Nonhealing Wound Treatment Clinic in Corbin, Kentucky

Our nonhealing wound treatment options include compression and negative pressure therapy. Learn more about Baptist Health’s chronic wound treatment clinic.

HealthTalks Transcript

David Lauber, MD, General Surgery:

The Wound Care Center is a specialized clinic that we have set up for helping people with chronic wounds that are having difficulty healing. We have a lot of patients with diabetes and extensive medical problems that make it difficult for them to heal, wounds that develop either from trauma or from pressure sores.

Megan Barton, APRN, Wound Care:

You may suspect that you have a nonhealing wound if it’s not starting to show signs of healing within two weeks.

Dr. Lauber:

Some reasons why a wound would not heal would be pressure that’s being applied that isn’t being adequately padded; circulation issues, either arterial or venous; diabetes-related complications, such as neuropathy and circulation; and pressure sores — all tie in with that. We try to do as much as we possibly can to improve the root causes. Sometimes we actually use treatments that stimulate growth and healing as well.

Barton:

We have several options in the clinic for treating wounds. We do offer bedside debridement in the office. We can do negative-pressure therapies and compression, and we offer off-loading casts. We like to think of the Wound Care Center as a team approach to your overall health, so we work really closely with your primary care provider. We can also help with getting set up with Home Health and refer you to other providers as needed.

Have Questions?

At Baptist Health Wound Care in Corbin, our team of physicians, nurses and technicians understands many factors that may be delay or prevent the healing of your wound.

Learn about Wound Care

Back Pain Relief Procedures in Richmond, Kentucky

Baptist Health Richmond: Back Pain Relief Procedures

Acute and chronic back pain affects a large number of the population every day. Learn more about back pain relief procedures with Baptist Health Richmond.

Back Pain Relief Procedures in Richmond, Kentucky HealthTalks Transcript

Thomas Whealton, DO, Interventional Pain:
If you have back pain that seems like it’s worse than the normal aches and pains you have after working outside, gardening, or doing normal things that can make you just feel sore, it’s a good idea to go see your primary care doctor.

When patients come into our office for the first time, the first thing we do is get a comprehensive history and physical on them to find out what’s worked and what hasn’t. A lot of patients will have gone through a lot of the conservative measures that we can do, and many will get quite a bit of relief before they ever set foot in our office, which is ideal. So, when they come to us, we’ll see what’s been done and what hasn’t, and we’ll try anything that we can that we think will give them the best chance of relief, long-term recovery, and better quality of life.

When patients have gone through some of those things, there are a lot of other therapies that we can provide, including what’s called a spinal cord stimulator, which involves helping to decrease the amount of pain signals that actually reach the brain from the low back and the legs, or the arms and the hands.

For most of my patients, I tell them that what I’m doing is to try to get you back to living a normal life. I want you to get in touch with learning and listening to your body so that you don’t overdo it. But, we want to make sure that chronic pain isn’t the thing that’s limiting you. It’s basically just your ability to do the things that you want to be able to do.

The Dangers of Teen Vaping in Paducah, Kentucky

Baptist Health Paducah: The Dangers of Teen Vaping

Vaping is an epidemic that is bad for teens. Learn more about keeping teens safe by educating them about the dangers of vaping from Baptist Health Paducah.

The Dangers of Teen Vaping in Paducah, Kentucky HealthTalks Transcript

Patrick Withrow, MD, Cardiology:
I am saying “epidemic.” I think vaping is an epidemic among middle schoolers and high schoolers. Over the last two years, the middle school has increased by 50%, how many kids that are vaping, and the high school by 75%, how many are vaping.

Jonathan Smith, assistant principal, curriculum, Paducah Tilghman High School:
We have to do our part to make sure that we keep our students safe. When we know this is an issue, where they’re starting to put drugs into their body in a way that I don’t think they truthfully understand, I think we’ve got to do our part to eliminate the problem.

Dr. Withrow:
They have an adolescent brain, and the younger an individual is when they start using an addictive substance, the more likely they are to become addicted themselves. The younger the kid is, the more likely they are to become addicted to multiple drugs. We have a problem here with methamphetamine and opioids right now, so the adolescent, the young person, starts off becoming addicted to nicotine. Next thing you know, they’re addicted to something else, with all of the problems that go with that.

Mr. Smith:
It’s not normal to see a 14- or 15-year-old kid puffing on something that’s putting nicotine and harmful chemicals in their body. I feel like that is a major public issue that we as adults have to address — because they’re our future.

