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8/14/2019 Get Healthy: October, November, Decemeber 2009
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Featured in this issue ...
Walk this way
Giving back toself and othersSee page 9.
a publication o Norton Healthcare
GETHealthy
nProgress in treating prostate cancer
nInammatory breast cancer:
What you need to know
nGiving preemies a fghting chance
nPain-relieving oods
nTake control o diabetes
See pullout calendar
for screenings and
special events
October/November/December 2009
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5
womens care womens care
G e t H e a l t h y
Anne Cooksey o Louisville
Though only accounting or up to 5 percent o allbreast cancer diagnoses, inammatory breast cancer(IBC) is a threat all women should be aware o but ew
women know o. Because its symptoms can be much
like other conditions or overlooked as nothing serious,
women need to know the warning signs.
Warning signs
Redness
Swelling
Warmth or burning sensation
Pink, reddish purple or bruised-looking skin
Ridges or pitting of the skin
Aching, tenderness
Heaviness or increase in size of a breast
Inammatory breast cancer occurs when cancer cells
block lymph vessels in the breast, said Janell Seeger,
M.D., oncology. The breast oten looks swollen and red,
or inamed.
Because there usually is no noticeable lump or fnding
on a mammogram, IBC can go undetected until it reaches
an advanced, difcult-to-treat stage.
Symptoms usually develop quickly over a period
o weeks or months. Swollen lymph nodes also may
be present under the arm and/or above the collarbone.
However, it is important to note that these symptoms may
also be signs o other conditions.
IBC tends to grow rapidly and advance quickly,
Dr. Seeger said. It is important to notiy your physician
immediately i you notice any changes in your breasts.
Jennifer Reynolds
Want to know more?A new era in breast health has emerged with the ability
to assess risk, recommend diagnostic tests, monitor and
provide chemoprevention or other options or women
at high risk or breast cancer. The Pink Ribbon Clinic
oers a unique venue or women seeking counseling and
direction or breast cancer prevention, helping transorm
awareness into action that can reduce the risk o
developing cancer. Concerned women who have a amily
history o breast cancer can call the Pink Ribbon Clinic at
(502) 394-6350 or more inormation or to schedule an
appointment.
nfammatorybreast cancer
After breast cancerExercise helps heal body, mind and spirit
A caretaker by nature, Anne Cooksey learned to
take care of herself by providing end-of-life care for
her mother-in-law.
Although a mammogram was on my things to do,
I kept putting it off, Cooksey said.
After her mother-in-law passed away two years
ago, Cooksey scheduled a mammogram. Her results
showed two suspicious spots resulting in a breast
ultrasound and then an open biopsy to remove
a larger tissue sample, which conrmed a very
aggressive form of cancer. Fortunately, the cancer
was diagnosed at stage 0 the earliest possible
stage which meant it had not spread within the
breast or to other parts of her body.
I had a lumpectomy, followed by a full six-week
course of daily radiation therapy, Cooksey said.
I was sore and slow afterward.
Her doctor told her about the Exercise After Breast
Cancer class at Norton Audubon Hospital. The class
uses low-impact exercises, strength training, yoga,
guided relaxation and music therapy to promote
physical and emotional well-being during treatment
and beyond. Classes are taught by oncology-
certied nurses who are nationally certied cancer
exercise specialists and understand what breast
cancer patients are going through.
These classes have helped me improve my range
of motion, exibility, strength and stamina, Cooksey
said. Ive rebuilt my condence and made some
good friends too.
The Exercise After Breast Cancer class is free but
requires physician approval. Its held Fridays from
11 a.m. to noon at Norton Audubon Hospital. For
more information, call (502) 636-8308.
Tammy Warren
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pediatric care
7
pediatric care
G e t H e a l t h y
Kimberly Hicks has three beautiul children, but herthird baby came into the world with quite a story.Hicks experienced sickness throughout her frst two
pregnancies, so when she was ill and dehydrated during
her third pregnancy, she didnt think much o it. That
changed when her water broke at just 22 weeks. She
rushed to her local hospital earul that it was much too
early or her baby to be coming.
A baby has a slim chance o survival when born at
22 weeks, said Jonathan Cohen, M.D., neonatal specialist.
With each day that passes, the babys chance or survival
improves.
Although the chances o survival were in question,Hicks wanted to continue her pregnancy and give her
baby every chance possible or a normal delivery. Her
doctor immediately transerred her to Norton Hospital,
where she had access to a high-risk obstetrical team and
her baby would be just steps away rom the specialists
in the Level III neonatal intensive care unit (NICU) at
Diamond in the roughKosair Childrens Hospital. Hicks was put on bed rest,
and doctors perormed ultrasounds and took blood work
every three days to monitor the babys development.
