Baptist Health Lexington: Integrated Breast Cancer Care
At Baptist Health, we take a multidisciplinary approach when it comes to breast cancer care. Learn more about our breast oncology clinic in Lexington, Kentucky.
Integrated Breast Cancer Care in Lexington, KY
Walid Amine Abou-Jaoude, MD, General Surgery, Lexington Surgical Specialists:
We have a breast care program at Baptist Health Lexington, and our goal is to provide our patients with the highest quality of care that’s available. In order to do that, we have a comprehensive program that we have developed. In this program, we have a team of dedicated health professionals from different specialties and different disciplines. So really, we have a comprehensive program, and when we see the patient, we want to make sure we all work together to make sure we can provide that patient with the best care that we have available at the time.
KaraBeth Moore, MD, Breast Surgery, Lexington Surgical Specialists:
I think our multidisciplinary team at Baptist does an excellent job of putting the patient kind of in the center of a circle. We have of all of our specialists. For each patient, we talk about all the specifics of their pathology, their radiology, and we come up with a plan for each patient that will optimize their outcome. We work really well together: the breast radiologist, the geneticist, the medical oncologist, the radiation oncologist, and once again, the nurse navigators.
The goal of breast cancer care is to make sure that patients feel that they made the best decision with what they had. The ultimate goal is certainly that we have no residual cancer once we have completed their treatment, that we continue to follow them, and they continue to thrive and do well.
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Baptist Health offers patients multidisciplinary clinics that take a team approach to fighting cancer.
Baptist Health Lexington: Cancer Risk Management Program
The cancer risk management center at Baptist Health offers genetic testing to help detect cancer early on. Learn more about our cancer risk management clinic.
Cancer Risk Management Program in Lexington, KY HealthTalks Transcript
Jessica Schorck, APRN, Gynecologic Oncology: The high-risk clinic is a part of the Cancer Care Center here at Baptist Health Lexington. It’s run out of the cancer clinic where patients can come and get the coordination and multidisciplinary care that they need once they’ve been identified to be high risk for a particular malignancy, or [they] have a family genetic mutation that’s been identified.
Sara Campbell, MS, CGC, LGC, Genetic Counseling Center: Through genetic testing, we might identify that someone has an increased risk for certain types of cancers. For example, if we find they have an increased risk for breast cancer, we have options available, including increased screening where they can have mammograms and breast MRIs every year, starting at earlier ages. That increases the chance that, if something were to develop, it will be found at an earlier, more treatable stage.
Schorck: Once the patient is established with the high-risk clinic, that gives us an opportunity to follow them over time. Usually, we see patients at least yearly, if not twice yearly, to see where they are in their screening regimen, how they’re doing on any medications, where they are as far as age and risk, and if they qualify for surgical intervention. It allows the patient also to have one, central location that if they were to find a problem, such as a new breast lump, they know exactly whom to call and that it’s going to be worked up very, very quickly.
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It’s important to know if you or a loved one are at high risk for cancer and Baptist Health has the tools to help.
Baptist Health Hardin: Radiation Therapy for Cancer in Elizabethtown, KY
Radiation therapy can be an effective treatment for killing cancer cells. Learn more about treating cancer with radiation from Baptist Health.
Radiation Therapy for Cancer in Elizabethtown, KY HealthTalks Transcript
William Porter, MD, Radiation Oncology:
The science associated with radiation, as it pertains to cancer, is that radiation damages the DNA in cells, and those cells die. Radiation can also damage normal tissue. The difference between normal tissue and cancer cells is that normal tissue can repair more effectively than cancer cells. The benefit of radiation oncology, or the delivery of radiation, differs based on age, stage and location of tumor. Radiation treatment is really tailored to a patient’s diagnosis and treatment course.
May Dailey, patient, Elizabethtown, Kentucky:
I would get 10 rounds of radiation, which is two weeks. You do one every day, Monday-Friday for two weeks. Then, no more cancer in the arm.
It makes me feel really good as an oncologist that we can really try to minimize patients’ side effects. It makes me feel good that we are able to cure patients and make patients feel better, alleviate pain, and give them hope as they continue on their battle with cancer.
The thing that people don’t realize with cancer is, cancer is a lot. They really have a lot of compassion here. They really do, and that makes you feel better.
The ultimate goal for treating patients in central Kentucky is really to be a regional leader so that patients don’t have to leave their homes to travel to “bigger cities” or areas that are far away from their homes. We can deliver world-class care close to home.
Baptist Health Floyd: Occupational Medicine Services and Physicians in Charlestown, Indiana
Occupational medicine treats injury or illness that occurs at work or as a result of one’s employment. Learn more about occupational medicine services at Baptist Health.
