is in the acute phase, trying to actually save someone’s loved one. At the same time, the bulk of the good we can do is with people who are actually looking for help.

Want more? Talk to a doctor to learn about our patient resources and services.

Women’s Health Care Center in Richmond

Baptist Health Richmond: Women’s Health Care Center

Learn about new renovations at Baptist Health Richmond’s Women’s Care Center. Discover our comfortable yet practical updates to the Mother & Baby rooms in our advanced women’s care center.

Women’s Health Care Center HealthTalks Transcript

Kristi Zachary, BSN, RNC-OB
The Women’s Care Center here at Baptist Health Richmond has made some recent updates to our look. Our labor hall has gotten a fresh facelift. It’s provided a brighter, more inviting atmosphere for our patients and our families as they come in.

In our Mother-Baby Care wing, our rooms have been renovated to provide more comfortable, more functional furnishings for our patients. Our goal from the time a mother walks in on our unit is to prepare her for that transition into parenthood and to prepare her family as well. The services we offer are very helpful for her in making that transition. We try to keep them together so they have the opportunity to observe and ask questions of our nursing staff.

Items like medications and breast pumps, they are now available to be delivered right at the bedside before the patient is discharged, so she doesn’t have to worry about walking into a pharmacy or walking into a retail store with her brand-new baby after she’s just left the hospital.

Our nurses are passionate about taking care of moms and babies and ensuring that they are ready to take those babies home with them and provide the best life possible for those kids.

Learn more about our Resource Center and find a Baptist Health Gynecologist.

Stroke Treatment in Paducah

Baptist Health Paducah: Stroke Treatment

Baptist Health Paducah has a nationally certified stroke center that specializes in the prevention and treatment of strokes. Learn more about your stroke treatment options and hear a survivor’s experience.

Stroke Treatment HealthTalks Transcript

Holly Thompson:
February 16, in the middle night, my 2-year-old, at the time, he woke me up. I immediately felt like there was a heavy weight on my left side, and then I almost immediately went numb. I said, “Something’s wrong. Call 911.”

Joseph Ashburn, MD:
We are a nationally certified stroke center, so anyone who walks in our doors that we have any concern for a stroke, we can activate what we call a “code stroke” and get a CT scan. That actually is a dividing point.

You see, 15 percent of strokes are hemorrhagic, which means a blood vessel has burst, and there is bleeding in the brain. However, 85 percent of strokes are ischemic, which means a blood clot has landed into the brain, and it no longer allows blood flow to go to a portion of the brain causing the symptoms.

In her case, it was the more common type. It was thrombotic, and it was causing her symptoms. We discussed this medication with her called “TPA,” and what it does is it breaks up blood clots. If we don’t give TPA, then they can be left with a deficit the rest of their life.

Holly Thompson, Paducah, Kentucky:
It took about an hour to administer, and after about an hour, I kind of flinched my left leg. That was the first time I had been able to move it.

Dr. Ashburn:
She did fantastic within 24 hours. She had almost full resolution of her arm and leg. Within a month, she was walking around and just doing fantastic.

Ready to take action? Take our stroke risk assessment to estimate your personal risk of having a stroke, and identify your stroke risk factors and how to improve them.

The Heart Murmur Clinic in Paducah

Baptist Health Paducah: The Heart Murmur Clinic

Dr. Nicholas Lopez III discusses what a heart murmur is, the types of heart murmurs you may encounter, and how the heart clinic at Baptist Health Paducah helps with your recovery.

The Heart Murmur Clinic HealthTalks Transcript

Nicholas Lopez III, MD:
A heart murmur is blood going through the heart, and the heart has four different valves. Sometimes those valves cause turbulence, and that causes a sound of a murmur. There are several causes to murmurs. We can categorize it in two different types, murmurs that are coming from a leaky valve and murmurs that are coming from a narrowed valve. The term that we call this is stenosis.

Kristin Kirby, RN:
The murmur clinic will help a lot because it will help us monitor these patients closely, and it also will allow us to provide comprehensive cardiac care to these patients.

Dr. Lopez:
The murmur clinic is going to give another avenue to our community so that somebody can take advantage of the resources of a cardiologist and a cardiothoracic surgeon, so that everybody is treated appropriately. That may not be an operation. That may be closer monitoring. That may be a percutaneous valve. It may be making a decision that somebody’s not going to have an operation or a surgery. At least it gives people the opportunity to have that conversation. They know they have that resource here.

It’s super important for Baptist to offer this clinic to our patients. We want our patients to live healthier and live longer. We’re taking a team approach. Our cardiologists, our cardiothoracic surgeons are all working together with the patients to form the perfect treatment plan for them that fits them.

Flu Symptoms & Prevention

Baptist Health Madisonville: Flu Symptoms & Prevention

As winter nears, be sure to recognize the symptoms and signs of the flu. Find out how Baptist Health can help you prevent the flu and keep your family healthy.

Flu Symptoms & Prevention HealthTalks Transcript

R. Lamont Wood, MD
Flu is a viral illness caused by either influenza A or B. It’s one of those illnesses that comes around on a seasonal basis. As a result, people, when they get this infection, they run a fever, they have achy joints, achy muscles. Actually, they just feel as if they’re sicker than they’ve ever been. I’ve had some people tell me they hurt so much that their teeth hurt, and it usually takes a few days for them to get over it.

