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Transcript of Get Healthy: Hope for Headache Relief
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8/9/2019 Get Healthy: Hope for Headache Relief
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Featured in this issue ...
Hope for
headache reliefSee page 6.
a publication of Norton Healthcare
GETHealthy
nFibroids and family planning
nIs it allergies or asthma?
nKnow the signs of stroke
nSurviving aortic aneurysm
nFitness fun at home
See pullout calendar
for screenings and
special events
April/May/June 2010
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2/12G e t H e a l t h y 2
On the cover: Ron Cutler found relief from uncommon headache pain.See page 6.
Nick
Bonura
photos
Edna Voyles of Louisville
When physicianswork as a teamits a win
for patientsE
dna Voyles celebrated her 90th birthday on
Valentines Day. In spite of coping with some serious
health issues over the years Type 2 diabetes, heart
attack and stroke she considers herself very blessed.
Part of Voyles longevity can be attributed to well-
coordinated care among her physicians, on whom she
depends to meet her changing health care needs. She gets
annual physical exams and listens to the advice of her
primary care physician when he recommends a referral forspecialty care.
Recently Voyles had difculty walking, so her primary
care physician Robert W. Shaw III, M.D., referred
her to Louie Williams, M.D., physical medicine and
rehabilitation.
I didnt want her falling, Dr. Shaw said. I knew Dr.
Williams could help her regain strength and improve her
balance.
Anytime I have a problem, I tell Dr. Shaw, Voyles said.
Hes been taking care of me for many, many years. Hes
very upbeat and shows a lot of care.
Dr. Williams diagnosed Voyles with drop foot
syndrome, a weakening of the foot and ankle that impairs
walking. He prescribed a special leg brace and a course of
rehabilitation. After just three months of physical therapy,
Voyles physicians are pleased with her progress.
Medical care that is seamlessly coordinated by primary
and specialty care physicians not only helps patients
but helps keep health care costs down by avoiding
duplication of services. Specialists often are brought in asconsultants while the patient is in the hospital to discuss
transition of care after discharge, and the primary care
physician follows up to ensure specialty care meets the
patients needs.
The primary care physician stabilizes patients
medically, Dr. Williams said. Then my goal is to address
their rehabilitation and pain needs to allow them to return
to the level of independence and activity to which they are
accustomed.
Tammy Warren
Changing health care needs as
we ageNorton Audubon Hospital is offering a
free eight-week series of health and wellness
classes for anyone age 65 and older or those
caring for aging relatives. Upcoming classes
are Transitioning from One Level of Care
to Another and Medicare Confusion?
Updates on Whats Covered and Not
Covered. Attend any or all sessions.
See the pullout calendar for dates
and times.
Edna Voyles of Louisville
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When it came down to either treating her
uterine broids or starting a family,
having to choose wasnt good enough forLeslie Hogle.
Fibroids are noncancerous growths in
or on the uterus. They are fairly common
in women in their 30s and 40s, and can
cause heavy menstrual bleeding, pelvic
pain and hinder the ability to become
pregnant or stay pregnant.
When I was diagnosed with broids, I
was single and not thinking about starting a
family, Hogle said. The options presentedto me would not preserve my uterus because
my broids were so large.
Traditional treatment options include
hysterectomy removal of the uterus and
ovaries among other procedures that either
negate the ability to get pregnant or make it risky.
After Hogle was married and ready to start a family, she
turned to Jonathan Reinstine, M.D., obstetrics/gynecology,
for a solution. Dr. Reinstine had been trained in the
da Vinci robotic surgical system for myomectomy, the
minimally invasive removal of broids without removing
the uterus.
Leslie was told by other surgeons that she would need
a hysterectomy, Dr. Reinstine said.
Dr. Reinstine was very encouraged about using the
da Vinci system to do the procedure laparoscopically,
Hogle said. He thought this option would give me a
better chance of being able to have children.
The da Vinci system eliminates the need for
a large abdominal incision, yet gives the
surgeon the visibility needed to safelyremove the broids and repair the
uterus. The system transmits 3-D
images to a computer screen to allow
better visualization, like an open
surgery, according to Dr. Reinstine.
da Vinci also offers patients
several potential benets, such
as a shorter hospital stay, less
pain and scarring, less risk of
infection and faster recovery.
For Hogle, recovery was a
breeze I didnt even need pain
medication.
