January/February/March 2011
Healthy
a publication of Norton Healthcare
Norton Audubon Hospital • Norton Brownsboro Hospital • Norton Hospital • Norton Suburban Hospital
Kosair Children’s Hospital • Kosair Children’s Medical Center – Brownsboro • Norton Immediate Care Centers
Going the distance
Haitian teen undergoes lifesaving operation at Kosair Children’s
On the cover: Lauren Berger found a weight loss plan that works for her.
See page 4.
2 Get Healthy
T here once was a time when knee or hip replacement
surgery meant spending a week or more in the
hospital, sometimes followed by time in a rehabilitation
facility, then physical therapy and home exercises.
Today, with advances in surgical techniques, pain
management and early interventions, a hospital stay
after replacement surgery may be as little as 24 hours.
For Sheritta Baker, of Jeffersonville, Ind., that was
welcome news after learning she would need both knees
replaced due to arthritis.
“Called ‘accelerated rehabilitation,’ the goal is to help
reduce pain so the patient can start physical therapy
on the day of surgery,” said Cyna Khalily, M.D.,
orthopaedic surgery. “Ours is a unique program
that makes it possible for patients to go home
Sheritta Baker, 52,
the next day. We’ve experienced very good of Jeffersonville, Ind.
outcomes and it’s very well-received.”
“With both of my surgeries, I was home
the next day,” Baker said. “The surgery is less
invasive, so I didn’t have much pain. And there’s
no comparison to healing in the comfort of my
own home.”
Anyone who needs knee or hip replacement is a
candidate for accelerated rehab. There are no age limitations
or selection criteria as long as patients are in otherwise good
health, according to Dr. Khalily.
“It’s a matter of the patient’s expectations for recovery,”
Dr. Khalily said. “Knowing what to expect before, during
and after surgery, and having a support system in place
upon their return home makes it successful.”
While accelerated rehab is not mandatory and is each
patient’s choice, the majority choose to go home. In fact, 90 percent of Dr. Khalily’s
patients are home within 48 hours of surgery.
“This is very close to outpatient total joint replacement,” Dr. Khalily said. “Home is
the best place to recover.”
Baker seconds that notion. “I recovered very quickly,” she said. “Now I can do everything
I once was able to, and I have no pain!”
–Jennifer Reynolds
Want to know more?
Learn more about accelerated rehab for knee or hip replacement at an upcoming seminar.
To register, call (502) 629-1234.
Nick Bonura photos
Pat Keenan, 72, of Georgetown, Ind., knee replacement with accelerated rehab
NortonHealthcare.com/GetHealthy 502-629-1234 3
Nick Bonura photo
“
4 Get Healthy
Lauren Berger, of Louisville, with Erin Brown, director of
bariatrics, at the new Norton Weight Management Center
“
Each person has different
needs to be successful
I have to pay attention to food
with weight loss. Some
labels. I have to ask myself, need guidance with food
‘Am I going to get any value out and exercise plans while others
of eating this?’ If not, I’m not require surgical intervention to
going to eat it.” achieve their weight loss goals. Now
–Lauren Berger there’s one place to start – and continue
– your weight loss journey. The new
“For weight loss to be successful, it takes a Norton Weight Management Center
multidisciplinary care approach,” Dr. McIntyre said.
located near Norton Suburban Hospital
“It involves nutritional changes, behavioral changes,
exercise and possibly medication.” is the only facility of its kind in the
Berger’s plan spells out how much protein, Louisville Metro area. It offers:
carbohydrates, calories and other nutrients she needs • Weight loss seminars and
each day to lose weight but have the energy to work
educational programs
full time and maintain an active family life.
“I have to pay attention to food labels,” Berger said. • On-site physician consultations
“I have to ask myself, ‘Am I going to get any value out • Comprehensive medical weight
of eating this?’ If not, I’m not going to eat it.” management services
Is medical weight loss right for everyone?
• Pre-surgical nursing, dietary and
According to Dr. McIntyre, it’s most appropriate
for people with a body mass index (BMI) of 30 or psychological counseling
greater, or a BMI of 27 or greater combined with • Fitness room
other medical conditions, like diabetes or high blood • Kitchen for cooking
pressure. demonstrations
“We also look at a person’s percentage of body
• Physician evaluations
fat, waist circumference and risk factors for chronic
diseases,” Dr. McIntyre said. • Physician office visits
“Individuals who are interested in medical weight • Follow-up care
loss also need to know it is not a magic bullet,” she • Post-surgery support groups
said. “It takes work and discipline, but it could be a
good option prior to considering weight loss surgery.”
For more information about the
–Jennifer Reynolds
center, call (502) 629-1234 or visit
Want to know more? NortonBariatric.com.
Come to a free seminar to learn more about medical
weight management. Call (502) 629-1234 or visit
NortonHealthcare.com/calendar to register.
