Palliative Treatment and Care in Corbin, Kentucky

Baptist Health Corbin: Palliative Care Treatments and Benefits

Baptist Health provides palliative treatment & care for those with serious illnesses. Learn how palliative care in hospitals can improve quality of life for chronic illness.

Palliative Care Treatments and Benefits in Corbin, Kentucky HealthTalks Transcript

Jennifer J. Skorupa, MD, Palliative Medicine:
Palliative care is a medical specialty for people with chronic or life-limiting illnesses. It is to focus on the quality of life, not quantity of life, and we help people with the support and symptoms that they need at any point during their disease process. Patients that are appropriate for palliative care services include any kind of cancer diagnosis, any kind of life-limiting illness such as congestive heart failure, COPD, or other kind of chronic conditions that, over time, we can naturally expect to deteriorate a patient’s well-being. We have an entire team that helps support the patient and the family. You get a physician or a nurse practitioner, with a nurse as well as a social worker and a chaplain, and our goal is to help patients realize where they are in the disease process to help them plan for the future and what kind of treatments they do or do not want, and to help them with any kind of troublesome symptoms, whether it be pain, nausea, constipation, trouble with their mood or anxiety or agitations. My goal is to be able at the end of every day to know that I actually truly helped somebody, and that’s why I think we all get into medicine to begin with, but really, honestly, most of my enjoyment comes from the personal day-to-day thank yous. Just being able to see the smile on somebody’s face or knowing that we were there for them in the moment.

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Find out more about palliative care services and options offered in Corbin, Kentucky.

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Urolift Treatment Procedure in Richmond, Kentucky

Baptist Health Richmond: Urolift Treatment Procedure

The Urolift procedure is for men with enlarged prostates who are looking for symptom relief from urinary problems. Learn about Urolift from Baptist Health.

Urolift Treatment Procedure in Richmond, Kentucky HealthTalks Transcript

Andrew Todd, MD, Urology
In many men, our prostates grow over time, and it’s very common for men to develop growth of the lobes of their prostate on the two sides or even one up from the middle that can obstruct them and make it difficult to urinate as they age. It’s incredibly common for men to have lower urinary tract symptoms.

Here at Baptist Health Richmond, we offer both the UroLift® procedure, as well as a multitude of other procedures. The UroLift procedure is for men who are suffering from urinary symptoms who do not want to take medications or want to get off them. It has no rate of erectile dysfunction, which is not the case for some other procedures for enlarged prostate.

It typically takes about 15 minutes to place several implants to create a nice open channel. A small telescope is placed in the patient’s urethra inside their prostate, and the small implants are deployed to pull back and open up the lobes of the prostate. Urinary problems — having to get up multiple times at night to pee, having a slow urinary stream — are incredibly common, but it is something that men don’t have to necessarily live with for the rest of their lives. This is an excellent option to treat them in a noninvasive way that can offer many men symptom-free relief for a long time.

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TPA and the Importance of Early Stroke Treatment in Paducah, Kentucky

Baptist Health Paducah: TPA and the Importance of Early Stroke Treatment

Early stroke treatment means a greater chance for recovery and less brain damage. Learn more about the importance of TPA and immediate treatment for strokes.

TPA and the Importance of Early Stroke Treatment in Paducah, Kentucky HealthTalks Transcript

Chapman Offutt, RN, Neuroscience Coordinator
A stroke is either an ischemic stroke, which is when a blood clot blocks an artery in the brain, or you can have a hemorrhagic stroke, where a blood vessel or aneurism ruptures into the brain.

Ronnie White, Paducah, Kentucky
The first sign of my stroke was my stroke. It was on me before I knew it. My wife, she calls 911, I could hear the sirens come, and they came in like gangbusters. We were off to Baptist hospital.

Offutt
For an acute stroke symptom, it’s very important to get to the hospital as soon as possible. Early treatment means a greater chance of recovery and less damage to the brain. As a former EMT, I had a strong foundation in knowing the background of EMS, their sciences, their assessment skills. With their ability to recognize a stroke early, provide immediate intervention, and notify us as soon as possible, our chances of providing excellent stroke care are paramount and give our patients a greater chance of recovery.

Jeremy Jeffrey, Executive Director, Mercy Regional EMS
The most time-saving thing is with the drawing of labs in the field. They have the first set of labs as soon as we get to the door at Baptist Health, and then we go straight to the CAT scan, which saves an enormous amount of time, which for the patient means they get quicker TPA.

Offutt
TPA is a medication used to dissolve blood clots. It’s an IV medication that’s given over an hour, and it dissolves that clot and restores blood flow to the brain.

White
You don’t really know what a miracle is until it happens to you. That shot is a miracle. It’s a miracle.

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Strokes are the leading cause of serious, long-term disability in the United States. 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.

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FAST Warning Signs and Symptoms of a Stroke in Paducah, Kentucky

Baptist Health Paducah: FAST Warning Signs and Symptoms of a Stroke

Baptist Health staff is trained to recognize the signs and symptoms of a stroke using the FAST acronym. Learn more about the warning signs of a stroke.

