Breast Cancer Treatment Options and Surgery in La Grange, Kentucky

Baptist Health La Grange: Breast Cancer Treatment Options and Surgery in La Grange, Kentucky

Baptist Health uses cutting-edge medicine in breast cancer removal surgery to prevent the spread of breast cancer. Learn about the types of breast cancer removal surgery from Baptist Health La Grange.

Breast Cancer Treatment Options and Surgery in La Grange, Kentucky HealthTalks Transcript

Patricia Figert, MD, General Surgery:
Usually, patients actually are diagnosed with breast cancer by a general surgeon, and we’re really the first line, or first physician that they will have consultation with.

In Baptist Health La Grange, we offer the entire complement of breast surgery, from lumpectomies to mastectomies, and with mastectomies, we also offer the full complement of skin sparing, as well as nipple sparing.

In a lumpectomy, we’re trying to actually save the patient’s breast, and so we would only remove the cancer with just a little bit of the normal breast tissue around it. In a sentinel lymph node biopsy, sentinel meaning first, if the sentinel node is found to be positive, then we would move on during that surgery to do a formal axillary lymph node dissection, which would be removing the remainder of those lymph nodes out from underneath the arm for staging.

The hospital is small, therefore, it gives a lot of personal attention and individual attention to the patients, and it’s a community hospital, so a lot of our patients we know.

The Roles of Breast Cancer Surgeons and Specialists in New Albany, Indiana

Baptist Health Floyd: The Roles of Breast Cancer Surgeons and Specialists in New Albany, Indiana

Baptist Health breast cancer surgeons provide personalized treatment to all breast cancer patients. Learn about the different ways surgeons and specialists treat breast cancer.

The Roles of Breast Cancer Surgeons and Specialists in New Albany, Indiana HealthTalks Transcript

John “Paddy” McCormick, MD, General Surgery:
A lot of times, the first time we meet a patient is when they’ve already been diagnosed with breast cancer, they’ve already had their mammogram, they’ve already had a biopsy. General surgeons are the first doctor they meet right after that diagnosis. Our role is to talk to them about what the diagnosis means and then to act as the entryway into the many different therapies they have available to them.

Here at Baptist Health Floyd, we have general surgeons who remove breast cancer. We have oncologists who are interested in treating breast cancer with chemotherapy and with hormonal therapy regimens, and then we also have radiation oncologists who assist with radiating the breast after surgery or after chemotherapy. The advantage of that is that we can all come together and tailor an individual treatment approach for each patient.

Our center is NAPBC accredited. My job is to make sure that the breast cancer treatments we’re offering our patients are up to date and up to the standards that are required nationally.

The first time I really found out about breast cancer was when I was in grade school. My aunt, who I was very close with, was diagnosed with a very aggressive form of breast cancer. I respected the surgeons who were taking care of her and kind of wanted to be like them.

A patient can come in with breast cancer. They can have surgery. That breast cancer can be removed. That’s really rewarding for me — the fact that you can restore people to their state of health before they had the diagnosis of cancer.

Breast Cancer Treatment and Removal Surgery in Corbin, Kentucky

Baptist Health Corbin: Breast Cancer Treatment and Removal Surgery

Baptist Health uses advanced medicine in breast cancer removal surgery to proactively prevent the spread of breast cancer. Learn about the process and the types of breast cancer treatment surgery at Baptist Health Corbin.

Breast Cancer Treatment and Removal Surgery HealthTalks Transcript

Barbara Michna, MD, General Surgery:
Since the ’90s, mammography has probably led to about a 40% improvement in breast cancer mortality. If found at an early stage, there are more surgical options than if it’s found at a later stage, but there are always different treatment options, which typically include surgery, sometimes radiation, sometimes chemotherapy, and sometimes hormonal therapy.

