Get Healthy: January February March 2011

8/8/2019 Get Healthy: January February March 2011

1/12

Featured in this issue ...

You can do it!

Weight losssuccessSee page 4.

a publication of Norton Healthcare

GETHealthy

nJoint replacement just

got a little easier

nSurgery provides hope for

those with epilepsy

nKnow the facts about

endometrial cancer

nCaring for self and others

nEat to beat colon cancer

See pullout calendar

for screenings and

special events

January/February/March 2011


2/12G e t H e a l t h y 2

On the cover: Lauren Berger found a weight loss plan that works for her.See page 4.

Stephanie Privert of Port-au-Prince, Haiti

Nick

Bonura

photos

Until June 2010, 15-year-old Stephanie Priverts life

consisted of sharing a tent shelter in Port-au-Prince,

Haiti, with her parents and seven siblings after their

home was destroyed by the January 2010 earthquake. To

further complicate matters, Stephanie also was living witha life-threatening heart condition.

Stephanies extremely enlarged heart and leaking heart

valve caused such fatigue that she hadnt been able to

attend school for the past two years. She was on the

verge of irreversible heart damage and a greatly shortened

lifespan.

When Kosair Childrens Hospital was presented

with an opportunity to help Stephanie through our

partnership with the nonprot group Healing the

Children, we didnt hesitate to offer assistance, saidThomas D. Kmetz, president, Kosair Childrens Hospital

and Pediatric Services. We arranged to provide her with a

lifesaving open-heart surgery that was

unavailable in Haiti.

Weighing only 75

pounds, Stephanie arrived

in Louisville on June 28,

2010, with the clothes on her

back and a small handbag.

Healing the Children brought

Stephanie directly to Kosair

Childrens, where she

underwent tests that

determined she was

even more ill than the

Haitian doctors had

indicated. It was

unclear whether

she could

withstand

open-heartsurgery.

Five weeks later, on Aug. 3, Stephanie came through a

10-hour open-heart surgery with ying colors.

Stephanie has made a miraculous transformation,

Kmetz said. She has gained weight, her energy has

returned and her heart is healing as expected. She even

started school in Louisville about a month after surgery.

Stephanie is enjoying life in Louisville as a rejuvenated,

healthy teenager with a repaired heart. And, in typical

teenage form, shes discovered a love for pizza her new

favorite food!

This wonderful success story would not have been

possible without the great compassion, strong medical

expertise and comprehensive care provided by our

dedicated pediatric cardiology team led by Erle Austin,

M.D., and Chris Johnsrude, M.D., Kmetz said. In all,Stephanie received approximately $200,000 worth of

donated care for physician and hospital services.

Steve Menaugh

How you can helpTo assist the Privert family in rebuilding their home

and paying for Stephanies ongoing medical needs

after she returns to Haiti, consider making a tax-

deductible donation to Healing the Children at

www.healingthechildren.org. Designate the funds to

the Privert Haiti Project during the checkout process.

Expert cardiovascular services

at Kosair Childrens HospitalThree new pediatric cardiologists were recently added

to the Kosair Childrens pediatric cardiology team to

further the hospitals commitment to providing the highest

level of care possible to all children with heart conditions.

Brian Holland, M.D., and Mary Jyothi Matta, M.D.,

joined Pediatric Cardiology Associates with focuseson fetal cardiology and general pediatric cardiology.

Ryan Leahy, M.D., also joined the team and focuses on

interventional cardiology.

You can help ensure other children get the

expert care they need by making a tax-deductible

donation to the Childrens Hospital Foundation at

HelpKosairChildrensHospital.com.

Going the distanceHaitian teen undergoes lifesaving operation at Kosair Childrens


3/123

Pat Keenan, 72, of Georgetown, Ind., knee replacement with accelerated rehab

There once was a time when knee or hip replacementsurgery 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

the next day. Weve experienced very good

outcomes and its very well-received.

With both of my surgeries, I was home

the next day, Baker said. The surgery is less

invasive, so I didnt have much pain. And theres

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.

Its a matter of the patients 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

patients choice, the majority choose to go home. In fact, 90 percent of Dr. Khalilyspatients 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.

