Baptist Health Paducah: What Family Medicine Means
Family medicine providers focus on helping families become and stay healthy through prevention and lifestyle management. Learn what to expect when you visit a Baptist Health family medicine practice in Paducah, Kentucky.
What Family Medicine Means in Paducah, Kentucky HealthTalks Transcript
Michael Watson, DO, Family Medicine:
I think the biggest goal for primary care is to focus on prevention and to focus on lifestyle management. The biggest thing that I tell people is, it’s worth having someone screen, ask some questions, do an exam once a year to identify things that might be a problem before they’re actually a health concern.
I take care of patients from all ages. I’m trained to take care of newborns, adolescents, and the entire pediatric medicine. I take care of geriatric patients, and I take care of everybody else on this journey of life in between.
With my practice being part of Baptist Health, it’s easy for me to make referrals to provide testing and to order imaging for patient needs beyond whatever I can take care of in our office. Many of those specialists are a phone call away. Our office staff works together with them, and it’s easy for us to be able to accommodate extra needs that a patient may need.
What I like most about family medicine is that I get to see the entire family and I get to understand their dynamic as a family unit. Knowing the health of the parents allows me to better take care of kids because I know more about what to screen for, I know more about risk factors, as they age and as they continue to grow and develop, than I would if I was just seeing them as an individual.
Baptist Health Madisonville: Anticoagulation Clinic
This anticoagulation clinic in Madisonville helps patients with DVT or pulmonary embolism manage blood clot formation in legs, hands, and more. Learn about anticoagulation from Baptist Health.
Anticoagulation Clinic in Madisonville, Kentucky HealthTalks Transcript
Erin Larkins, APRN, Heart Care:
The types of patients who are enrolled in the anticoagulation clinic are patients who’ve been diagnosed with a DVT, which is a deep vein thrombosis, which can be anywhere in the body, from the legs to the arms, and pulmonary embolism patients who have blood clots that have been diagnosed in their lungs. Patients who have an irregular heartbeat, known as atrial fibrillation, are also placed on anticoagulation.
For some patients, it’s short term, three to six months or six to 12 months, and then we’re able to stop their anticoagulation, and everything goes back to normal. The newer medications are somewhat easier to incorporate with their regular lifestyle. They don’t have to have a lot of restrictions, other than knowing they are at increased risk for bleeding, and they may want to modify their lifestyle.
In our Coumadin clinic, I think the patients somewhat embrace coming in to see our registered nurses. They depend on them to be able to have the confidence that they are appropriately dosed and managed with their Coumadin. They have security that, if anything should go wrong, or if they need to have a procedure, the Coumadin girls would absolutely take care of that for them for their dosing, and they can have confidence that it’s done appropriately.
Gwendal Plain, RN:
I would really encourage patients and family members to come and see and experience the difference in care here at Baptist Health Madisonville. I say, “When you chose Baptist Health, you’re choosing excellent care every time.”
Baptist Health Madisonville: CABG Open Heart Surgery
A coronary artery bypass graft (CABG) is an open heart surgery procedure that requires precise attention to care. Learn about the importance of having CABG surgery at a local hospital from Baptist Health.
CABG Open Heart Surgery in Madisonville, Kentucky HealthTalks Transcript
Clay Davis, APRN, Heart Care:
Coronary artery bypass graft is a form of open-heart surgery. You may often hear it referred to as bypass surgery or “cabbage” (CABG). This procedure is used to treat coronary artery disease or blockages in the heart, which often provides a more durable long-term solution to coronary artery disease.
When patients hear they may require open-heart surgery, sometimes they may feel they need to go to a larger city to receive a high quality of care and really, that couldn’t be further from the truth. The advantage of having your surgery locally is you’re 15-20 minutes away from your surgeon if any complications arise. You’re also close to our nurse practitioners, who are readily available to assess you and make adjustments as needed. If you call from home, we can work you in.
Anthony Brown, Madisonville, Kentucky:
I started with the pain radiating up my arm, into my chest while I was walking. As I walked, the pain would subside. Later on, it would start again, and so I decided then that I should see someone in the emergency room.
The benefits of coronary bypass graft include restored circulation to the heart muscle that allows the heart to pump more efficiently. A lot of times, patients may see their exercise tolerance and their ability to tolerate overall activity, walking distance, and completion of the activities of daily living are much easier.
I feel so much better, so much younger, and I just have more energy than I’ve had for so long. It’s just remarkable.