Aaron House, MD, General Surgery:
Once you’ve been diagnosed with breast cancer, one part of the treatment of your cancer will be the surgical aspect. We categorize the surgery into two broad spectrums, the first being your traditional mastectomy, or removal of the entire breast, or breast conservation therapy, which is simply removing the portion of the breast that has the tumor in it with a normal rim of tissue around that, called negative margins. We just want to make sure there’s no cancer at the edges of what we take out.

With both surgeries, you will also undergo what is called “axillary nodal staging,” or assessing the lymph nodes under the arm, and a pathologist at the time of surgery will let us know if there’s cancer in those lymph nodes. If we find cancer in those lymph nodes, we may proceed with removing the remaining lymph nodes under the arm or, if it’s negative, we’re done with the surgery, and we can rest assured that cancer has not had access outside of the breast.

Jared Nimtz, MD, Plastic Surgery, Commonwealth Plastic Surgery:
A patient can benefit from breast reconstruction in the postoperative period after a mastectomy. Some people, when they come to see me, aren’t sure how things are going to wind up proceeding over the next several years of their lives. For the overwhelming majority of patients, they are very pleased with their reconstruction. It allows them to feel some sense of their identity again. They feel like their sense of self is back again. They’re going to do just great.

Symptoms & Treatment of Polycystic Ovary Syndrome in Richmond

Baptist Health Richmond: Symptoms & Treatment of Polycystic Ovary Syndrome

Polycystic ovary syndrome is a treatable condition with varying symptoms that affect many women. Learn more about the causes and symptoms of polycystic ovary syndrome with Baptist Health Richmond.

Symptoms & Treatment of Polycystic Ovary Syndrome in Richmond HealthTalks Transcript

Angela Smitha, PA-C, Obstetrics & Gynecology:
Polycystic ovary syndrome is a hormonal disorder that is characterized by women that overproduce androgen hormones. Androgens are typically male hormones, but when women overproduce them, it can lead to a certain set of symptoms we call polycystic ovary syndrome. The symptoms include absence of periods, irregular periods, painful periods. There can be issues with acne. Facial hair is a big issue for a lot of women. Weight gain can be an issue fairly frequently. Difficulty getting pregnant is pretty common as well.

We diagnose it with three different criteria. Oligomenorrhea is defined as having less than nine menstrual periods per year. Amenorrhea is when a lady would go three months in a row or more without a period. We also sometimes will check bloodwork, which actually measures the androgen levels in the blood.

Exercise and losing weight are things that are very helpful for women that have PCOS. We sometimes use medications in the form of hormones that can be birth control pills or progesterone that will help regulate periods.

If anyone has concerns, or is seeing symptoms, those are signs that they would want to come in and be screened for polycystic ovary syndrome.

OB/GYN Personalized Care from Teens to New Mothers in Paducah

Baptist Health Paducah: OB/GYN Personalized Care from Teens to New Mothers

Baptist Health’s community-based healthcare ensures patients are optimally supported by their local health centers. Learn how patients benefit from having a team dedicated to women’s health needs right here in Paducah.

OB/GYN Personalized Care from Teens to New Mothers in Paducah HealthTalks Transcript

Katherine Williamson, DO, Obstetrics/Gynecology:
Being able to help someone that you’ve known for such a long period of time, I feel like gives you a better connection with that patient. I’m able to care for them, I feel like, better because I am from the area and I do know what it is like to live in Paducah, Kentucky.

My favorite part about being an OB/GYN is delivering babies. I think it’s amazing being able to deliver someone who I’ve gone to school with and have known for a long period of time. I feel like it helps with their care because I’ve known this person for so long. I know physicians want the best for their patients, but I truly do want the best for these patients, and I do want the best for the people in this community because it’s given so much to me.

One of the things that I’m really passionate about is HPV vaccination. You can vaccinate your child and you could potentially prevent them from having cancer later on in life. Whether it be cervical cancer, vulvar cancer, vaginal cancer, anal cancer or pharyngeal cancer. It’s something that I think we need to cultivate because young people who are exposed to the higher risk HPVs can end up having to have surgical procedures or a hysterectomy because of cancer at a very young age. If we can vaccinate these patients, then why wouldn’t you do it?