Monday, Feb. 28 6 p.m. Norton Healthcare PavilionCranmer Auditorium 315 E. Broadway

Sheritta Baker, 52,

of Jeffersonville, Ind.


4/124

Like the majority of American adults, Lauren Berger

struggled with her weight nearly all her life. Feelingdefeated, a supportive friend encouraged her to explore a

new way people are nding weight loss success. One year

later and more than 50 pounds lighter, the 31-year-old

mother of three is a weight loss champion.

I tried diets, working out, Weight Watchers you

name it, Berger said. They were never anything I could

sustain. I read about medical weight loss and wondered,

What is it?

Berger learned about physicians who specialize in

treating weight loss medically.

For many people, obesity is a chronic condition, said

Kelley McIntyre, M.D., bariatrician. So it makes sense

that obesity needs to be treated like a chronic condition.

But with all the diet pill controversy, there was a

negative connotation and I was really scared, Berger said.A friend encouraged me that it wasnt going to hurt to

just go talk to a doctor and nd out more.

Berger made an appointment with Dr. McIntyre at

Norton Weight Management Services.

She said early on, Weight is something you will have

to deal with your whole life, like diabetes or any other

health condition. Its nothing to be ashamed of, Berger

said. Dr. McIntyre told me that Im healthy now, but if I

dont get my weight under control,

I wont stay healthy.

Medically managing weight loss

THE WEIGHT IS OVER


5/125

Feeling ambitious, Berger began her medical weight

loss program the week of Thanksgiving 2009.

Dr. McIntyre developed a plan that included

medication, diet and exercise tailored to Bergers

specic needs and lifestyle.

For weight loss to be successful, it takes a

multidisciplinary care approach, Dr. McIntyre said.

It involves nutritional changes, behavioral changes,

exercise and possibly medication.

Bergers plan spells out how much protein,

carbohydrates, calories and other nutrients she needs

each day to lose weight but have the energy to work

full time and maintain an active family life.

I have to pay attention to food labels, Berger said.

I have to ask myself, Am I going to get any value out

of eating this? If not, Im not going to eat it.Is medical weight loss right for everyone?

According to Dr. McIntyre, its most appropriate

for people with a body mass index (BMI) of 30 or

greater, or a BMI of 27 or greater combined with

other medical conditions, like diabetes or high blood

pressure.

We also look at a persons percentage of body

fat, waist circumference and risk factors for chronic

diseases, Dr. McIntyre said.

Individuals who are interested in medical weightloss also need to know it is not a magic bullet, she

said. It takes work and discipline, but it could be a

good option prior to considering weight loss surgery.

Jennifer Reynolds

Want to know more?Come to a free seminar to learn more about medical

weight management. Call (502) 629-1234 or visit

NortonHealthcare.com/calendar to register.

Jan. 15 11 a.m. or Jan. 25 5:30 p.m.

Norton Weight Management Center

1000 Dupont Road

I have to pay attention to food

labels. I have to ask myself,

Am I going to get any value out

of eating this? If not, Im not

going to eat it.

Lauren Berger

Your journey starts here

Norton WeightManagement Centernow open!

Each person has different

needs to be successful

with weight loss. Some

need guidance with food

and exercise plans while others

require surgical intervention to

achieve their weight loss goals. Now

theres one place to start and continue

your weight loss journey. The new

Norton Weight Management Center

located near Norton Suburban Hospital

is the only facility of its kind in the

Louisville Metro area. It offers:

Weight loss seminars and

educational programs

On-site physician consultations

Comprehensive medical weight

management services

Pre-surgical nursing, dietary and

psychological counseling

Fitness room

Kitchen for cooking

demonstrations

Physician evaluations

Physician ofce visits

Follow-up care Post-surgery support groups

For more information about the

center, call (502) 629-1234 or visit

NortonBariatric.com.

Lauren Berger, of Louisvil le, with Erin Brown, director of

bariatrics, at the new Norton Weight Management Center


6/126 G e t H e a l t h y

Tracy and Bryan Hougland of Seymour, Ind.

Tracy Hougland is a former Title 1 teacher assistant

who learned she had epilepsy nearly 20 years ago.

I was completely unaware of what was happening to

my body, Tracy said. I felt confused, weak, scared and

helpless.

Contrary to popular belief, epilepsy is not a disease.