The Benton Primary Care Health Clinic in Kentucky

Baptist Health Paducah: The Benton Primary Care Health Clinic

The primary care health clinic in Benton offers appointments and urgent care for walk-ins. Learn more about Baptist Health Medical Group Benton’s primary care.

The Benton Primary Care Health Clinic in Kentucky HealthTalks Transcript

Frances Horn, DO, Family Medicine, Benton:
Baptist Health Medical Group Benton was established to provide primary care to the local population in Marshall County.

At this clinic, we are able to care for pretty much all your needs. We can provide care for newborns to 90-100, however old you [are]. We provide for the whole age range.

We can do your standard healthcare visits. We can do acute-care visits. If you cut yourself, I can stitch you up. If you’re sick and vomiting and need fluids, I can give you fluids here. If you need an X-ray, we can X-ray you. If you need ultrasound, we can ultrasound you. We pretty much do everything you need in a primary care setting here. So hopefully, we’re going to find that alleviates the need to transition over to the ER for minor things, and free up the ER for the big things, and take care of those things in a clinic situation.

We do walk-ins. We do scheduled [appointments]. We have extended hours from 7 a.m. to 7 p.m., Monday through Friday, and on Saturday, we have 8 a.m.-noon hours. We’ve had people come in indicating that they couldn’t get into their doctor for weeks. We have that opening, and we can take care of you at this time. We’re excited to be here. It’s been fun meeting new people, and it’s like getting a second family. So, we’re excited about this.

The Importance of Well-Child Visit Schedules in Madisonville, Kentucky

Baptist Health Madisonville: The Importance of Well-Child Visit Schedules

Well-child visits are important for healthy children as they grow. Learn why it is important to schedule well-child visits from Baptist Health.

The Importance of Well-Child Visit Schedules in Madisonville, Kentucky HealthTalks Transcript

Carey Dodds, MD, Pediatric Medicine:
A well-child check is so important for all children. When they are young, it is important to make sure they are growing appropriately, that they are developing well, that they are developing healthy habits. As they age, it’s important that they continue to come on an annual basis for a well-child exam because we want to make sure they are staying healthy. We discuss nutrition, we discuss sleep, we discuss their development, because even as they are school age, they are continuing to develop behaviorally, socially and educationally, and we want to make sure they are continuing to have their needs met in all of those realms.

Ann Elkins, patient’s mother, Madisonville, KY:
I think well-child exams are very important for your child because you’re keeping continuous check on their health, keeping their immunizations up to date, and just staying in constant communication with your pediatrician on their growth. It affects everything. Mentally, it affects their well-being, and I think they are very important.

Jackson Elkins, patient, Madisonville, KY:
I feel really comfortable that Dr. Dodds has everything under control about what to give us, what symptoms we have.

Dr. Dodds:
My patients are special to me. They are why I continue to do what I do, why I take time away from my family and my children to help take care of them — because I love my patients.

How to Detect Breast Cancer with Mammograms in Kentuckiana

Baptist Health Floyd: How to Detect Breast Cancer with Mammograms

Breast cancer can be effectively treated if detected early. Learn how radiologists detect breast cancer with mammograms at Baptist Health Floyd.

How to Detect Breast Cancer with Mammograms in Kentuckiana HealthTalks Transcript

Laura Barkley, MD, Diagnostic Radiology:
Mammograms are the best tests that we have to detect breast cancer, and it’s really the only proven test that’s been shown to decrease death rates from breast cancer.
It’s best to try to find a breast cancer as early as possible because it means that the treatment needed for the breast cancer is less invasive. Mastectomy rates are lower. Less chemotherapy and radiation therapy may be needed depending on a specific case.

So, it is extremely important for women to get their yearly mammograms starting when they’re 40 years old. After a woman has her mammogram, a radiologist reads the mammogram and decides what to do. Ten percent of the time, a woman needs to come back for additional testing. Two percent of the 10% of women will need to have a biopsy, but less than 1 out of 100 women who has a screening mammogram ends up having breast cancer.

I am a fellowship-trained breast imager. So, after my four years of medical school and five years of radiology residency, I did a one-year fellowship specialized in breast imaging, where basically I spent the whole year reading mammograms, doing breast ultrasounds, breast MRIs, and image-guided breast procedures, like biopsies.

Baptist Health is a great facility to have your mammogram done. The technologists are very experienced and very caring toward the patients, and the radiologists interpreting the mammogram are very experienced as well.

Inpatient Rehabilitation Services in Louisville, Kentucky

Baptist Health Louisville: Inpatient Rehabilitation Service

Our inpatient rehabilitation services include physical and speech therapies. Learn more about Baptist Health Louisville’s inpatient rehabilitation facility.