​Baptist Health has programs and services to meet the emotional and physical needs in support of women’s health. From the traditional areas of reproductive health to promoting vibrant physical health and emotional well-being, Baptist Health is dedicated to meeting women’s health needs through all stages of life.

One-Stop Medical Center and Urgent Care in Powderly

Baptist Health Madisonville: One-Stop Medical Center and Urgent Care in Powderly

Learn about the one-stop urgent care and medical center at Baptist Health Madisonville’s Powderly location. Discover the convenience of having a state-of-the-art medical clinic and pharmacy right in the Powderly area.

One-Stop Medical Center and Urgent Care in Powderly HealthTalks Transcript

Cheri Fogle, APRN, Primary Care:
The services that we provide here at Baptist Health Powderly are varied. We have primary care on one end of the clinic, and that supports 10 providers for primary care. On the other end of the clinic, we have urgent care, and urgent care is open 8 to 8, Monday through Friday, 9 to 5 on Saturday, and 12 to 5 on Sundays. We also offer lab facilities, so the patient can become more compliant, with easy access for labs. If they’re seen in the office, we can easily send them down the hall to obtain their X-rays and labs immediately. We also have a pharmacy here in the clinic, and they can pick up their prescriptions on the way home.

We have several specialists that come here periodically throughout the week. That’s very convenient for patients because they don’t have to travel. They can come right here, see their primary care provider, go right down the hall, and see their specialist.

So many of the providers here are local. We grew up in the area. We went to school and then came back to provide medical care here. This was a clinic designed with a vision of a large one-stop facility for medical care.

I love working in Powderly. This is what I know. This is where I grew up. I enjoy taking care of the people that I see on a daily basis in the community.

Managing Type 1 & Type 2 Diabetes in Madisonville

Baptist Health Madisonville: Managing Type 1 & Type 2 Diabetes

Baptist Health has a variety of educational programs and treatment options for managing Type 1 and Type 2 diabetes. Learn more about improving your quality of life with ways to stay healthy and manage diabetes.

Managing Type 1 & Type 2 Diabetes in Madisonville HealthTalks Transcript

Crystal Ward, APRN, Family Medicine:
Diabetes is a condition that leads to high blood sugar. This happens when the body doesn’t use its insulin well or doesn’t make enough insulin. Insulin is a hormone that takes the blood sugar from the foods we eat and carries it into the body’s cells.

Type 1 diabetes is caused when your body’s immune system attacks the cells in the pancreas that make insulin. These people must take injections of additional insulin every day for the rest of their lives.

Type 2 diabetes is thought to be caused by a combination of genetic factors and lifestyle factors. Type 2 diabetes is treated by first adjusting those lifestyle modifications, which means the way that you eat, eliminating concentrated sugars, adding exercise to your life, and controlling your blood pressure.

Everybody needs to be screened every year, because at least 28 percent of the people in the United States that are affected by diabetes don’t have the diagnosis yet, and it can cause such a huge impact. Those with diabetes are much more likely to die of a heart attack or a stroke.

Your primary care provider can help you manage your diabetes, whether it’s Type 1 or Type 2. At Baptist Health in Powderly, we are able to spend the time it takes to learn what you need and get you to the highest level of health possible.

The Benefits of Weight-Loss Surgery Options in Louisville

Baptist Health Louisville: The Benefits of Weight-Loss Surgery Options

Learn about the benefits of bariatric surgery by watching this patient’s story of how weight-loss surgery saved his life. Baptist Health Louisville offers new advances in weight-loss surgery options and procedures.

