Top Chef Runner-Up Sara Bradley Has Baby in Paducah, Kentucky

Baptist Health Paducah: Top Chef Runner-Up Sara Bradley Has Baby

Top Chef’s Sara Bradley discusses her journey to motherhood with Baptist Health Paducah. Learn more about labor and delivery services with Baptist Health.

Top Chef Runner-Up Sara Bradley Has Baby in Paducah, Kentucky HealthTalks Transcript

Sara Bradley, Chef, Freight House, Paducah, Kentucky:
I am the season 16 Top Chef runner up. I was not expecting a child when I was filming the show. Actually, when my husband showed up in Macau, to my surprise, he said “when we get home let’s have a baby,” and I said, “I agree.”

Matthew Sublette, MD, Obstetrics & Gynecology:
I met Sara a little before she got pregnant. We had the opportunity to sit down and talk about planning for pregnancy and how to have a healthy pregnancy and to minimize risks. Sara’s pregnancy and delivery went very well, and her baby did well. Although we had the services available of the NICU, fortunately we didn’t need them.

Bradley:
From the moment I came here and talked to the doctors about wanting to become pregnant, to the very last moment when I left, and they walked me out to my car, the experience at Baptist Health Paducah was just more than I expected. I think one of the best parts about juggling my responsibilities at the restaurant and my appointments here at the hospital was MyChart, which is the online patient portal program. They were constantly sending me reminders, sending me updates. I could view my charts through them. It just really made everything easy and the transition really smooth.

Dr. Sublette:
Having your baby at Baptist Health in the newly updated units will provide comfort in a modern setting with all the conveniences of home.

Da Vinci Hysterectomy for Uterine Fibroid Removal in Paducah, Kentucky

Baptist Health Paducah: Da Vinci Hysterectomy for Uterine Fibroid Removal

A da Vinci hysterectomy is a robotic laparoscopic surgery that can help remove uterine fibroids. Learn about a da Vinci hysterectomy from Baptist Health.

Da Vinci Hysterectomy for Uterine Fibroid Removal in Paducah, Kentucky HealthTalks Transcript

Blair Tolar, MD, Obstetrics & Gynecology
A uterine fibroid is most commonly a benign tumor of the wall of the uterus, the muscular portion of the uterus. The problems that they cause are infertility, heavy periods, painful periods, and chronic pelvic pain.

Megan Croft, Paducah, Kentucky:
It was going on for about two years. I had extreme fatigue, so it made me feel really bad, and I just knew it was time to have the surgery.

Dr. Tolar:
She was a good candidate because she did not desire future fertility, so a hysterectomy is oftentimes the best option for someone like her. Da Vinci surgery is really just a version of laparoscopic surgery. It’s done through small incisions. We do a lot of surgeries that way, whether it’s tying a lady’s tubes or taking a gallbladder out. The addition of the da Vinci robot allows us to perform more complicated surgeries like Megan’s, but yet still give a minimally invasive option. Regular laparoscopy where we stand at the patient’s bedside and use the instruments will have some limitations, and the robot exceeds those, from a visualization standpoint and also a dexterity standpoint with the instruments.

Croft:
I’m really glad that I was able to do it here in Paducah, and I didn’t have to go out of town to have it done. It would be harder for me to go somewhere, a bigger town or bigger hospital, to have that done.

Dr. Tolar:
We are uniquely situated geographically. We don’t have a major metropolitan city 30 minutes away. We can do a lot of things here. Whenever you’re closer to home, you recover quicker, you’re much better off. That’s a win, win for everybody.

Indications for Tonsillectomy in Children in Madisonville, Kentucky

Baptist Health Madisonville: Indications for Tonsillectomy in Children

Indications for tonsillectomy in children includes recurring throat infections. Learn about the pediatric indications for tonsillectomy with Baptist Health.

Indications for Tonsillectomy in Children in Madisonville, Kentucky HealthTalks Transcript

Andy Logan, MD, Otolaryngology:
Tonsils are the rounded structures in the back of the throat on either side of the uvula, and adenoids you can’t see, but they’re at the top of the throat right behind the nose. They are what is known as lymphoid tissue. In other words, they are a part of the body’s infection fighting system.