NortonHealthcare.com/GetHealthy 502-629-1234 5
The gift of life
A surgical
alternative
for treating
epilepsy
6 Get Healthy
State-of-the-art epilepsy monitoring unit at
Norton Brownsboro Hospital
Norton Brownsboro Hospital is home to the region’s “By gathering the latest technology and dedicated
most comprehensive epilepsy monitoring unit for adults. specialists into one center at Norton Brownsboro
Dedicated to helping diagnose and treat seizures and Hospital, we can provide patients with the safest and
epilepsy, the unit works to provide individualized treatment most effective solution,” Dr. Zakaria said.
for controlling seizures. For more information about Norton Brownsboro’s
Before patients like Tracy can become a candidate for new epilepsy monitoring unit, call (502) 629-1234.
brain surgery, they must be admitted into a specialized
inpatient epilepsy monitoring unit designed to evaluate, Want to know more?
diagnose and treat seizure disorders. Patients undergo Watch Tracy and Bryan’s story and learn more about
prolonged video electroencephalogram (EEG) monitoring. epilepsy treatment at NortonHealthcare.com/epilepsy.
Video EEG provides a continuous reading of brain activity
day and night, which assists physicians in determining the
types of seizures patients experience, their origin and which
treatment options may be most successful.
NortonHealthcare.com/GetHealthy 502-629-1234 7
A couple weeks after receiving
“normal” results on her annual Pap
smear, Beth Brown, 58, of Louisville,
noticed a little blood in her urine.
“I thought I had a urinary tract
infection,” Brown said. “So I started
drinking more water and cranberry
juice.”
Her primary care physician referred
Brown to a gynecologist for a biopsy that
confirmed she had endometrial cancer.
“Endometrial cancer, which occurs
in the lining of the uterus, is the most
common gynecologic cancer,” said
Mary E. Gordinier, M.D., gynecologic
oncology. “It’s also one of the most
curable when diagnosed early.”
Abnormal bleeding is usually the first
warning sign of uterine cancer, according
to Dr. Gordinier. She defines “abnormal”
three ways: increasingly heavy or
irregular periods for menstruating
women, particularly those age 35 and
older; periods that do not become lighter
Nick Bonura photo
Endometrial include weight loss and hormone therapy; however, the condition can recur
if a more ideal weight is not maintained.
cancer
“Many women with gynecologic cancers are candidates for a less invasive
surgery using the da Vinci system,” Dr. Gordinier said. “The surgeon
controls the da Vinci for a more precise surgery, which is particularly helpful
when lymph nodes need to be removed.”
Curable when Other potential patient benefits of this approach include smaller incisions
and a faster recovery.
caught early
“I was fortunate that my cancer was caught early,” Brown said. “Dr.
Gordinier used the da Vinci and made five tiny incisions. I really didn’t have
much pain at all and went back to work in six weeks.”
Now that she is cancer-free, Brown will be seen several times a year to
have examinations and Pap smears. With endometrial cancer, if recurrence
occurs, it is usually within the first three years, so patients are watched more
closely during this time.
–Tammy Warren
H igh blood pressure troubled Louisvillian Mary “When they took me into that cath lab, I felt like I was
Smith. She knew she should take her medication, in a room full of angels,” Smith said. “I know how lucky
but following the death of her husband last fall, she I am.”
found it difficult to take the time to visit her doctor and Dr. Schmidt said people experiencing chest pain,
get a prescription refill. shortness of breath, sweating, nausea, arm pain and even
But in May, Smith woke up with the classic signs of a sometimes throat tightness may be having a heart attack,
heart attack. She felt constricted on the top of her body even if they think their symptoms aren’t serious.
and was sweating profusely. Her neighbor insisted on “Do not try to diagnose yourself,” Dr. Schmidt said.
calling 911. “And do not be in a state of denial. Get help as soon as
“
possible.”
NortonHealthcare.com/GetHealthy 502-629-1234 9
Caring for yourself
while caring for others
The importance of keeping
yourself healthy
D ays grew longer for Janice Baldon Gutter as
her parents grew older. Her mother, Willanna
Baldon, had diabetes, and then had a stroke. After
rehabilitation, her mother was able to live somewhat
independently, but Baldon Gutter always knew that
the phone could ring at any time.
Then her father, Virgil Baldon Sr., was diagnosed
with lung cancer, and Baldon Gutter brought
him home to live with her. She worked full time,
bookending her day with caregiving duties.
“I slept with one eye open because I had to listen for
my dad,” Baldon Gutter said. “I was always on edge.”
And meals? Too often it was fast food grabbed on
the way home, eating late or not at all. When she
discovered her parents were in their worst health,
Baldon Gutter learned she was pre-diabetic – but she
had little time or energy to do anything about it.
Her parents died in 2001 within two months of one
another. The lessons Baldon Gutter learned were so
profound that she wrote a book about her experiences
to help other caregivers, “Caregiving: A Daughter’s
Story.”
Like Baldon Gutter, more and more Americans
are caring for elderly parents, grandparents or other
relatives. About 41 percent of baby boomers are
providing care for their parents, according to a 2008
Gallup/USA Today poll.
Asking for help should be the first step in taking
good care of themselves, according to Baldon Gutter.