Baptist Health Louisville: Regenerative Use of Bone Marrow Aspiration
The bone marrow aspiration procedure uses stem cells to help the body repair itself and generate new tissue to damaged areas. Learn about this regenerative stem cell therapy from Baptist Health.
Regenerative Use of Bone Marrow Aspiration in Louisville, Kentucky HealthTalks Transcript
Christopher Pitcock, MD, Sports Medicine:
Regenerative medicine is using the patient’s own body tissues to help the body repair areas that may be damaged, such as cartilage, tendons or ligaments. Bone marrow aspiration is a way for us to obtain stem cells. Stem cells are another type of body tissue cell that helps the body repair itself and regenerate new tissues in injured areas.
In the bone marrow aspiration, there’s an area on the back part of the hip that we localize with ultrasound, then we anesthetize that area and go in with a needle and draw out about 60 cc of bone marrow. That is then put into a centrifuge, and the stem cells are separated, resulting in about 3 to 4 milliliters of stem cell concentration. Then, that stem cell concentration is injected back into the injured area. This can be an alternative to surgery for certain conditions. It’s much safer, has less side effects, and is certainly less invasive and can prevent future surgeries down the road.
The feedback from patients has been really pretty remarkable in my experience. One of the most gratifying parts of this job is being able to get people back to the activity they enjoy. To be able to allow them to be as functional as possible during the day, as safe as they can, and with as less pain as they can.
Baptist Health Louisville: Hyperbaric Treatment for Radiation Wounds
Hyperbaric oxygen therapy (HBOT) consists of a patient going into a large acrylic chamber to increase oxygen to their tissue. Learn about hyperbaric medicine from Baptist Health.
Hyperbaric Treatment for Radiation Wounds in Louisville, Kentucky HealthTalks Transcript
Thomas Rumley, MD, Wound Care:
At the Wound Care Center at Baptist Health Louisville, the particular patients I enjoy treating, because I think it has spectacular results, are the ones who have had damaged tissue related to radiation.
I was diagnosed with squamous cell carcinoma, which is cancer of the jaw. Because of the chemo and the radiation, one of the surgeries did not heal up good, and because of that, they sent me here to the Baptist Wound Care Center.
Danny had chronic pain. [It was] very difficult for him to eat. He was losing weight. Hyperbaric oxygen was really perfect for him to improve the quality of his soft tissue that covers the bone. In hyperbaric oxygen treatment, the patient gets into, basically, a large acrylic chamber, and oxygen is pumped into the chamber at 100% oxygen and at a higher pressure. It increases the oxygen to the tissues, providing nutrition and metabolism to the local tissue that is oxygen poor. The hyperbaric oxygen improves the growth of the new blood vessels. The new blood vessels grow into the area of damage, and it’s made spectacular improvements and helped those who have been really debilitated by some of the effects of the radiation.
Danny Chapman, Louisville, Kentucky:
By the time I left treatment here, I felt like I was part of their family. I really did. I love all of them. They mean a lot to me, and I think that’s what you need when you go through something like this.
Baptist Health Lexington: Minimally Invasive TAVR Heart Procedure
The TAVR procedure, also known as transcatheter aortic valve replacement, is a minimally invasive technique that requires only a small incision in the chest. Learn how Baptist Health uses TAVR to treat heart disease.
Minimally Invasive TAVR Heart Procedure in Lexington, Kentucky HealthTalks Transcript
Anthony Rogers, MD, Cardiothoracic Surgery:
TAVR actually stands for transcatheter aortic valve replacement and actually, it’s not replacement, it’s implantation. The traditional way that we put aortic valves in would be to actually open the chest bone or what we call median sternotomy incision. That’s very invasive. The TAVR is unique in that it’s a minimally invasive technique. Initially, we were going through a small incision in the chest, and today, almost all the patients we’re able to access through the groin, and that’s what makes recovery so quick for these people.
The type of patients we would consider today for a TAVR would be an older patient who would need an aortic valve replacement and the patient who may have other morbidities, such as diabetes, previous history of heart surgery, perhaps bad lung disease. Those are some of the patients, because of other issues, who might be high risk, and those are the patients we particularly would be interested in today.
The recovery time for patients is many of them go home on the second day. They basically have no incisions, the vast majority of the patients, so they have relatively little pain compared to the traditional surgery.
I think the feedback from not only the patients, but the families, is incredible. Many of them are able to get back doing some of the activities they’d like to for their age, which is almost a miracle.