FAST Warning Signs and Symptoms of a Stroke in Paducah, Kentucky HealthTalks Transcript

Tanner Dublin, Patient Access Coordinator
Mr. Farmer arrived to main registration to sign in for a test that had been ordered by his provider. Upon signing in on his slip, I noticed agitation, [his] speech was a little off, and he was having difficulties writing his name.

Danny Farmer, Boaz, Kentucky
All at once, a little tingle like electricity ran over my whole body, just for the time you could flip your finger. I was trying to say “electricity,” and I started slurring the word and couldn’t get it out. He spotted me real quick.

Dublin
Once I noticed that his face had started to draw, my supervisor called Code Stroke, and my team lead called the ER charge nurse to notify them of what was going on. Within 30 seconds, they were there. They got him to where he needed to be.

Chapman Offutt, RN, Neuroscience Coordinator
He was able to receive TPA. TPA is a medication used to dissolve blood clots. It’s an IV medication that’s given over an hour, and it dissolves that clot and restores blood flow to the brain.

Farmer
I was amazed that the young man trying to take the information knew what to look for, and then I was told he was trained to do that.

Dublin
During hospital orientation, we go over stroke awareness, and we do have a quick card on our badge that has “FAST,” for face, arm, speech and time. Knowing [this], with his slurred speech and with his face starting to draw, he was indeed having a stroke.

Farmer
I think the world of Baptist Health for doing their job and doing stuff like that. The Lord was looking after me, taking care of me that day.

Do You Know Your Risk of Stroke?

Strokes are the leading cause of serious, long-term disability in the United States. 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.

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Prostate Cancer Screening in Madisonville, Kentucky

Baptist Health Madisonville: Prostate Cancer Screening

Prostate cancer is common in men in the US, and is often times asymptomatic. Learn more about getting a prostate screening at Baptist Health today.

Prostate Cancer Screening in Madisonville, Kentucky HealthTalks Transcript

Bradley Bilbro, DO, Family Medicine
It’s important for men to see a primary care physician just to make sure they are getting the routine screenings that they need. As we age, our bodies are more likely to encounter problems with wear and tear and different diseases. One very important aspect of men’s health is prostate health. Prostate cancer is extremely common in men in the United States, and oftentimes it’s asymptomatic, which means that we can only find it by doing recommended screenings.

Screening guidelines right now recommend that men between 55 and 69 are screened. If you have a family history with a father or brother who has had prostate cancer, you definitely need to consider screening. If you are African American, you are more likely to be diagnosed with prostate cancer and should consider screening.

To screen for prostate cancer, we do a blood test called a PSA, prostate specific antigen. It’s a simple blood test that looks for antigen produced by the prostate. If it is elevated, we will do further workup to further evaluate our need. The benefit of finding prostate cancer early is we try to find it while it is still small and localized, before it starts spreading and becoming more difficult to treat. This decreases overall mortality and gives a better outcome.

It’s very rewarding to help men with their health issues. I know that many men don’t like coming to providers. When I have male patients, and we’re doing things that need to be done, and we’re finding things early and treating their conditions, it’s just very rewarding knowing that you’ve done something that they would have likely not ever done otherwise.

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Enhanced Recovery After Surgery in Madisonville, Kentucky

Baptist Health Madisonville: Enhanced Recovery After Surgery

This evidence-based approach to surgical care improves the outcomes of our surgical patients. Learn more about the benefits of ERAS on the Baptist Health blog.

Enhanced Recovery After Surgery in Madisonville, Kentucky HealthTalks Transcript

Erin Crook, APRN, Preoperative Education
Enhanced recovery after surgery, also known as ERAS, is an evidence-based approach to surgical care that was designed to improve the outcomes of our surgical patients. The ERAS process is initiated when a surgeon initially identifies the patient in the office. We go over their expectations, go over any questions or concerns that they may have. We discuss optimizing them to their best physical capabilities. The week or so before surgery, we like them to get at least 15 minutes per day of physical activity.

The goals of ERAS are to better prepare the patient for surgery, both physically and emotionally. We also want earlier return of bowel function, we want to shorten their stay at the hospital, and we of course want to prevent post-operative complications, such as pneumonia, blood clots and surgical infections.

Traditionally, after surgery, patients were often given opioid pain medications, but with the multimodal analgesia, they are getting Tylenol®, non-steroidal anti-inflammatory medications, local anesthetics. All of these things are preventing them from having to use opioid medications as much. So, ultimately, if we can decrease the use of opioid medications, then this would result in better outcomes for our patients.

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High-Risk Obstetrics and Gynecology (OBGYN) in Louisville, Kentucky

High-Risk Obstetrics and Gynecology (OBGYN) in Louisville, Kentucky

Maternal-fetal medicine (MFM) doctors are trained in high-risk obstetrics to help during more complicated pregnancies. Learn more about maternal-fetal medicine.

High-Risk Obstetrics and Gynecology (OBGYN) in Louisville, Kentucky HealthTalks Transcript

Agatha Critchfield, MD, Maternal-Fetal Medicine
A maternal-fetal medicine physician is someone who is trained as an obstetrician/gynecologist or OB/GYN, who then goes on to do extra training in high-risk obstetrics. In this field, we’re taking care of moms and fetuses, really two patients, when something is not going quite right, or there is the potential for something to not go quite right in the pregnancy.