Inpatient Rehabilitation Services in Louisville, Kentucky HealthTalks Transcript

John Gormley, MD, Physical Medicine and Rehabilitation:
Acute inpatient rehabilitation is an inpatient program that is designed for patients who have had a functional impairment related to either a medical issue or an injury. It may be where they have difficulty with their speech or their cognition, difficulty with their mobility or strength, or difficulty with their self-care/coordination. It’s a comprehensive, sustained program that involves a large team, including the patient, family members and friends. Components of the teams can be physicians, rehabilitation nursing, physical therapy, occupational therapy, speech therapy, as well as dietitians, neuropsychology, pharmacy and social work.

The goal of the program is to improve their function. It’s what we call patient-centered care, where everything is designed around the patient to improve their overall function.
Studies show that if you do intensive therapy three hours a day in a coordinated program, your functional outcome is higher than if you do therapy in a less intensive program, such as at a skilled-nursing facility level.

I think the most rewarding part of what we do here is when we get feedback from the patients on how we’ve impacted their lives and how they’ve gotten back to doing things that they wanted to do at home. It’s nice to see patients getting back out and doing things with their family and friends, and sometimes it’s not always perfect. Sometimes it is perfect, and it’s rewarding when we get to see them achieve those goals.

Creating a Medical Weight-Loss Plan in Lexington, Kentucky

Baptist Health Lexington: Creating a Medical Weight-Loss Plan

Patients can achieve weight loss through diet, exercise and/or medication. Learn how we create individualized medical weight-loss plans at Baptist Health.

Creating a Medical Weight-Loss Plan in Lexington, Kentucky HealthTalks Transcript

Cassie Graham, APRN, Medical Weight Loss:
We treat patients who need to lose weight, whether that’s 5 pounds, or that’s 150 pounds. We also treat patients who are having trouble with blood pressure or have been told they’re prediabetic and that they need to lose weight to improve this health condition.

At the very first visit, we discuss their medical history. We talk about a goal weight and talk about if that’s reasonable based on current body composition. We’re also assessing the candidacy for different weight-loss medications and briefly discussing what options there might be in the future. We then create an individualized program for that patient based on their readiness to change and their commitment to weight loss.

The initial goal we set with all of our patients is medically successful weight loss, which is a 5–10% loss of beginning body weight. At 10% loss, we start to see improvements in over 35 medical conditions related to weight. Lifestyle change is a term that’s thrown out a lot these days, and we use lifestyle change for treatment of a lot of things. So, the lifestyle changes are going to include, of course, nutrition and exercise recommendations, but then also giving people tips for how to still enjoy all of those pleasurable activities in life without sabotaging their goals and sabotaging their health in the process.

Treating Tumors with Radixact® Tomotherapy in Lexington, Kentucky

Baptist Health Lexington: Treating Tumors with Radixact® Tomotherapy

Radixact® is a tumor treatment procedure that can target hard-to-reach cancers, with fewer side effects. Learn more about Radixact® TomoTherapy from Baptist Health.

Treating Tumors with Radixact® Tomotherapy in Lexington, Kentucky HealthTalks Transcript

Jonathan Feddock, MD, Radiation Oncology:
One of the things that I think we do very well here at Baptist Health is we have multiple, different treatment platforms and we have very good specialized treatment options. In addition to our Elekta Versa™, which is our more mainstream radiation machine, we also have the CyberKnife® unit, which is ideal for treating those really small tumors.

The Radixact® radiation machine delivers the treatments actually in a full circle, all the way around the patient. The machine is continuously moving. What it allows us to do is do a much better job treating something that’s circular, or more importantly, protecting something that’s circular in the body. So, this is a great treatment machine if we want to treat hard-to-reach cancers that are deep seated, in say the chest or the pelvis, and they’re right next to something that we want to protect.

The Radixact® radiation machine actually allows us to re-evaluate patients as we progress through treatment. One of the problems that we have with people as they’re going through chemotherapy and radiation is they commonly lose weight, and their tumors shrink. This machine allows us to real time re-evaluate how the process is going. If the tumor is shrinking, we don’t have to wait a week to 10 days to create a new radiation plan. We can actually do it quickly, almost same-day turnaround.

What it really means in terms of the total outcome for patients is a better treatment that is more accurate, more precise, and with less side effects.