In fact, its a fairly common condition that affects

about 3 million people in the United States. Epilepsyproduces seizures that affect a variety of mental and

physical functions and are a symptom of an underlying

neurological disorder. Someone who has two or more

unprovoked seizures is considered to have epilepsy, also

called a seizure disorder.

Epileptic seizures can occur without warning.

Therefore, developing epilepsy is life-altering. When Tracy

was rst diagnosed with epilepsy she was having three to

ve seizures a year. Now her seizures occur ve to eight

times a week and sometimes up to 10 times a day. Becauseof her ongoing epileptic seizures, Tracy has not been able

to work in years.

Epilepsy can be an incredibly disabling condition,

said David A. Sun, M.D., Ph.D., neurosurgery. For

example, people who have uncontrolled seizures cannot

even drive a car.

Although sometimes it feels like a difcult journey,

Tracy is not alone in her battle against epilepsy.

This has been one of the most difcult things we have

ever been through, said Tracys husband Bryan. The

entire experience has been tough nancially, emotionally,

physically and mentally.

Some people with epilepsy nd relief from seizures

with medication. Unfortunately, for nearly 40 percent

of all epilepsy patients like Tracy, seizures cannot be

controlled with medicine. When medicines fail or cause

intolerable side effects, patients are considered to have

medically intractable epilepsy. For many of these patients,

surgery is the only option.

Some patients with uncontrolled seizures can be

helped to a great extent through surgical intervention,said Todd Shanks, M.D., neurosurgery. During surgery

we locate where the seizures begin in the brain and

essentially remove those seizure-producing areas.

The gift of life

A surgical

alternative

for treating

epilepsy

It was so distressful for Tracy to not know why she was

having these frequent seizures that she had experienced

since she was a child, said Tarek Zakaria, M.D.,

epileptology/neurology. But after we did a comprehensive

evaluation, we discovered that she has scar tissue in

the left temporal lobe, which is likely the reason for her

seizures and memory disturbances. Therefore, Tracy is

an excellent candidate for epilepsy surgery and has more

than 80 percent likelihood of being seizure-free after

surgery.

Bryan is optimistic that his wife will nd relief.

Thats our ultimate goal, he said. Hopefully we can

bring some quality of life back for her.

Our main goal is to nd the cause of seizures, treatthat cause and give back to people the gift of life, Dr. Sun

said.

Barrett Wilson


7/127

Norton Brownsboro Hospital is home to the regionsmost comprehensive epilepsy monitoring unit for adults.

Dedicated to helping diagnose and treat seizures and

epilepsy, the unit works to provide individualized treatment

for controlling seizures.

Before patients like Tracy can become a candidate for

brain surgery, they must be admitted into a specialized

inpatient epilepsy monitoring unit designed to evaluate,

diagnose and treat seizure disorders. Patients undergo

prolonged video electroencephalogram (EEG) monitoring.

Video EEG provides a continuous reading of brain activityday and night, which assists physicians in determining the

types of seizures patients experience, their origin and which

treatment options may be most successful.

By gathering the latest technology and dedicatedspecialists into one center at Norton Brownsboro

Hospital, we can provide patients with the safest and

most effective solution, Dr. Zakaria said.

For more information about Norton Brownsboros

new epilepsy monitoring unit, call (502) 629-1234.

Want to know more?Watch Tracy and Bryans story and learn more about

epilepsy treatment at NortonHealthcare.com/epilepsy.

State-of-the-art epilepsy monitoring unit atNorton Brownsboro Hospital


8/128 G e t H e a l t h y

Beth Brown and Mary Gordinier, M.D.

Acouple weeks after receivingnormal results on her annual Papsmear, 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

conrmed 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. Its also one of the most

curable when diagnosed early.

Abnormal bleeding is usually the rst

warning sign of uterine cancer, according

to Dr. Gordinier. She denes abnormal

three ways: increasingly heavy or

irregular periods for menstruating

women, particularly those age 35 and

older; periods that do not become lighter

and less frequent for perimenopausal

women; and any bleeding, light spotting

or brown discharge for women once

their periods have stopped. Other

symptoms that need evaluation bya gynecologist include pain during

urination or intercourse.