Baptist Health Lexington: Perfusion Imaging for Treating Strokes
Historically, strokes have been difficult to treat because of a lack of advanced technology. Learn about myocardial perfusion imaging and innovation in stroke treatment at Baptist Health.
Perfusion Imaging for Treating Strokes in Lexington, Kentucky HealthTalks Transcript
Curtis Given II, MD, Neurointerventional Services:
Stroke, historically, has been something that’s been very difficult to treat, because we didn’t have a lot of weapons to help treat that stroke. That really all changed in 2015 with people who had a stroke because of a large blood vessel being blocked. We could do something very similar to a heart cath, going through the blood vessels of the leg or the arm, to pull the blood clot out of the head in select patients to really extend that. Now, we have time windows that show that it’s a safe and a very efficacious therapy up to 24 hours in certain stroke patients.
What determines whether we can treat patients 12, 15, or up to 24 hours after stroke is largely based on what’s called perfusion imaging. Meaning that, we’re able to look at the blood flow through the brain with a CAT scanner and assess what is already brain that’s permanently damaged versus what’s brain that’s starving for oxygen and starving for blood that, if we restore blood flow, the patient’s symptoms may improve. We now get these scans on our phones, and we’re able to see immediately and identify when a patient has a large vessel occlusion stroke and know whether they’re a candidate for thrombectomy.
This technology can basically be put in any hospital. We can have access to that and know when people who are having these devastating strokes arrive at a rural community hospital and know that’s a patient who needs to transfer immediately for a procedure that could potentially save their life.
Baptist Health La Grange: Discussing Benefits of Uterine Ablation
Uterine ablation, also known as endometrial ablation, offers benefits for patients who need to control vaginal bleeding. Learn about uterine ablation from Baptist Health.
Discussing Benefits of Uterine Ablation in La Grange, Kentucky HealthTalks Transcript
Amy Richardson, MD, Obstetrics & Gynecology:
Uterine ablation or endometrial ablation is a means for someone to help control their vaginal bleeding. It’s a good option for people who have completed childbearing, who have a structurally normal uterus, who have heavy vaginal bleeding, and don’t want to use hormones or have a hysterectomy.
This is usually done as an outpatient procedure, which means you come in the morning, and you go home in the afternoon. The operative time itself is very short. It’s about five to 10 minutes. While you’re asleep, what we do is dilate the cervix, look inside the uterus with a camera to make sure there aren’t any polyps or masses, and then use the ablation device to help sear the inside lining of the uterus, so that it doesn’t regenerate as fully every month. The recovery time is usually about one to two days.
Usually, we see people back in two weeks for a post-op visit. I also like to see people back in two to three months just so we have an opportunity to see what their cycles are like. Our goal should be a 50% reduction in vaginal bleeding, but thankfully, we often get more than that.
It is important that you have a structurally normal uterus. It’s important that you have a permanent form of birth control, because uterine ablation doesn’t provide you with birth control, but unfortunately, it does keep you from having a normal pregnancy.
For patients who are good candidates for uterine ablation, we have a 95% patient satisfaction rate. The most common thing that I hear about endometrial ablation is “I wish I would have done it sooner.”
Baptist Health Floyd: Using Nitrous Oxide During Labor in New Albany, Indiana
Using nitrous oxide during labor can be an alternative way for mothers to be to manage the pain of childbirth. Learn more from Baptist Health about the use of nitrous oxide in labor and delivery.
Using Nitrous Oxide During Labor in New Albany, Indiana HealthTalks Transcript
Jacqueline H. Riely, MD, MS, Obstetrics & Gynecology, OB/GYN Associates of Southern Indiana:
Here at Baptist Health Floyd, our goal is a healthy baby, healthy mom, and to give our families the birthing experience that they want.
Labor is painful, as we all know, and here we have options for all types of pain management. Nitrous oxide is one of the options. It’s been used in Europe for decades, and in the U.S., it’s not used as much. We’ve been using it here since 2015. The benefit of the nitrous oxide is when they self-administer, they can move around, and it just kind of takes the edge off the discomfort.
Nitrous oxide does not adversely affect the baby in any way. Once the baby takes its first breath, the nitrous oxide is completely removed from the baby, and it does not accumulate in the baby during labor.
I think most patients who are interested in nitrous oxide are looking for more of a non-epiduralized labor. They get into labor, they’re maybe taken aback by the discomfort they’re experiencing, and so, this is just a perfect little something they can use during those painful times.
When they’re using it, their mood does change to a better frame of mind. Their spirit’s lifted, they feel a little bit better, and it does blunt the pain somewhat.