Leslie Hogle, of Louisville, with her 4-month-old son Joshua
FIBROIDS AND FAMILY PLANNINGTreatment advancements could preserve fertility
For women who want to have children,
myomectomy is the only treatment option,
Dr. Reinstine said.
Now a 36-year-old mother of two,Hogle has advice for other women with
broids who think they may never be
able to have children:
Some doctors were very negative about
me having kids, and now I have two beautiful
babies, she said. Never say never!
Jennifer Reynolds
Want to know more?da Vinci surgical technology is available
at Norton Hospital and Norton Suburban
Hospital. If you have broids, ask your
physician if you are a candidate for da
Vinci myomectomy. For more information
about minimally invasive da Vinci procedures, visit
NortonHealthcare.com/daVinci.
3
da Vinci robotic surgical system
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Seasonal
allergies orasthma?
(Left to right) Rachel, Mackenzie and Kyle Schoeld
Spring is right around the corner. While most people
are looking forward to the world becoming green
again, the Schoeld family is gearing up for trouble.
Two of their three children have severe allergies.
At 3 months old, Mackenzie Schoeld, now 5, had
her rst bout of bronchiolitis. By 7 months, she had
her rst set of ear tubes. She continually suffered from
sinus infections or other allergy-induced illnesses.Kyle Schoeld, now 3, had his rst set of ear tubes at
5 months. He always had a runny nose and frequent
sinus infections.
I knew there had to be an underlying cause, said the
kids mother, Michelle Schoeld. We decided to have
Mackenzie tested for allergies when she was around
2 years old and Kyle at 18 months.
According to James L. Sublett, M.D., allergy and
immunology, these are common complaints when kids
have allergies.
An allergy is when the immune system mistakes a
harmless substance for a dangerous one and produces
an antibody called immunoglobulin E, Dr. Sublett said.
Most people think that allergies start when kids are
around 6 or older. In reality, we see kids
as young as 6 months old who suffer
from symptoms.
Though the best way to
control allergies is to avoid them
altogether, that can be easier said
than done. Your childs pediatricianmay recommend one of many
medications approved for children.
Another option is allergy shots, or
immunotherapy, which help build
up tolerance to the allergen. Its
important to speak with your
pediatrician or allergist before
giving your child any
medication.
The Schoeldsstory illustrates that
children can
have many
different
Determiningthe difference
Dean
Lavenson
photos
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Pediatric expertise comes
to northeastern Jefferson
CountyKosair Childrens Medical Center Brownsboro,
opening May 26, is bringing childrens health care
designed Just for Kids to northeastern Jefferson
County. The full-service outpatient center will beequipped with the latest technology for testing
lung function so that a personal asthma therapy
plan can be developed for each patient. The
center also will offer emergency services, pediatric
diagnostic imaging, a pediatric outpatient surgical
center and more all designed to be friendly and
accommodating to children, teens, young adults
and families.
For more information about the new
pediatric outpatient center, visit
MedicalCenter.KosairChildrens.com.
Want to know more?Tune in to the Get Healthy with Norton Healthcare
TV show April 10 at noon to learn more about
childhood asthma and allergies. For details, visit
www.wlky.com/gethealthy.
symptoms that can signal allergies. To further complicate
things, its easy to mistake the signs and symptoms of
asthma as allergies, colds or coughs. Asthma often goes
undiagnosed because the symptoms may be hard for
parents and physicians to recognize.
According to Nemr S. Eid, M.D., pediatric pulmonology,
asthma doesnt generate the concern it should from doctors
or parents.Asthma is a condition in which the bronchial airways
become inamed and over-reactive, causing increased
mucus, swelling and muscle contraction. Asthma becomes
serious when repeated swelling of the airways leads to
scarring and blockage, according to Dr. Eid.
When asthma goes untreated or is not treated properly,
children are at risk, Dr. Eid said. Once airway damage
sets in, it may become irreversible.
Could it be asthma?Consider the following questions:
Does your child cough a lot at night or in the
morning?
While exercising or playing does your child wheeze or
cough?
When exposed to dust, allergens, smoke or strong
odors does your child wheeze, cough or experience
chest tightness?
When your child has a cold, does it seem to settle
into his or her chest and take more than 10 days
to clear up? Do you have to give your child cough medicine
more than once a month?
Has your child had pneumonia or bronchitis more
than once in any given year?
If you answered yes to any of these
questions, your child may have asthma. Talk to
a pediatrician about your childs symptoms.