If a woman is overweight, she runs a greater risk of cancer or endometrial

hyperplasia, a precancerous condition in the lining of the uterus that also

causes bleeding, according to Dr. Gordinier. Treatment for precancer may

include weight loss and hormone therapy; however, the condition can recur

if a more ideal weight is not maintained.

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.

Other potential patient benets of this approach include smaller incisions

and a faster recovery.

I was fortunate that my cancer was caught early, Brown said. Dr.

Gordinier used the da Vinci and made ve tiny incisions. I really didnt 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 rst three years, so patients are watched more

closely during this time.

Tammy Warren

Want to know more?To learn more about da Vinci surgery for the treatment of gynecologic

conditions, visit NortonHealthcare.com/daVinci or call (502) 629-1234.

Endometrial

cancer

Curable when

caught early


9/12N o r t o n H e a l t h c a r e . c o m / G e t H e a l t h y 5 0 2 - 6 2 9 - 1 2 3 4 9

Immediate, effectivecare may save your life

High blood pressure troubled Louisvillian Mary

Smith. She knew she should take her medication,

but following the death of her husband last fall, she

found it difcult to take the time to visit her doctor and

get a prescription rell.

But in May, Smith woke up with the classic signs of a

heart attack. She felt constricted on the top of her body

and was sweating profusely. Her neighbor insisted oncalling 911.

I didnt think it was a heart attack because the pain

was on my right side, Smith said.Paramedics performed an EKG en route and

transmitted it to Norton Audubon Hospital, which

conrmed she was having an acute

myocardial infarction (heart attack).

William Schmidt, M.D., cardiology,

was standing ready for Smiths arrival

and accompanied her to the heart

catheterization lab, along with a team

of other hospital staff prepared for

such emergencies.The heart catheterization

procedure showed one artery

was blocked 100 percent.

Dr. Schmidt performed a

balloon angioplasty to

clear the blocked artery

and added a stent to

keep the artery open.

Dr. Schmidts lifesaving procedure that day set a record

for heart catheterization procedures at Norton Audubon:12 minutes from the time Smith rolled in the door until

the blocked artery was reopened.

When they took me into that cath lab, I felt like I was

in a room full of angels, Smith said. I know how lucky

I am.

Dr. Schmidt said people experiencing chest pain,

shortness of breath, sweating, nausea, arm pain and even

sometimes throat tightness may be having a heart attack,

even if they think their symptoms arent serious.

Do not try to diagnose yourself, Dr. Schmidt said.And do not be in a state of denial. Get help as soon as

possible.

Want to know more?Smiths choice of hospitals may have saved her life. Norton

Audubon Hospital has received the highest possible

accreditation for chest pain treatment from the Society of

Chest Pain Centers Cycle III with PCI (percutaneous

coronary intervention). Norton Audubon is the only

hospital in the region and one of only three in Kentuckyto achieve this designation. For more information, visit

NortonAudubonHospital.com.

Robyn Davis Sekula

Is your heart in

the right place?February is Heart Month. Make

time to visit one of many area

events aimed at preventing

and educating the

community about

heart disease. See the

pullout calendar for

event details.

Mary Smith of Louisville

Think its aHEART ATTACK?

Do not try to diagnose yourself.

And do not be in a state of denial.

Get help as soon as possible.

William Schmidt, M.D.


10/12G e t H e a l t h y 0

Janice Baldon Gutter of Louisville

Days grew longer for Janice Baldon Gutter asher 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 formy 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 Daughters

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 rst step in taking

good care of themselves, according to Baldon Gutter.

Its 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 sacricing your own life, Baldon Gutter said.

Eventually, if you arent careful, your extended family

may have to care for you.

Consider all your options, she said. Its OK to ask

for and accept help, and it may save your own health.

Robyn Davis Sekula

Want to know more?Come to a series of free classes at Norton Audubon

Hospital on caring for aging loved ones. See thepullout calendar for upcoming dates, times and topics.

The importance of keepingyourself healthy

Caring for yourselfwhile caring for others


11/1211

More on the physicians in

this issue of Get Healthy

Erle H. Austin III, M.D.

pediatric cardiovascular/thoracic surgery

University Cardiothoracic Surgical

Associates

201 Abraham Flexner Way, Suite 1200

Louisville, KY 40202

(502) 583-8383

Mary E. Gordinier, M.D.

gynecologic oncology

Norton Cancer Institute

Norton Medical Plaza Brownsboro

Suite 300

4950 Norton Healthcare Blvd.


(502) 394-6350

Brian Holland, M.D.