Occupational Medicine Services and Physicians in Charlestown, Indiana HealthTalks Transcript
John Dougherty, PA-C, Occupational Medicine: Occupational medicine is the practice of medicine where we treat people who might have an injury or illness that occurred at work, or as a result of their employment. It also can involve people who already have preexisting issues that are aggravated by their employment activities. We perform many physical exams as part of our function at this clinic. We specifically look for conditions in a patient that not only could affect their personal health, but also the safety of others. In particular, this would be when we do commercial driver physicals.
Typically, many of the injuries that occur at work could also be similar to things that occur at home, for which you would want to see an urgent care [provider]. The issues that are unique with occupational medicine involve issues as far as, what is the patient’s ability to return to work once their injury is addressed? They may still need modification of their work activities or even total removal from work to resolve their injury or their condition.
Many people who come here with injuries that happened at work are fearing they’re missing income that helps them take care of their families. If I can get someone back to work quickly and safely, then that’s particularly rewarding for me, and that’s why I’ve stuck with it for this many years.
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Baptist Health provides businesses and employees with care when injuries occur at work.
Baptist Health Floyd: Primary Healthcare in New Albany, Indiana
Primary healthcare includes numerous practices, including family and internal medicine. Learn more about direct primary care with Baptist Health.
Primary Healthcare in New Albany, Indiana HealthTalks Transcript
Mark Bickers, MD, Internal Medicine/Pediatrics: Primary care is a big umbrella. Under primary care, family medicine falls under that, internal medicine falls under that, gynecology and obstetrics fall under that, and pediatrics falls under that. Those all make up primary care. Everyone needs a primary care doctor.
Essentially our role is the gatekeeper of the rest of the medical community — trying to handle as many medical complaints as we can and prevent future health complications by preventive screening and labs. Knowing medical history and various genetic-based diseases and inherited illnesses, it gives you an advantage of knowing what things you should be thinking about and what screenings should occur in trying to prevent complications.
I enjoy the variety. I enjoy seeing whole families and getting to develop those relationships and have continuity of care. A great reason to come here is we’re connected with the hospital and many of the subspecialists in this area. Being able to directly communicate with the hospital and with subspecialists provides an immense amount of continuity of care. It’s very helpful with coordinating care for patients. It’s all in one place. It’s all easily accessible, and at the end of the day, it provides better patient care.
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Baptist Health provides primary care that is local, convenient and centered on you.
Senior psychiatric care caters to the unique needs of the elderly population. Learn more about senior psychiatric treatment and care with Baptist Health.
Senior Psychiatric Care in Corbin, Kentucky HealthTalks Transcript
Mazhar Salim, MD, Behavioral Health: Senior psychiatric services cater to the unique needs of our elderly population. We focus on the biological and psychosocial aspects of aging. The mind and body are intricately linked, and physical conditions can affect a person’s mind. We try to cater to the needs of this population.
The common presentations in elderly are depression, dementia and delirium. Any minor illness can affect their mental function, which can be easily treated. We try to cater to their needs in terms of groups, in terms of the environment we provide them, and there are certain needs in terms of fall precautions. They need more care versus our general adult psychiatric population.
Here at Baptist Health Corbin, we are lucky that we have a facility that can take care of both their physical needs, as well as their mental health needs. I feel we owe a debt of gratitude. All of us would not be here were it not for their contribution, their sacrifice, and their hard work. We need to do all we can to make their health as good as it can be, so they can live the rest of life in the best possible way.
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Baptist Health Corbin offers inpatient and outpatient behavioral health services from teens to adults to the elderly.
When treating heart failure, it’s important to carefully follow instructions from your physician. Learn more about living with heart failure with Baptist Health.
Treating Heart Failure in Corbin, Kentucky HealthTalks Transcript
Pramod Reddy, MD, Cardiology: Heart failure is one of the most common causes for admission to the hospital in the United States, including our location here. A common cause for heart failure is ischemic heart disease, which is coronary artery disease. A patient has blockages and has a heart attack. Other causes would be what you call a nonischemic cause, which would be due to hypertension, diabetes, valvular disease, arrhythmias of the heart, and infiltrative disorders, like amyloidosis and sarcoidosis. These are the common causes for heart failure.
These are some of the things you can do when you have heart failure. Your physician is going to be placing you on some medications, so you take those medications as prescribed, in a timely manner. Follow the instructions by the physician with regard to diet. It is very important, because salt in the diet is as important as anything else that could lead you to heart failure. Try to quit smoking, if you are a smoker. Try to make sure you control your blood pressure, because uncontrolled blood pressure can make heart failure worse. Control your blood sugar, because uncontrolled diabetes can make it worse.
Those are some of the things that would help to lead a healthy lifestyle, even though you have heart failure. When treating heart failure patients and having this clinic, the goal is to improve their quality of life, improve their longevity, overall make them feel better and be more productive, and in general, improve their well-being.
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Learn about the 5 types of heart failure, the stages of heart failure, and how heart failure is diagnosed from Baptist Health.
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 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.