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.
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.
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.
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.
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.
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.
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.
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.
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.
Baptist Health Corbin: Suicide Prevention Support
The Briscoe Clinic offers programs and services for suicide prevention, mental illnesses and addiction. Learn about suicide prevention support available at Baptist Health.
Suicide Prevention Support in Corbin, Kentucky HealthTalks Transcript
Jonathan Martin, MD, Behavioral Health:
Unfortunately, the statistics for suicide are on the rise — it’s up 31% since 2001. I think people get to that point because they start feeling hopeless, isolated. They don’t see an end to what they’re experiencing or the events going on in their lives at the moment. They see it as the only way out.
Here at the Briscoe Clinic, we offer inpatient psychiatric evaluations. We offer intensive outpatient programs, where you come for group, and individual therapy for both mental illness and addiction.
As communities and families, there are a couple of things that we could do to support each other, to help make that a little bit better. One thing is just offer support. Be around. Be empathetic. Be encouraging.
Chalk the Walk is an event that we hold every year for National Suicide Prevention Awareness Month. We have people draw on the sidewalk and they offer words of encouragement and support to try to inspire people, raise awareness for mental illness, and try to do away with the stigma that we have around mental illness.
1.800.395.4435 is a 24-hour hotline that will connect you to someone trained in mental healthcare at the Briscoe Clinic. They can provide information about mental health services, whom you should contact if you’re having a crisis, and provide support and guidance for the next step.
Baptist Health Corbin: Inpatient Rehabilitation Services
Our inpatient rehabilitation services include physical, occupational and speech therapy. Learn more about Baptist Health’s inpatient rehab facility in Corbin.
Inpatient Rehabilitation Services in Corbin, Kentucky HealthTalks Transcript
Lynette Lawson, Physical Therapy, Baptist Health Corbin:
Baptist Health’s inpatient rehab facility is a 20-bed unit, and we offer physical, occupational and speech therapy, as well as specialized nursing care.
We see a variety of illnesses and injuries in our unit. Some examples are strokes, fractures resulting from a fall, spinal cord injuries, traumatic brain injuries, injuries sustained in a motor vehicle accident, as well as generalized debility from a prolonged hospital stay or illnesses.
We are our own unit, and you will receive all your services in-house. We have all of the therapy and nursing staff, all in our unit. We offer a hands-on approach and treat our patients like family.
The car transfer simulator unit is used indoors to work on functional transfers in a safe and controlled environment.
A lot of patients we receive in this unit have been in area hospitals that have been farther away from here during their acute needs. They choose to come to Baptist Health Corbin because it is close to home. That allows them to get more visitors from family and friends, and helps them in the recovery process.
Our objective is to get the patient to return home, and to get them as safe as possible and as independent as possible.
Baptist Health Richmond: Nutrition Health Education
Healthy diet education includes, but isn’t limited to, knowing what foods to eat and how much exercise to get. Set your nutritional goals with a certified dietitian from Baptist Health.
Nutrition Health Education in Richmond, Kentucky HealthTalks Transcript
Mollie Such, RD:
Here at Baptist Health Richmond, we offer nutrition classes to a wider range of individuals. We see a lot of infants who are having trouble gaining weight, adolescents who are having trouble losing weight. We see adults for heart disease or kidney disease, cancer patients who are losing weight at a rapid rate. We see patients who are struggling with eating disorders. All those disease states need nutrition, right?
Nutrition is vital to our health. It’s very important that they seek advice from a trained clinician, like a dietitian, and we get to offer those services here at Baptist health.
At your initial appointment, we review your packet that you filled out, which includes a 24-hour recall. We really want to find out where you are in your journey of this lifestyle change. Are you ready to make a change? Do you need some assistance? That’s where we come in to provide you with evidence-based education that will help you reach those goals.
At the end of the session, we like to set at least three goals that are going to help you accomplish your long-term health goals. Our goal is for you to succeed in whatever health outcome you have set. It’s really important, and it works. When you come for nutrition counseling, and you have the motivation and the desire to change, you can change.
Our joy is your success here at Baptist Health Richmond.
Baptist Health Paducah: Therapeutic Hypothermia after Cardiac Arrest
Therapeutic hypothermia is the lowering of the body’s temperature after cardiac arrest to preserve neurological function. Learn more about therapeutic hypothermia protocol from Baptist Health.
Therapeutic Hypothermia after Cardiac Arrest in Paducah, Kentucky HealthTalks Transcript
Allison Rains, MD:
Therapeutic hypothermia is a lowering of the body’s core temperature after a cardiac arrest to preserve neurologic function. When we lower the body’s core temperature, the body shuts blood to its most vital organs, which would include the brain, in hopes that the brain would preserve its function.
The cooling involves placing several pads on the patient’s body, and we continuously run cool water through the pads to cool the temperature down. They’re cool for 24 hours, and then they’re re-warmed for 24 hours and at that point, we reassess their neurologic function.
Ms. Hoskins came in and was unresponsive. Soon thereafter, she went into cardiac arrest, which was a witnessed event. At that point she did not have any noticeable neurologic functions, so we decided to cool her body to try to preserve any neurologic function that she did have at that point.
Tammy Hoskins, Paducah, Kentucky:
When I woke up, I didn’t know what … I couldn’t really see anyone, and I didn’t know why I had all these tubes and stuff running from me everywhere. I’m like, what is this, where am I?
I was very concerned that she wouldn’t walk out of the hospital. When we saw her, and she was back to baseline and normal, I was extremely happy.
Baptist Health, I’m glad they had the right tools and technology to bring me back.