Six weeks later, Hicks gave birth to a baby girl, exactly
three months early.
They told me it would be a roller coaster, Hicks said,
and they were right.
Diamond weighed 2 pounds and was breathing on
her own, but because she was premature, she needed
the specialized care oered at Kosair Childrens Hospital.
Diamond spent 21 days o her three-month stay in the
NICU on a breathing machine.
The nurses told me there would be good days and bad
days, but that when the good days started to outnumber
the bad days, thats when things would get better and
easier, Hicks said.
They were right. Today Diamond is a precocious
19-month-old who loves being the center o attention.
The sta at Kosair Childrens Hospital are Gods git to
these children, Hicks said. Because o them, I have my
beautiul baby.
Keri Shain
Help babies like
Diamond by attending
the Festival of Trees
& LightsProceeds rom the Festival o Trees
& Lights, Nov. 20 to 22, will beneft the
NICU, providing unding or renovations
and expansions that promote amily-
centered care or more than 1,000 babies
like Diamond who require specialized care
each year.
Visit this annual amily-riendly holiday
tradition at Louisville Slugger Field to
buy a decorated Christmas tree, wreath or
other hand-crated holiday item designed by
volunteers. The estival also eatures childrens
activities, photos with Santa, a git shop and sweet
shop, and live entertainment. Admission is $5 oradults and $3 or children. For more inormation
about this event, sponsored by Republic Bank, visit
HelpKosairChildrensHospital.com.
A faithful volunteer retiresFor the past 15 years, Sister Ann Molony has been
rocking babies as a volunteer in the neonatal intensive
care unit (NICU) at Kosair Childrens Hospital. She retired
this year, ater devoting her lie to children.
A native o Covington, Ky., Molony taught school or
25 years, including nine years teaching frst grade at an
all-boys school in Boston. She had 75 boys in one class.
She also worked in an orphanage in Memphis.
Molony is a Sister o Charity o Nazareth and a recently
commissioned Kentucky Colonel. Four days a week she
nurtured many o Norton Healthcares tiniest patients.
They need to bond to someone, she said. Some o
their parents live out o town and cant visit oten; the
babies need love.
There is no way to calculate how many childrens lives
Sister Ann has touched during her years o service, but
she insists she is the one who has benefted the most:Ive had a lot o rewards, she said. I have a lot o
memories.
To make a donation in Sister Ann Molonys honor to
support the critical services provided by the Kosair Childrens
Hospital NICU, call the Childrens Hospital Foundation at
(502) 629-8060 or visit HelpKosairChildrensHospital.com.
Diamond Hicks o Henderson, Ky.
Sister Ann Molony
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Need motivation to exercise? Fallis the season or undraisingwalks, and theres no better way to
begin or enhance an exercise regimen
than walking, especially when its or
a good cause.
Ater winning the battle against
breast cancer seven years ago, Wanda
Jackson wanted to raise awareness
and support others fghting breast
cancer by walking in the Susan G.Koman Race or the Cure.
Wanda also enlisted her husband,
William. Now the duo walks or
about eight causes each year. They
ound their shared interest has
additional benefts beyond improved
health and supporting good causes.
When partners support one
another in things theyre passionate
about, it strengthens the relationship,
Walking for a causeWanda said. Sometimes well meet
people and separate or part o the
walk, but we always come back
together at the end.
Walking or a cause is a great
distraction rom the work o
exercising. When you take the
ocus o o having to get through
a workout, it changes the thought
process, said Curtis Moudry,
American Council on Exercise-certifed personal trainer. No longer
are you just walking to exercise,
youre actually going to make a
dierence in someones lie. The
time you spend and the money you
raise will bring more awareness to
something that obviously means a lot
to you and/or your loved ones.
O course, i you have not been
exercising regularly and are interested
Wanda and William Jackson o Louisville
in taking part in an upcoming walk,
its best to consult a physician beore
you sign up to participate.
To know i youre prepared to
make it to the fnish line, go out
and time yoursel or a one-mile
walk, Moudry said. I it takes you
longer than 20 minutes, you should
start training a couple o months in
advance, walking at least three days
per week.
Lace up or upcoming
beneft walks/runsSee the special section in the
enclosed pullout calendar or a list o
all walks and runs to beneft a variety
o causes.
Jennifer Reynolds
rthopaedic care general health care
G e t H e a l t h y
you live with arthritis, theres something simple you can
every day to help reduce pain eat!
cientists now know certain oods reduce inammation,
ch is the root cause o arthritis pain. According to the
hritis Foundation, the same pathway in the body that
als the start o inammation can be switched o by
stances ound in certain oods, namely omega-3 atty acids.