Here at Baptist Health Floyd, I’m very happy to be involved in providing an environment where we are able to deliver healthy babies and create healthy, happy families.
Baptist Health Richmond: Diabetes Management & Nutrition Education
The diabetes self management education classes at Baptist Health in Richmond cover topics such as insulin use and overall nutrition. Learn more about diabetes patient education.
Diabetes Management & Nutrition Education in Richmond, Kentucky HealthTalks Transcript
Beth Taylor RD, CDE, Diabetes Management:
There are several types of diabetes. There’s Type 1 diabetes, and that’s where our body doesn’t make enough of its own insulin, and so those people are usually on insulin injections. There’s also Type 2 diabetes. What causes that most often is maybe we’re overweight, we might have a family history of diabetes, our age is a contributing factor. A sedentary lifestyle also feeds into that, and our eating habits. What happens with Type 2 diabetes is the insulin goes to the cell, but it can’t open it up for the blood sugar to go in to be used for energy.
When participants attend our diabetes self-management education class, they are seen by a nurse here at the hospital who is also a diabetes educator. She covers the different types of diabetes, complications related to diabetes, and how to prevent those. She also covers checking your blood sugar and your blood sugar targets. She goes over the different types of medications and insulins, so that you understand how they work in your body.
Also, you will get an individualized meal plan. We will go over the healthy plate method, and you will know exactly how many carbohydrate servings you should have to help control your blood sugar. She also covers physical activity and the importance of that. Just by changing your lifestyle, becoming more active, changing your eating habits, you have a 60% chance of decreasing your chance of developing Type 2 diabetes.
Baptist Health Richmond: Discussing the Importance of Vaccination
Vaccinations prevent outbreaks of measles, whooping cough, flu, and other diseases. They do not cause autism. Learn why vaccines are important and safe for both children and adults from Baptist Health.
Discussing the Importance of Vaccination in Richmond, Kentucky HealthTalks Transcript
Tamera Spangler, DO, Family Medicine:
Vaccines are an effective way of keeping your family healthy. There are many different diseases out there that can be easily prevented with vaccination, diseases that were once common in the United States, such as whooping cough, polio or even measles. These vaccines can actually prevent these diseases. Smallpox has even been completely eradicated due to the vaccination against the disease.
It’s very important for children to have vaccines; however, it’s important for adults as well. There are several different vaccines that we recommend for adults throughout their lifetimes. This includes tetanus, shingles, pneumonia vaccines, flu, HPV, and even hepatitis vaccines.
Vaccines are very safe. There is a common misconception that vaccines can cause autism; that is not the case. Vaccines are actually more beneficial rather than harmful to you. Vaccines don’t just affect your family. It affects everybody in the community. You’re not just protecting yourself and your loved ones, but you’re protecting other people that you’re around on a daily basis. A child who is not vaccinated has potential to spread diseases to another child who is otherwise healthy and receiving their vaccines.
I encourage all parents to take their children and to keep their vaccines up to date and address this with their primary care physician, along with themselves as well. It’s important for the adults to keep up to date with vaccines too.
Baptist Health Corbin: Advance Care Planning Conversations that Matter
Advance care planning conversations are important no matter what stage of life you are in now. Learn more about the living will process and organ donation from Baptist Health.
Advance Care Planning Conversations that Matter in Corbin, Kentucky HealthTalks Transcript
Alice Tremaine, Advance Care Planning:
Advance care planning is a process of thinking about and communicating your preferences for medical treatment in the event that a sudden or serious accident or an illness leaves you unable to communicate.
A living will is a legal document that allows you to designate a healthcare surrogate and an alternate and to direct your wishes about life-sustaining treatment and artificial foods and fluids in the event of a terminal condition or permanently unconscious state, as well as your wishes regarding organ and tissue donation after death.
At Baptist Health, we have certified advance care planning facilitators who can help you with advance care planning conversations and with the completion of advanced directives like a living will. It’s a free service that we provide to our patients because we believe it’s our responsibility to know your preferences and to help prepare you for the future, so that you can focus on living fully in the present.
Without advance care planning, families are unprepared to make decisions in really difficult situations, because they often don’t know what that individual would choose if he or she could communicate. And even if they are able to make the same decision that individual would make, a lot of times they still struggle with a lot of guilt or conflict. By making the decisions ourselves, we not only ensure that our plans are carried out, but we also take the burden off our families and give them peace of mind during a difficult time.