Ear Tube Placement Surgery (Myringotomy) in La Grange, Kentucky

Baptist Health La Grange: Ear Tube Placement Surgery (Myringotomy)

An ear tube placement surgery (myringotomy) helps with treating ear infections. Learn about this ENT (ear, nose and throat) treatment from Baptist Health.

Ear Tube Placement Surgery (Myringotomy) in La Grange, Kentucky HealthTalks Transcript

Bryan Murphy, MD, Otolaryngology:       
ENT is short for ears, nose and throat. We take care of all, both adult and childhood disorders of the ear, nose and throat. One of the things I like about this specialty is that we get to provide both pediatric and adult care.

Currently, we are offering surgery here at Baptist Health La Grange for ear tube insertion for childhood ear disease, and tonsillectomy and adenoidectomy for recurrent tonsil infection or recurrent sore throat.

Symptoms of acute ear infection include inconsolable crying or frequent nocturnal awakening, diminished appetite, fussiness, and of course, fever. All of these are signs that your fluid may have turned into ear infection.

Other risk factors for recurrent ear disease that might require tube insertion include: RSV infection in the first six months; early onset of the first ear infection, perhaps even at 4 months of age; a child who is in group daycare; or a child who has suffered frequent upper respiratory illnesses.

The benefit of tube insertion is to provide a small ventilation opening in the eardrum. This prevents the re-accumulation of fluid behind the eardrum, which both protects the child from infection and improves their hearing immediately.

Tubes are designed to stay in place anywhere from 12 to 15 months. Once the tube is out, most children have outgrown their ear problems.

In need of care? Find a Baptist Health provider in La Grange by using our online directory.

Prostate Cancer Treatment in Southern Indiana

Baptist Health Floyd: Prostate Cancer Treatment

One in 7 men are at risk of developing prostate cancer. Learn about prostate cancer treatment options, such as radiation, available at Baptist Health.

Prostate Cancer Treatment in Southern Indiana HealthTalks Transcript

John Cox, MD, Radiation Oncology:
In 2016, greater than 150,000 men were diagnosed with prostate cancer. So that relates to about — in our lifetime as men — a 1 in 7 chance of developing prostate cancer.

A lot of men are diagnosed with metastatic cancer at presentation. I think it’s a great second opinion to get some fresh eyes and make sure there isn’t something new, something that has just emerged that maybe can change your treatment course, can maybe get in front of something that we don’t see.

The data is constantly changing, and we’re being much more aggressive with men who have metastatic disease.

The number of radiation treatments that a patient needs is very specific to that patient, the risk category of their cancer, and there’s a lot of considerations in 2019. There’s mature data that shows that for certain patients, a shorter course of radiation may be appropriate, which may be important for a lot of patients because you can get the same treatment, with the same toxicities, over a shorter period of time, so it’s certainly a great consideration.

One thing here at Baptist Health Floyd that we’re going to talk to you about is, “Is the classic number of 44 treatments, Monday through Friday, the right answer for me? Or can I get my treatment in a shorter course?” We’re going to have that conversation with you.

We have the local tools here in southern Indiana to be your region leader and your trusted friend for your prostate cancer diagnosis.

When to See a Cardiologist – Southern Indiana

Baptist Health Floyd: When to See a Cardiologist

Cardiologists treat conditions related to the heart and blood vessels. Learn more about what a cardiologist treats, when to see one, and why, from Baptist Health.

When to See a Cardiologist – Southern Indiana HealthTalks Transcript

Matthew Keith, MD, PhD, Interventional Cardiology:
A cardiologist helps prevent, treat and diagnose three main conditions related to the heart: those specific to the heart arteries, with treatment of blockage; structural cardiomyopathy; and electrical problems, such as arrhythmia, as well as other things, such as heart failure.

People would see a cardiologist if they’re having difficulties breathing, like shortness of breath; people with chest pain; also people with specific risk factors for cardiovascular disease, including those people who smoke or have diabetes who would be at very high risk for development of cardiovascular disease in general; those with simple high blood pressure that’s been very difficult to treat; those who have a more complicated past medical history, as well as significant family history of cardiovascular disease. We can do a lot of things in life, but we can’t escape our genetics.

Prevention of cardiovascular disease is extremely important. It is arguably our most important job. The primary thing that you can do to prevent it is to be seen early — have screening tests, such as your cholesterol checked, maintain your blood pressure in normal limits, and be treated early to understand if you’re at increased risk related to your family history of coronary disease or stroke, as well as to maintain a nonsmoking status.

Being heart smart, obviously, is a moniker to concentrate on arguably the most important muscle in the body, to take care of it. We get one of them, and it needs to last a lifetime.