The two primary indications for tonsillectomy in children are recurring throat infections, and the definitions of recurring throat infections are seven throat infections in one year, five throat infections a year for two consecutive years, or three throat infections a year for three consecutive years. The other indication is what’s known as sleep-disordered breathing in which you would see the tonsils and the adenoids obstructing air flow during sleep, causing the sleep to be disrupted and leading to other symptoms in the daytime, such as sleepiness, difficulty paying attention at school, bedwetting, behavioral issues, all of which could potentially be improved by improving the airway during sleep.

We do have criteria that we look for to determine whether it would be appropriate to recommend a tonsillectomy and adenoidectomy. I want parents to know that you don’t just look at the tonsils and say “oh, they need to come out.” That’s where the clinical practice guidelines come in. If tonsillectomy and adenoidectomy are recommended, in most cases it is done through same-day surgery. Usually the child will go home the same day after surgery.

When I end up seeing a child back that I have performed a tonsillectomy on, sometimes years later, it’s very frequent that the parents will tell me that he hasn’t been sick at all since we took his tonsils out, he hasn’t missed as much school, he feels much better, and some parents will confirm that the child’s behavioral issues have become easier to manage.

Heart Disease Detection & Treatment in Madisonville, Kentucky

Baptist Health Madisonville: Heart Disease Detection & Treatment

Heart disease detection and treatment are important lifesaving measures in healthcare. Learn more about procedures to treat heart disease with Baptist Health.

Heart Disease Detection & Treatment in Madisonville, Kentucky HealthTalks Transcript

Adnan Sultan, MD, Interventional Cardiology:
Ischemic heart disease, or cardiovascular disease, is a condition in which there’s a decreased blood supply to the muscle of the heart happening from narrowing or blocked arteries of the heart. Patients having cardiovascular disease can present in two situations. One is stable ischemic heart disease, when patients have significant blockages that decrease the amount of blood supply to the heart muscle, and it’s affecting their quality of life. They’re not able to perform their activities without symptoms.

In other situations, when patients do develop an acute heart attack, these patients present with chest pain. In that situation, our dedicated staff and fully equipped cath lab is available 24 hours a day to provide care to these patients in a timely fashion. We get these patients to the cath lab as soon as we can and by making a small incision in the artery around the leg or the arm, we try to open up the artery in the heart by using wires, balloons and stents.

I love coming to work knowing every day that what I do will impact someone’s life in a better way. Patients who are presenting with heart attacks, that’s the worst and most fearful episode of their life. It’s an honor to take care of them in that situation and to know they’re trusting you with their life.

 

Gestational Diabetes Testing in Louisville, Kentucky

Baptist Health Louisville: Gestational Diabetes Testing

Gestational diabetes develops during pregnancy and can affect both mother and baby. Learn more about gestational diabetes testing from Baptist Health today.

Gestational Diabetes Testing in Louisville, Kentucky HealthTalks Transcript

Cara Keller, MD, Obstetrics & Gynecology:
In pregnancy, the risk of diabetes does go up, and that’s why we screen all women for diabetes in pregnancy. The majority of women with diabetes in pregnancy will have what is called gestational diabetes, meaning that it developed during the pregnancy due to hormonal changes that happened during the period that you were pregnant.

For all women, we test for gestational diabetes between 24 and 28 weeks with a one-hour glucose challenge test. Women who have gestational and pre-gestational diabetes will undergo more extensive testing. For one, we want to watch the baby grow. Usually, we will do monthly growth ultrasounds.

Around 32 weeks, we will typically start weekly surveillance of the baby to make sure the baby is growing and doing things appropriately. Those are typically done with an ultrasound for a timeline of about 20 to 40 minutes where we watch the baby’s heart rate to make sure the baby is doing things we expect.