It’s also important to keep nutritious foods on hand.
“Plan your meals, even with prepackaged food,”
Baldon Gutter said. “Just watch your sodium.”
“If you try to do it all without professional help, you
may be sacrificing your own life,” Baldon Gutter said.
“Eventually, if you aren’t careful, your extended family
may have to care for you.
“Consider all your options,” she said. “It’s OK to ask
for and accept help, and it may save your own health.”
–Robyn Davis Sekula
what you
201 Abraham Flexner Way, Suite 1200
Louisville, KY 40202
(502) 583-8383
eat
Norton Cancer Institute
Norton Medical Plaza – Brownsboro
Suite 300
4950 Norton Healthcare Blvd.
Louisville, KY 40241
(502) 394-6350
B
Louisville Bone & Joint
y now you’ve probably heard you physical activity five or more days of the 210 E. Gray St., Suite 701
can reduce your risk for cancer by week to maintain a healthy weight. Being Louisville, KY 40202
(502) 562-6021
watching what you eat and increasing your overweight or obese increases the risk for
Kelley McIntyre, M.D.
physical activity. This is especially true cancer. bariatrics and internal medicine
when it comes to preventing colorectal “It’s important to maintain a healthy Norton Community Medical Associates –
Audubon East LL2
cancer. weight by balancing what you eat with Norton Medical Plaza East – Audubon
Lower Level 2
“Diets high in vegetables and fruits physical activity,” Allen said. “If you are 3 Audubon Plaza Drive
help reduce the risk for developing colon overweight, ask your doctor about a weight Louisville, KY 40217
(502) 636-8095
cancer,” said Karen Allen, R.N., colorectal loss plan that will work for you. This is
cancer patient navigator at Norton Cancer important for preventing not only cancer, William R. Schmidt II, M.D.
cardiology
Institute. “Diets high in processed foods but heart disease, diabetes, depression and Cardiovascular Associates PSC
The Springs Medical Center, Suite 200
and/or red meats have been linked with a a host of other health conditions.” 6420 Dutchmans Parkway
higher risk.” –Jennifer Reynolds Louisville, KY 40207
(502) 891-8300
The American Cancer Society
Todd Shanks, M.D.
recommends eating a healthy diet with an
emphasis on plant sources. This includes: Want to know more? David A. Sun, M.D., Ph.D.
functional neurosurgery
Plan to attend a Colorectal Cancer Norton Neuroscience Institute
• Eating five or more servings of a Norton Medical Plaza – Brownsboro
Awareness Month activity in March and Suite 205
variety of vegetables and fruits each
learn more about preventing and detecting 4950 Norton Healthcare Blvd.
day Louisville, KY 40241
cancer at its earliest, most treatable stage. (502) 394-6390
• Choosing whole grains rather than
Check out the pullout calendar for all
processed (refined) grains Tarek Zakaria, M.D.
the details. epileptology/neurology
“It’s important to also choose foods and Norton Neurology Services
Cancer screenings are supported by the Children’s Hospital Foundation Building
beverages in amounts that help achieve Suite 200
and maintain a healthy weight,” Allen said. Norton Healthcare Foundation. 601 S. Floyd St.
Louisville, KY 40202
“Avoiding excessive alcohol intake also may (502) 629-2602
help lower your risk for colon cancer.”
Physical activity is just as important
as eating well. The American Cancer
Society recommends that adults get at
least 30 minutes of moderate or vigorous
NortonHealthcare.com/GetHealthy 502-629-1234 11
Norton Healthcare
Stephen A. Williams, president and
chief executive officer
GET NONPROFIT ORG
Healthy
Russell F. Cox, executive vice president U.S. POSTAGE
and chief operating officer
PAID
Get Healthy Norton Healthcare Inc. LEBANON JCT., KY
January/February/March 2011 P.O. Box 35070 PERMIT NO. 677
Get Healthy is published Louisville, KY 40232-5070
by Norton Healthcare
Marketing and Communications
P.O. Box 35070
Louisville, KY 40232-5070
Contact us at (502) 629-8070, or at
gethealthy@nortonhealthcare.org.
Medical adviser - Steven T. Hester, M.D.
Executive editor - Steve Menaugh
Managing editor - Jennifer Reynolds
Calendar editor – Lavonne White
Creative director - David Miller
Designer - Mary Lou Fitzer
Copy editor - Tammy Warren
the most comprehensive heart program in the region, from prevention and
support foundations
early detection to the most advanced surgical procedures. Today, Marty
As a not-for-profit organization,
Norton Healthcare relies on your is taking her first step. Now she walks. Soon she’ll jog. And someday
generosity to support programs,
she’ll run, back to her life. For more information, call (502) 629-1234 or
hospital improvements and
health education through visit NortonHeartCare.com.
our foundations. Call
(502) 629-8060 or visit
“Ways to Help” at
NortonHealthcare.com Marty Cherol
to learn how you can patient
make a difference. norton healthcare
career opportunities
Visit “Careers” at
NortonHealthcare.com.