Possible signs of nasal allergies Stuffy or runny nose for more than two weeks
Sneezing
Itchy nose and/or eyes
Clear mucus drainage from the
nose or coughing up clear-
colored mucus
Dark circles under the eyes
Other common childhood
ailments, such as ear infections
Maggie Skibba Roetker
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With as much as 90 percent of
the population experiencing
at least one headache a year, feware lucky enough to say they never
get headaches. Ron Cutler was one
of those lucky few until shortly
after Christmas last year when he
experienced severe headache pain
like he had never felt before.
Thinking it was a sinus infection,
Cutler visited an urgent care center
before ying out for a business trip.
After I left the doctor, I startedhaving double vision, but I couldnt
miss my trip, Cutler said. Tylenol
and other pain relievers wouldnt
help. I was in pain and dealing with
double vision over the course of more
than a week.
Once Cutler was back in
Louisville, his wife brought him
to the emergency room, where he
underwent tests and nally got some
pain relief. But the source of his
headache and double vision was not
discovered, so Cutler was referred to
Tad Seifert, M.D., a neurologist who
specializes in treating headaches and
concussions.
There are so many different things
that can trigger a headache, making it
sometimes very difcult to treat, Dr.
Seifert said. In migraine, for example,
some known triggers include weatherchanges, strong scents, stress,
hormonal changes and alcohol intake.
Since these triggers are encountered
by most of the general population in
everyday life, trying to tackle each of
these potential problems head-on can
be quite difcult.
Making headwayHeadaches can be complex and r
Tad Seifert, M.D., medical director of theHeadache & Concussion Center, with
Ron Cutler
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Each year, nearly 800,000 Americans experience astroke, and most dont recognize the warning signs.Thats what happened to Judy Lococo of LaGrange.
I couldnt move half of my body, Lococo said. I was
home alone but was able to scoot across the oor to a
phone to call for help.
Once Lococo reached the phone, she realized she was
experiencing another symptom of a stroke the inability
to speak clearly.
When I tried to talk, my words were jumbled and
confused, she said. Luckily, the person on the other end
recognized my voice and knew something was wrong.
She instantly called for help.
A stroke, often referred to as a brain attack, occurs
when vital blood ow and oxygen to the brain is cut off
either from a blockage or hemorrhage. According to the
National Stroke Association, stroke is the third leading
cause of death in the U.S. and a leading cause of serious,
long-term disability.
Strokes can occur suddenly and with little to
no advanced warning, said Asad Ehtisham, M.D.,
neurology. Two million brain cells die every minute
during a stroke, increasing the risk of permanent brain
damage, disability or death. Its critical that people learn
the symptoms of a stroke and act fast.
Acting F.A.S.T. during astroke could save your life
I am one of the lucky ones, Lococo said. I was
immediately taken to the hospital and later transferred to
Norton Hospital for treatment. After several weeks in thehospital and time in rehabilitation, Im pretty much back
to normal with no long-term lasting effects.
STROKE ActF.A.S.T. to save a life
FACE Ask the person to smile.Warning sign One side of the face does not move
as well as the other.
ARMS Ask the person to raise both arms.Warning sign One arm does not move or onearm drifts.
SPEECH Ask the person to repeat a simplesentence, such as You cant teach an old dog new
tricks.
Warning sign The person slurs words or cannot
speak.
TIME Find out when the person was last seen well.Advantage More advanced treatment options maybe available if medical care is received within three
hours of the start of symptoms.If someone you know is experiencing one or more of these
warning signs, call 911 immediately.
Steven Jenkins
Comprehensive stroke care in LouisvilleRecently accredited as a Primary Stroke Center,
Norton Hospital, in conjunction with Norton Neuroscience
Institute, provides full-time comprehensive stroke care.
Patients at Norton Hospital have access to physicians
and surgeons fellowship trained in stroke care,
Dr. Ehtisham said. Norton Neuroscience Institute is home
of the regions only endovascular neurosurgeons specially
trained in advanced treatment of strokes.
For a free stroke symptoms ink pen, call
(502) 629-1234. For more information about
stroke prevention and treatment options, visit
NortonNeuroscienceInstitute.com.
Sal and Judy Lococo with neurosurgeon
Christopher Shields, M.D.
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Five years ago after leaving a bowling tournament,
Ronald Kaelin nearly lost his life to a silent killer
lurking in his chest an aortic dissection. A dissection
occurs when the inner layer of the aorta, the large artery
that supplies blood from the heart to the body, splits
open.