For women who have gestational diabetes, typically, immediately after delivery we will check a few blood sugars to make sure they’re in a reasonable range. At their six-week postpartum follow up, we recommend that everyone be screened who had diabetes in pregnancy for having diabetes outside of pregnancy. Over half the women who have gestational diabetes will go on to develop diabetes later in life. We do all this testing during pregnancy to help moms and their families have a happy and healthy pregnancy and a successful delivery.

Deep Inspiration Breath Hold (DIBH) in Louisville, Kentucky

Baptist Health Louisville: Deep Inspiration Breath Hold (DIBH)

Deep inspiration breath hold is a technique that reduces the dosage of radiation to the heart for left-sided breast cancer patients. Learn more about DIBH.

Deep Inspiration Breath Hold (DIBH) in Louisville, Kentucky HealthTalks Transcript

Crystal McMahan, MD, Radiation Oncology:
Baptist Health has always been a leader in radiation oncology here in Louisville and the state of Kentucky. Now, with our latest technology allowing us to provide optical surface monitoring and deep inspiration breath hold, we can further benefit our patients, especially those with left-sided breast cancers.

The optical surface monitoring system, or OSMS, uses 3D renderings from the patient’s initial CT simulation on their first marking session day. During the treatment time, this 3D contour is overlaid with real-time 3D simulation of their full contour that is projected from infrared projections, and it allows us to position the patient correctly and precisely. This cuts down on their treatment time every day and decreases their dose from imaging. We do a special technique called deep inspiration breath hold where we have the patient take a deep breath. This, in turn, moves the heart out of the radiation field and reduces the dose to the heart.

OSMS is really a game changer for radiation oncology in my opinion, especially for women with left- sided breast cancers, and is going to help us know that we are treating our patients the most precise and safe way we possibly can. We’re thrilled with this technology here at Baptist Health Louisville, and we see so many young women with left-sided breast cancer. We know they’re going to live a long time, so it gives us great joy to know we can help reduce their long-term side effects.

Catheter Heart Ablation in Lexington, Kentucky

Baptist Health Lexington: Catheter Heart Ablation

A cardiac ablation is a procedure used to cure various abnormal heart arrhythmias. Learn more about a catheter ablation of the heart from Baptist Health.

Catheter Heart Ablation in Lexington, Kentucky HealthTalks Transcript

Johan Aasbo, DO, Cardiology:
Catheter ablation of the heart is a procedure where we insert — through veins or arteries — equipment into the inside of the heart to try to cure different arrhythmias. Typically, these are fast, abnormal heart rhythms. Some of these can be life threatening. Many of them, however, are not.

Catheter ablations for different heart rhythms generally fall into two categories — there are simpler rhythms, which are easier to treat, and then there are more complicated arrhythmias, where the procedure to get rid of them with catheter ablation is more involved. A complex catheter ablation might be for the rhythm, called atrial fibrillation, and there are different kinds of rhythms from the top chamber of the heart that are also complicated. Also, we perform ablations in the bottom chambers or ventricles of the heart.

Baptist Health Lexington is a unique institution. We have the blessing of being able to participate in numerous national/international studies. Some of these studies are looking at cutting-edge technology that’s not available anywhere in Kentucky, often in the region. Some of these studies are for new kinds of devices that we can implant into patients to improve their quality of life and perhaps affect favorably their risk of dying. Other studies are looking at options for ablating rhythms in a safer, easier, more effective way. We really put a lot of focus and attention on that here, because that’s part of the culture here at Baptist Health in Lexington.

Urgent Care Advantages in La Grange, Kentucky

Baptist Health La Grange: Urgent Care Advantages

Get treatment faster with Baptist Health Urgent Care. You can start waiting in line at home by registering online. Learn more about Urgent Care advantages here.

Urgent Care Advantages HealthTalks Transcript

Michael Newkirk, MD, Vice President, Physician Services, Baptist Health Medical Group:
Urgent Care is a convenient method for patients in our communities that we serve to access care, typically for mild or moderate injuries or illness. We can care for people who are sicker than what primary care doctors in the office often see. We always will have X-ray available, whereas in the primary care doctor’s office, that’s limited.