Chris L. Johnsrude, M.D.

Mary Jyothi Matta, M.D.

Ryan Leahy, M.D.

pediatric cardiology

Pediatric Cardiology Associates PSC

601 S. Floyd St., Suite 602


(502) 585-4802

Cyna Khalily, M.D.

orthopaedic surgery

Norton Orthopaedic Specialists

Louisville Bone & Joint

210 E. Gray St., Suite 701


(502) 562-6021

Kelley McIntyre, M.D.

bariatrics and internal medicine

Norton Community Medical Associates

Audubon East LL2

Norton Medical Plaza East Audubon

Lower Level 2

3 Audubon Plaza Drive

Louisville, KY 40217(502) 636-8095

William R. Schmidt II, M.D.

cardiology

Cardiovascular Associates PSC

The Springs Medical Center, Suite 200

6420 Dutchmans Parkway


(502) 891-8300

Todd Shanks, M.D.

David A. Sun, M.D., Ph.D.

functional neurosurgery

Norton Neuroscience Institute

Norton Medical Plaza Brownsboro

Suite 205

4950 Norton Healthcare Blvd.Louisville, KY 40241

(502) 394-6390

Tarek Zakaria, M.D.

epileptology/neurology

Norton Neurology Services

Childrens Hospital Foundation Building

Suite 200

601 S. Floyd St.


(502) 629-2602

By now youve probably heard you

can reduce your risk for cancer by

watching what you eat and increasing your

physical activity. This is especially true

when it comes to preventing colorectal

cancer.

Diets high in vegetables and fruits

help reduce the risk for developing coloncancer, said Karen Allen, R.N., colorectal

cancer patient navigator at Norton Cancer

Institute. Diets high in processed foods

and/or red meats have been linked with a

higher risk.

The American Cancer Society

recommends eating a healthy diet with an

emphasis on plant sources. This includes:

Eating ve or more servings of a

variety of vegetables and fruits each

day

Choosing whole grains rather than

processed (rened) grains

Its important to also choose foods and

beverages in amounts that help achieve

and maintain a healthy weight, Allen said.

Avoiding excessive alcohol intake also may

help lower your risk for colon cancer.

Physical activity is just as important

as eating well. The American Cancer

Society recommends that adults get atleast 30 minutes of moderate or vigorous

Preventing colon cancer throughdiet and exercise

physical activity ve or more days of the

week to maintain a healthy weight. Being

overweight or obese increases the risk for

cancer.

Its important to maintain a healthy

weight by balancing what you eat with

physical activity, Allen said. If you are

overweight, ask your doctor about a weightloss plan that will work for you. This is

important for preventing not only cancer,

but heart disease, diabetes, depression and

a host of other health conditions.

Jennifer Reynolds

Want to know more?Plan to attend a Colorectal Cancer

Awareness Month activity in March and

learn more about preventing and detectingcancer at its earliest, most treatable stage.

Check out the pullout calendar for all

the details.

Cancer screenings are supported by the

Norton Healthcare Foundation.

you arewhat youeat

N o r t o n H e a l t h c a r e . c o m / G e t H e a l t h y 5 0 2 - 6 2 9 - 1 2 3 4


12/12

Norton Healthcare Inc.

P.O. Box 35070

Louisville, KY 40232-5070

NONPROFIT ORG

U.S. POSTAGE

PAID

LEBANON JCT., KY

PERMIT NO. 677

GETHealthy

support foundations

career opportunities

MART CHERL

PATIENT

NRTN HEALTHCARE

MAKE SE O HEAT IS

IN THE IGHT PLACE.

Marty Cherol was only 48 when she had quadruple bypass surgery. Luckily,

she was in the right place at the right time. Norton Heart Care provides

the most comprehensive heart program in the region, from prevention and

early detection to the most advanced surgical procedures. Today, Marty

is taking her first step. Now she walks. Soon shell jog. And someday

shell run, back to her life. For more information, call (502) 629-1234 or

visit NortonHeartCare.com.

Get Healthy: January February March 2011

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