Omega-3 atty acids convert into compounds that help
g the inammation response to an end, said Rita Dillman,
gistered dietitian. Omega-3s are ound in some fsh,
uding salmon, albacore tuna, sardines and mackerel.
esearch is still uncovering exactly how much omega-3uld be included in the diet, but studies indicate consuming
ams per day or at least three months is necessary to obtain
lts, according to Dillman.
Fish oil supplements also can be taken, Dillman said,
t one should consult with a physician beore starting them.
tudies also show that olive oil is benefcial in preventing
production o enzymes that cause inammation
OX-1 and COX-2 enzymes). These are the enzymes that
steroidal anti-inammatory (NSAID) medications and
OX-2 inhibitors block, thus providing pain relie. The
nger the avor o olive oil, especially those rom the
cany region, the more eective they are in helping reduce
n, according to the Arthritis Foundation.
he Arthritis Foundation states the anti-inammatory
perties in about 3 tablespoons o olive oil are equal to a
mg tablet o ibuproen. However, this amount o oil has
ut 400 calories, so i you make it a regular part o your diet
ll want to replace other ats, like butter, with the oil instead
dding those extra calories.
Jennifer Reynolds
nt to know more?king or simple, healthy recipes the whole amily will enjoy
le learning tips or getting and staying healthy? Receive a
copy o Norton Healthcares new Get Healthy Recipes
kbook by calling (502) 629-1234.
Eat to beatarthritis pain
Arthritis Expo!Presented by Norton Orthopaedic Care
Saturday, Oct. 10 9 a.m. to 2 p.m.
Crowne Plaza Hotel 830 Phillips Lane
Learn about the latest treatments and
resources or preventing and managing
arthritis:
Educationalsessions
Alternativetherapies
Exercisedemonstrations
Healthevaluations
Ask-the-Expertarea
Rheumatologists,orthopaedicsurgeons,
physical therapists
For more inormation, visit
www.arthritisexpo.com or call
(502) 585-1866.
N o r t o n H e a l t h ca r e . c o m 5 0 2 - 6 2 9 - 1 2 3 4 9
8/14/2019 Get Healthy: October, November, Decemeber 2009
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diabetes care neurological care
G e t H e a l t h y
More on the physicians
in this issue of
Get Healthy
Jonathan Cohen, M.D.neonatal-perinatal medicine
Neonatal Intensive Care Experts PLLC
Norton Medical Plaza III Suburban
Suite 301
4121 Dutchmans Lane
Louisville, KY 40207
(502) 896-2500
Shervin Dashti, M.D., Ph.D.
neurosurgery
Norton Neuroscience Institute
210 E. Gray St., Suite 1105
Louisville, KY 40202
(502) 583-1697
Glenn E. Lambert Jr., M.D.
vascular surgery
Norton Vascular Associates
Norton Medical Plaza II S uburban
Suite 103
Louisville, KY 40207
(502) 897-0635
Kelley M. McIntyre, M.D.
internal medicine
Norton Community Medical Associates
Audubon East LL2
3 Audubon Plaza Drive
Louisville, KY 40217
(502) 636-8095
Christopher Schrepferman, M.D.
urology
Allied Urology PSC
912 Dupont Road
Louisville, KY 40207
(502) 897-5147
Janell Seeger, M.D.
medical oncology
Norton Cancer Institute Louisville
Oncology
Norton Medical Plaza Brownsboro
Suite 300
4950 Norton Healthcare Blvd.
Louisville, KY 40241
(502) 394-6350
Trevor Soergel, M.D.
urology
Metropolitan Urology
101 Hospital Blvd.
Jeersonville, IN 47130
(812) 282-3899
Physicians quoted in Get Healthy
are on the medical staff of one or
more Norton Healthcare hospitals.
11N o r t o n H e a l t h c ar e . c o m 5 0 2 - 6 2 9 - 1 2 3 4
Through a combination o a low-carbohydrate diet
and exercising at least a ew times a week, people with
diabetes dont have to depend on medications as much
or, sometimes, at all.
Being overweight increases insulin levels in the blood,
causing insulin resistance. The body then cannot properly
metabolize sugar, which causes at storage, according to
Kelley McIntyre, M.D., internal medicine.
Were learning at cells secrete chemicals and toxins
that make it harder to lose weight, Dr. McIntyre said.
Thats why its so important to watch carbohydrate intake
carbs uel at storage.
Wright stays away rom high-carb
oods and sugary beverages. He eats
more grilled meats and less ried
meats.
Choosing a healthier diet makes
you eel better, Dr. McIntyre said.
Eating quality ood makes all the
dierence. Plus, it makes you eel good
to know youre taking better care o
yoursel thats something our society
doesnt do well.