The Benefits of Weight-Loss Surgery Options in Louisville HealthTalks Transcript

Keith Slack, Louisville, Kentucky:
I’ve always been a big guy, always been tall. In high school, I was around 240 pounds, so I was a pretty big guy then, but I was always an active guy. At one point, I started having problems with my back. I was having lower back pains. I woke up one morning; I couldn’t move anymore. It started to eat me up inside. I started to get depressed. Everything I ate turned straight to fat.

John Oldham Jr., MD, General & Bariatric Surgery:
Obesity causes a lot of diseases. We call them comorbidities — hypertension, sleep apnea, diabetes, heart disease, liver disease, and so on. Weight-loss surgery is there to resolve comorbidities. The gastric sleeve or sleeve gastrectomy is a bariatric procedure where we remove about 85 percent of the stomach. It’s actually taking part of the stomach that produces the ghrelin hormone, which is the hunger hormone, so a lot of gastric sleeve patients have a decreased hunger sensation or decreased appetite, because that hormone is being taken out.

I talked to Dr. Oldham. He told us about all these different options. I went with the gastric sleeve. It literally changed everything for me. I went from 421 pounds to down to where I’m at now, fluctuating between 225 and 230. What Dr. Oldham and his staff told me — you follow their program, I mean, I’ve lost 195 pounds. It works, and it works really, really good. I tell you, it saved my life. It really did.

At Baptist Health, your weight loss journey begins by attending one of our information seminars. Even if you have been overweight your whole life, we can help you get on track toward a healthier, happier you. When you come to Baptist Health for weight loss, you have a lot of treatment and surgical options. During our information seminars, we explain all of these options as well as the comprehensive support that goes with them. 

Participating in Cardiac Research & Clinical Trials in Louisville

Baptist Health Louisville: Participating in Cardiac Research & Clinical Trials

Cardiovascular research trials are investigations to determine if a new drug, device, or procedure can treat a specific heart disease or condition. Learn more about participating in cardiology research trials with Baptist Health.

Participating in Cardiac Research & Clinical Trials in Louisville HealthTalks Transcript

Todd Bryan, Clinical Research Manager:
Clinical trials are investigations to try to determine whether a new drug, device or procedure are effective in treating a particular disease or condition. The cardiology trials that we typically conduct here are either device trials, in which we’re looking at new devices like pacemakers or stents. We do drug trials, which look at different drugs to treat different cardiac conditions. Then, we have a whole other class of research that are just registry trials where we’re collecting long-term data on the long-term use of some new devices, drugs or treatment.

Kathleen Clark, RN, Research Coordinator:
We have several studies going. We’re really excited about our FLASH study, which is a pulmonary embolism study. It’s kind of a new approach to treating pulmonary embolisms without the use of thrombolytics. We have a Decide-ICD trial, which is a patient decision aid. It is a real-world use of decision-aid tools to help patients make better decisions about whether or not they want to get an ICD [implantable cardioverter defibrillator]. We also have the His-SYNC study. It is a novel approach to cardiac resynchronization therapy for patients that normally would not be candidates. It’s a way to give them an alternative treatment.

The benefits of being part of a clinical trial include potentially being part of a better treatment for your disease, contributing to the general knowledge about how to treat your disease, and hopefully helping other people in the future with the same condition that you have.

To learn more about the trials that we have in cardiology, you can go to and find a full listing of all the trials available at all of our locations.

How to Prevent a Heart Attack in Lexington

Baptist Health Lexington: How to Prevent a Heart Attack

Interventional cardiologist Azhar Aslam, MD, discusses heart attack prevention and steps patients can take to help avoid heart disease. Learn more in this video from Baptist Health Lexington.