Kaelin underwent surgery and responded well to
medication, until he was threatened by another killer, a
thoracic aortic aneurysm, which is a common occurrence
in people who have had an aortic dissection.
An aortic aneurysm is a bulging in the wall of the
aorta. Most people have no symptoms until the aneurysm
leaks or expands, causing sudden chest or back pain. If
the aneurysm bursts, the result can be deadly.
I was coming out of a bowling alley again and the
pain was so severe I went to my knees, Kaelin said.
Aortic aneurysm is considered a type of heart disease,
our nations No. 1 killer. Those at risk for heart disease
can experience an aneurysm, most commonly men overage 60 who smoke and have high blood pressure and
cholesterol.
Lucky for Kaelin his doctor had begun performing a
new minimally invasive procedure called endovascular
stent grafting to treat aortic aneurysms.
An endovascular stent graft, or endograft, is a mesh
device placed in the aortic artery. In most cases it can be
placed through a catheter inserted into a small incision
near the groin, said John Edwards, M.D., vascular
surgery. This allows the surgeon to x the aneurysm
without all the risks of open chest surgery.
A strike for treatinga deadly vascularcondition
Endograft repair is generally less painful, has a much
lower risk of complications and requires a shorter hospital
stay than traditional surgery, according to Dr. Edwards.
Today, at age 70, Kaelin is back to bowling and working
at his construction business. As the rst patient to receive
an endograft at Norton Suburban Hospital, Kaelin is a
testament to this remarkable advancement in treatingaortic aneurysm.
Im in as good health as I probably ever have been,
Kaelin said. Ive slowed down over the past three years
but only because Dr. Edwards told me I should.
I shouldnt be here, but I am because of him.
Jennifer Reynolds
Want to know more?See the pullout calendar for information about how
you can be screened for vascular disease, including
aortic aneurysm.
As the rst patient to receive an
endograft at Norton Suburban
Hospital, Kaelin is a testament
to this remarkable advancement
in treating aortic aneurysm.Ronald Kaelin of Louisville
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NickBonura
photo
:30 Start with 25 to 30 jumping jacks to warm
up your muscles and get your blood pumping.
:27Push-ups to strengthen the upperbody. Start on knees if traditional position istoo hard; keep abs pulled in and dont let your
back drop. Repeat 10-20 times.
:24Leg lis for core strength. Lying on yourback with your feet in the air or legs bent to
make it easier on your back lower legs toward
the oor and then raise back up.
Repeat 15-30 times.
:21 Jog in place:19 Crunches to strengthen the abs.
Lying on your back, knees bent with feet
on the oor and arms crossed on
your chest, slowly lift your head and
shoulders off the ground using your
abs. Do not pull with your arms.
Repeat 20-30 times.
:16 Squats to work the legs andglutes. Try this exercise with a chairto get the correct form. Stand with your
feet a little wider than shoulder width
apart and slowly bend your knees while
sitting back in the chair, then stand
back up. Repeat 10-20 times.
Give yourself30:13 Lateral shoulder raises. Grab two canned
items from your pantry and use them as weightsor use dumbbells if you have them. Stand up
straight, feet shoulder-width apart and use your
shoulders to raise the arms out to the side until
they are parallel to the ground, then lower arms
back to sides. Repeat 10-20 times.
:10 Bicep curls. Using the same weights, standwith feet hip-width apart, arms by sides and
elbows squeezing your sides, keeping elbows
steady. Using your biceps, curl hands up
toward shoulders and then lower back to
starting position. Repeat 10-20 times.
:07 March in place to cool down. :04Stretch it out
Good job! Youre done!
Workout developed by Lauren Fetz,
certied personal trainer,
Fetz also is pictured in the photo.
A half-hour workout you can do at home
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Do you have a cancerprevention strategy?
More on the physicians in
this issue of Get Healthy
Deborah Ballard, M.D.internal medicinedirector o community outreachNorton Cancer Institute Prevention
& Early Detection ProgramNorton Medical Plaza I SuburbanSuite 3004001 Dutchmans LaneLouisville, KY 40207(502) 899-6839
John D. Edwards, M.D.vascular surgeryNorton Vascular AssociatesNorton Medical Plaza II SuburbanSuite 1033991 Dutchmans LaneLouisville, KY 40207(502) 897-0635
Asad Ehtisham, M.D.neurologyNorton Neurology ServicesNorton Medical Plaza II SuburbanSuite 2003991 Dutchmans LaneLouisville, KY 40207(502) 899-6782
Nemr S. Eid, M.D.