We utilize a lot of ultrasound, because that gives us a real-time look at the fetus and how the baby is doing. We do some advanced screening techniques through bloodwork. Then, there are some diagnostic procedures that we do, commonly, one being chorionic villus sampling, where we might take a sampling of the placenta to do some genetic testing, or amniocentesis, where we take a sampling of the amniotic fluid around the fetus to do testing.

I love my job. For me, there’s a lot of satisfaction in taking care of moms and families during what is often a very anxiety-provoking or scary time for them. Usually patients are coming to me because there is something going on, and I enjoy walking them through that process.

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Baptist Health Louisville maternal-fetal specialists to help keep mom and baby healthy and gives personalized care.

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Heart Attack Emergency Treatment in Corbin, Kentucky

Baptist Health Corbin: Heart Attack Emergency Treatment

If you experience sudden chest pains, it is critical you take immediate action and seek treatment. Learn more about heart attack emergency treatment options.

Heart Attack Emergency Treatment in Corbin, Kentucky HealthTalks Transcript

Prem Subramaniyam, MD, Interventional Cardiology
Heart attack remains the number one killer here in the United States and across the world. When you experience sudden chest pain, which may very well be due to a major heart attack, it is always important for you to call 911. When EMS gets an EKG in the ambulance, the EKG gets transmitted to the whole team. By the time the patient presents at the hospital, everybody is ready to take the patient to the procedure room to try to open up that artery within 60 minutes.

When patients present with a major heart attack, it’s usually due to one of the major arteries of their heart being completely blocked. The best treatment to open up that artery is by using balloons and stents. A stent is, essentially, a metal mesh tube that your heart doctor will insert into your heart arteries once he opens up that blockage. The stent will keep the artery widely open for a longer period of time.

Sometimes patients present to the hospital with chest pain, and they might have a minor heart attack that we usually diagnose with a blood test. Still, doing a procedure called a coronary angiogram to identify the blockage and open up the blockage with balloons and stents remains the treatment of choice, even for minor heart attacks.

Here at Baptist Health Corbin, we have a fully functional cardiac cath lab where we have a team of people who are on call 24/7. When patients present with heart attack, time is of the essence. The earlier we open up that blocked artery for you, the better your long-term survival and prognosis.

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Teen Mental Health in Richmond, Kentucky

Baptist Health Richmond: Teen Mental Health in Richmond, Kentucky

Suicide among teens is a leading cause of death. Learn more about Baptist Health’s teen mental health programs, which offers mental health crisis intervention.

Teen Mental Health in Richmond, Kentucky HealthTalks Transcript

Katelyn Arvin, LPCC, NCC, Behavioral Health:
Suicide is the second leading cause of death in teens age 15 all the way up to youth at 24. At Baptist Health Richmond we are here to support that population, and we owe it to our youth to pay attention and help them through.

Signs of distress would be social isolation, withdrawing, hopelessness and a remarkable or notable change in their behavioral patterns. It can be overwhelming to present to the emergency department for a mental health crisis. So, when someone presents to the ER for a mental health crisis assessment, they can anticipate to come in with their loved one. They don’t have to disclose everything right away, they can just say that they’re here to talk to a mental health professional. Then, we will have a behavioral health clinician, a licensed therapist, meet them directly at their bedside.

We’ll do a full evaluation and consultation and work directly with that teen and their family in deciding what recommendations and referrals we make at that time. It’s important when a teen discloses to us that they’re having these feelings of hopelessness that we listen, and we’re attentive and help them understand that this is a temporary feeling and that this, too, will pass. We have to sit with them and get them through, bridge that gap, and help them move through the pain instead of succumbing to it.

Hepatitis C in Richmond, Kentucky

Baptist Health Richmond: Hepatitis C

Hepatitis C can potentially lead to liver disease. Learn about treating hepatitis C at Baptist Health in Richmond, which offers diagnostic and treatment services.

Hepatitis C in Richmond, Kentucky HealthTalks Transcript

Jagannath Sherigar, MD, Gastroenterology:
Hepatitis C is a viral infection that leads to inflammation of the liver. It’s a worldwide problem — it’s a worldwide, major problem. In the U.S. alone, we have more than 3 million people living with a chronic hep C infection. There are many people who may not have any symptoms with a chronic infection, but they are still able to spread the infection. Chronic hepatitis C can lead to serious complications, including scarring of the liver, what we call liver cirrhosis.

Cirrhosis is also the leading cause of liver cancer. Hepatitis C spreads when blood from an infected person comes into contact with an individual without an infection. Today, most of the infection is from needle exchange from IV drug use, sexual contact, body piercing, body tattooing in a substandard setting, and also an infected mother to an infant during childbirth. Hepatitis C is diagnosed with a simple blood test.

Today, we can proudly say we have a cure for hepatitis C infection. With simplified treatment, we can treat this infection in a few weeks’ time with simple oral pills. We at Baptist Health have all the tools to diagnose and treat patients with infection, and also manage the complications.

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.