How to Prevent a Heart Attack in Lexington HealthTalks Transcript

Azhar Aslam, MD, Interventional Cardiology:
Despite all the efforts, heart disease remains a No. 1 cause of death all over the world, especially in the United States. Based on research, we know there are seven features that can lead to an event-free, heart-healthy life. These include: no smoking; no consumption of processed sugars, carbohydrates or saturated fats; regular exercise, including 30 minutes, five times a week, or at least 150 minutes per week in different, divided intervals; a blood pressure goal of less than 120/80; fasting blood sugar goal of less than 100; total cholesterol goal of less than 200; and a BMI or body mass index of less than 25, which is a ratio of your height to weight.

It is easy to ignore your health, but with a little bit of effort, minor changes over a long period of time can have excellent long-term benefits.

It is a proven fact that family history and genetics plays an important role in developing heart disease and all other diseases. However, just because your father or mother or your family has suffered from a heart attack, does not mean that you should fall victim to the same disease. You can be more aggressive in modifying your risk factors, taking care of your health in better ways, and prevent that heart attack.

New Medications after a Heart Attack in Lexington

Baptist Health Lexington: New Medications after a Heart Attack

Dr. Robert Sawyer, MD discusses advances in medication for patients who’ve suffered a heart attack. Learn more about post heart attack medication with this video from Baptist Health Lexington.

New Medications after a Heart Attack in Lexington HealthTalks Transcript

Robert Sawyer, MD, Cardiology:
After a patient has a heart attack, it’s really important — probably the most important thing — that the patient is able to take the medications that we prescribe because our No. 1 goal after a heart attack is to prevent the next heart attack.

We are very excited about three groups of medications because they affect most every patient in our practice. The first is a group of medications used to treat high cholesterol. It’s so important for patients to be able to reduce their cholesterol levels to help prevent strokes and heart attacks. An example of that is Repatha® and Praluent®. They’ve been shown to be very effective, reducing cholesterol levels over 50 percent, and are very well tolerated and probably better tolerated than the statin class of medications.

Another group of medications is for diabetics, and the specific medication is called Jardiance®. It’s also been shown not only to reduce the levels of blood sugar and even the weight of some patients and blood pressure, but also to reduce the chance of a heart attack.

The third is a medication called Entresto®, and we’re very excited about it for our heart failure patients or our patient that has a weakened heart muscle. It’s shown really good evidence to prevent even death from a cardiac cause or hospitalization for heart failure in a large group of patients. We’re very excited about these new medications, and we often try these with our patients and see really good results.

ACL Surgery Recovery & Physical Therapy Timeline at La Grange

Baptist Health La Grange: ACL Surgery Recovery & Physical Therapy Timeline

Watch a patient’s story of how advances in ACL surgery recovery impacted her experience. Baptist Health offers new advances in ACL surgery and physical therapy to encourage faster recovery for patients.

ACL Surgery Recovery & Physical Therapy Timeline at La Grange HealthTalks Transcript

Allison Vialpando, Buckner, Kentucky:
I got injured at the Kentucky high school state tournament, running the bases. I was rounding first, and my knee stayed in place as my body went in one direction. My knee kind of just popped.

Nicholas Kenney, MD, Orthopedic Surgery:
When a patient tears their ACL, the main option available to them, particularly if they want to stay active, is a reconstruction of their ACL where we actually give them a new ACL.

After surgery, we try to start with therapy within the first three to four days to try to get the knee moving as quickly as possible to decrease their swelling as soon as possible, which helps their pain and helps their mobility as well.

Andrew Stethen, PT:
With Allison’s plan initially after the surgery, we wanted to control pain, control swelling, wound care, early range of motion, early strengthening, some muscle facilitation. Once you get ahead of the pain and swelling, you can progress those exercises to more advanced strengthening and range-of-motion exercises, working into balance coordination, things like that, challenging her along the way.

After about six months, we have a specific ACL test that we put her through that will test her ACL and how well she could control her knee under certain situations. If she passes that, she’ll get a functional ACL brace, and then she’ll be cleared to play.

I feel really good. I’m still very hesitant at times because I don’t want it to happen again, but I’m learning to trust my knee again, and I’m just ready to play.