Flu is checked by a flu swab or screen. It is performed at your physician’s office or at an urgent care clinic. They do the swab and check it. Within a few minutes, you know whether you have the illness or not.

You can take an immunization that covers both influenza A and B. You get it usually from October to November. The sooner you get it, the more time your body has to develop immunity.

There have been years where people have died from the flu. Usually, it tends to be in the very old and the very young. That being the case, it’s very important to get those people immunized.

If you’ve got the flu, you should stay home and try to stay away from others, because there is fear that you can spread it.

Advantages & Benefits of Home Care in Madisonville

Baptist Health Madisonville: Advantages & Benefits of Home Care

Baptist Health Madisonville’s home care team provides unmatched care and compassion to patients and their families. Learn about the home care advantage and why home care may be better for you and your family.

Advantages & Benefits of Home Care HealthTalks Transcript

Terry Gregory, RN:
As a home health nurse, my job is to go into the homes, focus on the care and the need of the patients, and continue that same care that they were receiving at the hospital.

We take care of respiratory infections, congestive heart failure, surgical wounds, people who have had nutrition problems, just a wide variety of illnesses.

Charles Ellis, Madisonville, Kentucky:
If you need it, they are there, and they are going to do anything they need to, to get you through everything. They always got an answer somewhere. That makes you feel like everybody cares.

A lot of times patients are still weak, so we need the family to step in and help care for the patient. That’s our job. We come in and we teach not only the patient but the family, in how to provide care for their loved one.

Naturally, people do tend to do better in their own homes. As we come in, we not only support the family but the patient, also, in getting better, in the recovery process. It makes them feel more comfortable about it.

I think you get over everything quicker at home. You got your own surroundings, and they’re here, and they will answer any questions. They’re not in a hurry like they would be anywhere else. They take time with you. It gives you a little bit more encouragement to do better.

A lot of times I come in a home thinking I’m going to be a blessing to them, but before it’s over, they’ve been much more a blessing to me than I’ve probably been to them.

Baptist Health Home Care’s experienced nurses, therapists, and other health professionals provide the expert, compassionate home care that makes a difference to people who are recovering at home or have a chronic medical condition. Learn about our services and the ways we can support your family.

Increasing Brain Cancer Survival in Louisville

Baptist Health Louisville: Increasing Brain Cancer Survival

Baptist Health Louisville has a special Neuro-oncology department that specializes in advanced brain cancer treatment. Learn more about our department and how some patients are prolonging their lives up to 15 additional years.

Increasing Brain Cancer Survival HealthTalks Transcript

Ali Choucair, MD
Neuro-oncology is a field of medicine that deals with the treatment and management of cancers that affect the nervous system. We focus on what we call primary brain tumors. These are tumors that arise within the brain, the spinal cord, and the peripheral nerves. Neurosurgeons try to take out as much of the tumor as possible.

When the tumor comes out, it is sent for pathology. Nowadays, we look at how the tumor looks under the microscope. We try to see what the behavior of the tumor is — what are the drivers behind the tumor? The molecular profile helps us design the next stage of treatment. Now, instead of having 300 patients all treated the same, we probably have out of those 300, 150 patients treated differently. That is really been a big, big change in terms of treatment. That’s what has led to improvement and survival.

When I went to medical school, to see a [patient with a] grade 3 astrocytoma living five or six years was a miracle. Nowadays, some of them are living 14 and 15 years. Specific molecular profile, when adopted and treated, can lead to prolonged survival of these patients.

Atrial Fibrillation Management in Louisville

Baptist Health Louisville: Atrial Fibrillation Management

Management of chronic atrial fibrillation is key to a healthy and happy heart. Learn more about how Baptist Health Louisville helps you medically manage your atrial fibrillation.

Atrial Fibrillation Management HealthTalks Transcript

Kevin Parrott, MD
Atrial fibrillation is an abnormal heart rhythm in which the top chambers of the heart, the electrical activity in them becomes disorganized, and they don’t pump blood effectively to the lower chambers.

Atrial fibrillation can be diagnosed usually through an EKG. It’s a quick test just where a few leads are placed on your chest, no pain involved, and a heart rhythm strip is done. There are a lot of different options for treating atrial fibrillation. Some people may have few symptoms if their rate’s controlled, and in those patients, just a rate-controlling medication may be appropriate.

The most important issue in the treatment of atrial fibrillation is a reduction in the risk of stroke, so we would assess your risk for having a stroke and treat you, if appropriate, with a blood thinner. If medications aren’t effective, we can treat with an ablation procedure.

Ablation for atrial fibrillation involves putting catheters in the heart to study the electrical activation, determining where the atrial fibrillation is coming from, and then doing ablation in that area to reduce your atrial fibrillation burden.

The biggest thing you can do to reduce your chance of developing atrial fibrillation is to manage any other health conditions you may have, such as hypertension or diabetes. Controlling your weight can help. Stopping smoking can reduce your chance of AFib. A healthy diet can reduce your chance of atrial fibrillation as well.

Most people diagnosed with atrial fibrillation go on to lead full normal and healthy lives.

Have you assessed your heart health? Compare your actual age to your heart’s biological age and estimate your risk of developing cardiovascular disease. This is a great first step to prioritize your most harmful cardiovascular risk factors and start a discussion with your doctor.