proessor and section chiepediatric pulmonary medicine &cystic fbrosisDepartment of PediatricsUniversity of LouisvilleSchool of MedicinedirectorChildhood Asthma Care and Education
Center andthe Cystic Fibrosis Center571 S. Floyd St., Suite 414Louisville, KY 40202(502) 852-3772
Jonathan Reinstine, M.D.obstetrics/gynecologyAssociates in Obstetrics & GynecologyNorton Medical Plaza III SuburbanSuite 300
4121 Dutchmans LaneLouisville, KY 40207(502) 899-6700
Tad Seifert, M.D.neurologyHeadache & Concussion CenterNorton Medical Plaza II SuburbanSuite 2003991 Dutchmans LaneLouisville, KY 40207(502) 899-6782
Robert W. Shaw III, M.D.internal medicineNorton Community Medical Associates
Barret825 Barret Ave.
Louisville, KY 40204(502) 540-7200
James L. Sublett, M.D.clinical proessor and section chieallergy and immunologyDepartment of PediatricsUniversity of LouisvilleSchool of Medicine
Family Allergy & Asthma9800 Shelbyville RoadSuite 220Louisville, KY 40223(502) 429-8585
Louie N. Williams, M.D.physical medicine and rehabilitationNorton Rehabilitation Physicians
Norton Healthcare Pavilion, Suite 185Louisville, KY 40202(502) 629-5455
Physicians quoted in Get Healthyareon the medical staff of one or moreNorton Healthcare hospitals.
There is so much information out there
about cancer, it can be confusing.
Some may feel getting cancer is inevitable
or theres no way to prevent it. But there
is a strategy to reduce your odds of
developing cancer.
Currently, there are two very important
strategies people can employ to prevent
cancer or detect it early enough to improve
their chance of surviving it, said Deborah
Ballard, M.D., director of community
outreach, Norton Cancer Institute
Prevention & Early Detection Program.
The rst is primary prevention toavoid getting cancer through three proven
strategies, according to Dr. Ballard.
1. Do not smoke or use tobacco
products in any form. Lung cancer
is the leading cause of cancer and
cancer deaths in the United States,
and at least 80 percent of cases are
caused by cigarette smoking.
2. Eat healthy and exercise. Obesity
and an unhealthy diet areresponsible for about one-third
of all preventable cancers.
3. Consult a genetic counselor. If
you have at least one close relative
who developed breast, ovarian
or colon cancer before age 50, a
genetic counselor can help you
determine if you have the gene for
these cancers. Some cancers are
inherited; if you are at risk, you can
take steps to help prevent them.
Secondary prevention involves detecting
cancer in an early stage when there is a
better chance of it being cured, according
to Dr. Ballard. Currently, regular screenings
are the best way to detect cancer early.Screenings are recommended for breast,
cervical, colon and prostate cancer.
Many other types of cancer can be
discovered by a physician during a
comprehensive physical exam, Dr. Ballard
said. A yearly physical exam by your
primary care physician should be part of
your overall cancer prevention strategy.
Want to know more?For a free, easy-to-understand chart listingscreening guidelines for cancer prevention,
call (502) 629-1234.
Since the introduction of
Pap smears, deaths from cervical
cancer have decreased by about
85 percent in the U.S.
Even if colon cancer has already
developed, it can be cured in
80 to 90 percent of cases if
detected in its earliest stage.
The ve-year survival rate for
prostate cancer is nearly
100 percent when detected
and treated early.
On average, mammography will
detect 80 to 90 percent of the
breast cancers in women without
symptoms. Early detection by
mammography can lead to better,
less aggressive treatment options.
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A Bariatric Surgery Center of Excellence provider, Norton Weight Management Services has helped more than 5,000 patients
begin new, healthier lives. With advanced surgical procedures and comprehensive weight loss plans to t your goals, we are
condent our expertise can help you. Our staff of dietary and mental health professionals and nurses guide you throughout your
weight loss journey and provide a lifetime of follow-up care because your success is our primary goal. Begin your journey today.
Call (502) 629-1234 to register for a free informational seminar.
We were with her every step of the way.
Norton Healthcare Inc.
P.O. Box 35070
Louisville, KY 40232-5070
NONPROFIT ORG
U.S. POSTAGE
PAID
LEBANON JCT., KY
PERMIT NO. 677
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Laura Amos, before and after weight loss
Laura was ready to lose 150 lbs.