The things that we don’t want to see are the folks who are critically ill, and those folks who need to be in the emergency department. Our Urgent Care is very standardized. We see people from 8 a.m.¬ to 8 p.m., Monday through Friday, and 9 a.m.–5 p.m. on weekends. You should expect to see very prompt and courteous care. We aim to get people in and out, through the door — 50 minutes is our goal.

We have a Baptist Health online check-in, and if you do that, basically you wait at home. If you check in on our Baptist Health online function, you really start your wait while you’re at the site where you checked in. When you come in, you’re basically put in line from the time you registered, versus the time you showed up.

When you come to Baptist Health, what you’re going to get is a very consistent level of care in a manner that we have refined over 20 years.

We’re very excited about Baptist Health having an Urgent Care in La Grange. This gives ready access for people who may or may not have the time to see a doctor. We’re very pleased that we’re able to offer this to the community in La Grange.

Bariatric Solutions for Weight Loss in New Albany, Indiana

Baptist Health Floyd: Bariatric Solutions for Weight Loss

Bariatric surgery is the No. 1 way to lose a large amount of weight and keep it off. Learn more about bariatric weight-loss solutions today.

Bariatric Solutions for Weight Loss HealthTalks Transcript

Lanny Gore, MD, Bariatric Surgery:
Obesity is one of the top medical problems in our country. In fact, it’s about to overtake tobacco as the number one most preventable health problem in our country.

Mike Bailey, Elizabeth, Indiana:
I was just getting to a point that I can see it was really taking me downhill pretty quickly. I thought it was time to do something. I know it was a dramatic point in my life. I always joked around. I said “When I think about going on a diet, it makes me hungry.” It was a joke, but I just needed some help, that’s what I needed.

Dr. Gore:
The number one way to lose a lot of weight and keep it off is bariatric surgery. Many people are able to change their lifestyle. After they get an operation, they’re then able to really control their portion size, they’re able to control their hunger urges, and they’re able to overcome this hump that was kind of holding them back.

Bailey:
I’m back to normal now. It’s just proportion. After it’s done, it’s all in proportion. When I have a meal, I only use a saucer. Most of the time, I don’t finish it all.

Dr. Gore:
This is an operation where you can eat a small amount of food and really be able to stop and able to keep the weight loss going. We’re here to learn about: What are the struggles you’re having with your weight-loss journey? We want to continue to encourage weight loss, give tips, make sure you’re not having any problems, and keep this weight loss going for the rest of your life.

Advantages of an MRI Scan in Corbin, Kentucky

Baptist Health Corbin: Advantages of an MRI Scan

An MRI offers an in-depth view of tissues in the body and an improved accuracy to find abnormalities. Learn more about the advantages and benefits of MRI scans.

Advantages of an MRI Scan HealthTalks Transcript

Kevin Croce, MD, Diagnostic Radiology:

A patient would have an MRI in certain situations over having an X-ray or conventional CT scan because the MRI will offer a lot more information about the tissues in the body, what those tissues are doing, or what state those tissues are in.

For instance, MRI really offers improved accuracy and the ability to look for certain diseases of the brain. If there’s a stroke, and there’s damage to the brain tissue, we can see that within minutes to hours versus with a CT scan, we may not be able to see that information for days. It really helps us to identify problems very early on so we can treat the patient immediately and quickly.

Some patients aren’t able to receive a CAT scan or radiation — maybe a patient who’s pregnant, and there’s a concern that maybe that patient has appendicitis. It offers a lot of advantages over CAT scans and X-rays because of the lack of radiation the patient will receive during an MRI.

Having MRI at my disposal to be able to treat patients more conservatively, appropriately and concisely makes me feel great. I’m happy that I’m able to have this technology at my disposal to be able to help our clinicians who are ordering these studies and treating our patients in our community, to be able to diagnose problems early, and to be able to give patients the absolute best care that is available today, anywhere.

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.

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

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