Though it may sound difcult to
cut out oods you love and maintain
an exercise routine, the results are
motivation to keep going.
I have much more energy and its
easier to move, Wright said. Now I
can do things I havent been able to do
in years and do them easily!Jennifer Reynolds
James Wright Jr. doesnt have time to let diabetes slowhim down. The 42-year-old maintains an active lie asa teacher and an actor, all the while managing to greatly
improve his health ater being diagnosed with the disease
in February.
He learned that through diet and exercise he could
control his Type 2 diabetes, as well as improve other
health conditions.
Ive lost about 45 pounds since being diagnosed,
Wright said, and my blood sugar is in control, liver
unction is normal and my blood pressure is down.
An estimated six million Americans, orone in every 50 people, live with a brainaneurysm, according to the Brain Aneurysm
Foundation. The majority o aneurysms will
never rupture, and many people will live their
lives unaware o the potentially deadly risk.
In the simplest terms, a brain aneurysm
is ormed when bulging occurs on a weak
artery in the brain, said Shervin Dashti, M.D.,
neurosurgery. Oten the aneurysm causes no
symptoms and goes unnoticed, but in some
cases it can rupture, which can result in stroke
and even death.
Symptoms o ruptured aneurysm include
sudden or severe headache, neck pain,
nausea and vomiting, sensitivity to light,
ainting or loss o consciousness and seizures.
Approximately 40 percent o people who
experience a ruptured aneurysm will die as
a result, according to the Brain Aneurysm
Foundation.
Its imperative anyone experiencing
these symptoms seek medical attention
immediately, Dr. Dashti said. The quicker we
are able to assess and treat the aneurysm, the
greater the likelihood the patient will survive.
doesnt have to slow you down
A new procedure, known as endovascular
coiling, is giving many patients a new
minimally invasive treatment option. During
traditional aneurysm surgery, commonly
reerred to as clipping, the surgeon places
a small metal clip around the base o the
aneurysm to restrict blood ow. The reduced
blood ow makes it less likely to rupture.
Unlike clipping, coiling uses a small
catheter inserted into the patients groin and
maneuvered to the aneurysm where tiny metal
coils are used to relieve pressure, Dr. Dashti
said. Several studies have indicated the less
invasive coiling surgery is saer or some
patients than clipping, resulting in shorter
hospitals stays and recovery time and ewer
complications.Steven Jenkins
Want to know more?To fnd out more about minimally invasive
endovascular surgery to treat brain aneurysms,
visit NortonNeuroscienceInstitute.com.
New treatment may help many suffering from
a brain aneurysm
James Wright Jr. o Louisville
Norton Neuroscience Institute expands expertiseNorton Healthcares $100 million commitment to develop Norton Neuroscience Institute is
attracting physicians nationwide. Norton Neuroscience Institute recently welcomed a number
o new physicians, including our surgeons to Neurosurgical Institute o Kentucky. Shervin
Dashti, M.D., and Tom Yao, M.D., both have advanced training in endovascular neurosurgery;
and Charles Stevenson, M.D., joins the group as Louisvilles second pediatric neurosurgeon.
Kimathi Doss, M.D., brings additional neurosurgery expertise to the program with a ocus on
treatment o spinal cord disease and injuries. The addition o these neurosurgeons ensures
Norton Neuroscience Institute is able to provide adults and children in the Louisville area
with advanced treatment o a wide spectrum o neurological disorders at several locations in
Greater Louisville.
Want to know more?Need motivation and guidance to get you moving? Join Norton Healthcares Diabetes Exercise Program! The group
meets two days a week at Norton Audubon Hospital under the supervision o an experienced diabetes educator and
physical therapist. The program provides a personalized assessment and six-month exercise plan. Membership is just
$20 a month. To join or or more inormation, call (502) 636-7261. Diabetes educators also are available to provide
instruction about sel-management o the disease. They are available or ongoing support o patients, amilies and
caregivers. Call (502) 629-2604 to schedule an appointment with an educator.
8/14/2019 Get Healthy: October, November, Decemeber 2009
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Lowering
blood pressure.
Raising a family.
Here, we specialize in both.
Lavonne White, R.N., MSN
Community Outreach Coordinator
Lavonne White, R.N., has managed blood pressure screenings and health fairs
all over this community. As a working mother, shes also managed to raise two
great kids. And shes just one of the more than 10,600 employees and physicians
of Norton Healthcare living lives just like you. Every day, at over 85 locations, we
are real people dedicated to providing remarkable care.
Real people. Remarkable care.
Norton Healthcare Inc.
P.O. Box 35070
Louisville, KY 40232-5070
NONPROFIT ORG
U.S. POSTAGE
PAID
LEBANON JCT., KY
PERMIT NO. 677
GETHealthy
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