Get Rhythm, Not the Blues

Get Rhythm, Not the Blues

Get Rhythm, Not the Blues

Abnormal heart rhythms can affect your health. Do you know the signs?

Each beat of your heart begins with a series of electrical impulses. These signals tell the heart muscle when to contract and when to relax, pushing blood into your arteries and keeping you alive.

When signals are disrupted or abnormal, an arrhythmia — an issue with the rhythm of your heart that affects its ability to efficiently pump blood — can result. An arrhythmia can cause your heart to beat too fast or too slow, skip beats, or take additional beats.

Increasing Your Risk for Stroke

Atrial fibrillation (AFib) is the most common type of arrhythmia that increases a person’s risk for stroke. Individuals with AFib may notice a fluttering in the chest and/or fatigue, although many do not experience symptoms.

“Our primary goal when treating AFib is preventing stroke,” says Sameh Lamiy, MD, electrophysiologist with KentuckyOne Health Cardiology Associates in Lexington. “AFib symptoms may be uncomfortable, but having a stroke can be crippling. We use medications to control heart rhythm and rate, and blood thinners to reduce the risk of blood clots and stroke.”

Getting Back on Beat

If medications don’t manage an arrhythmia effectively, physicians may recommend a procedure, such as a pacemaker implantation (device to maintain heart rate) or ablation (use of heat or cold to destroy the area causing the heart rhythm problem). Regardless of the problem, the first step is to seek medical advice.

“Heart rhythm disorders can range from benign conditions to life-threatening problems,” said Rakesh Gopinathannair, MD, director of cardiac electrophysiology at Jewish Hospital, part of KentuckyOne Health. “If you have symptoms, have a heart rhythm specialist take a look. Simple tests can figure out if we need to intervene.”

Watch the video below to learn more about treating AFib.

Alternative to Blood Thinners for Patients with AFib

Now available at Jewish Hospital, part of KentuckyOne Health, the WATCHMAN™ device may eliminate the need for long-term use of blood thinners for some patients with nonvalvular atrial fibrillation (AFib).

“This is a therapy revolution for stroke prevention in these patients,” said Dr. Gopinathannair. “If you have been told you need to take blood thinners for the rest of your life because of AFib, this could be a great alternative.”

Call Jewish Hospital Heart Rhythm Care at 844.297.8981 to find out more information about the WATCHMAN procedure.

This article originally appeared in the Spring 2017 edition of One Health magazine. Receive more health and wellness news and information by signing up for your free subscription to One Health.

Taking a Swing at Elbow and Shoulder Pain

Taking a Swing at Elbow and Shoulder Pain

Taking a Swing at Elbow and Shoulder Pain

You don’t have to live with long-term problems related to your elbow and shoulder.

When your elbow or shoulder hurts, it can be hard to make it through the day, much less pursue activities you love. Arthritis, or the wearing down of the joint, can cause discomfort when the bones rub together. Sometimes arthritis results because of a prior traumatic injury, but the condition can also develop for no apparent cause.

Although it is not always possible to prevent arthritis from affecting shoulders and elbows, you can take steps to address your arthritis-related pain.

Addressing Arthritis-related Pain

“Many patients believe they will just have to live with consistent pain and disability associated with their shoulder or elbow,” said Ryan Donegan, MD, MS, divisional chief of orthopedics at Saint Joseph East, part of KentuckyOne Health, and orthopedic surgeon and shoulder/elbow specialist with Bluegrass Orthopaedics and Hand Care. “If you have consistent shoulder and elbow pain, see a provider with extensive training in these conditions — there are more options available for treatment than you might think. Shoulder and elbow reconstruction allow us to replace damaged anatomy in the joint with other materials, including the patient’s own tissue.”

The most common surgical procedure for elbow and shoulder pain due to arthritis is total joint replacement. Just like a replaced hip or knee, doctors remove the damaged elbow or shoulder and replace it with an artificial joint that allows for greater mobility and less pain.

Individual Care to Help and Heal

“Each patient’s case is different and requires significant time spent understanding the unique anatomy of the problem and how arthritis has affected the joint,” Dr. Donegan said. “An intensive review of X-rays, MRIs or CT scans prior to every surgery is necessary to deliver the best possible result.”

Most major shoulder and elbow reconstructive procedures require up to six months for complete recovery. However, the majority of patients feel significant improvement to their arthritis pain within days of surgery.

Though shoulder and elbow replacement surgery are less common than knee or hip replacement surgery, these procedures can have an extremely positive impact on patients’ lives. Each year, approximately 53,000 shoulder replacements and 3,000 elbow replacements are performed nationwide.

This article originally appeared in the Spring 2017 issue of One Health magazine. Receive more health and wellness news and information by signing up for your free subscription to One Health.

Download our joint pain guides to learn more about the symptoms and causes of hip and knee pain, treatment options available and when you should contact your health care provider.

From Couch to 5K

5K Training Tips

Tips for Couch to 5K Training

A guide to help you get from the sofa to the starting line.

Setting a clear, achievable goal for yourself — like participating in a 5K race, for example — can be the first step toward creating a healthier life.

A 5K is a 5 kilometer, or 3.1 mile, road race. Though a 5K is considerably easier to run than a half marathon or marathon, it still requires training and preparation for you to make it across the finish line.

Follow these tips from Neil M. Patil, MD, sports medicine doctor with Shea Orthopedic Group, part of KentuckyOne Health, and James Rollins, MD, orthopedic surgeon with KentuckyOne Health Orthopedic Associates, to help you on your way to conquering a 5K.

Sign Up

For some people, the hardest part is getting started. Signing up for an event like a 5K, even if it’s several months down the road, will help get you motivated.

Get the gear

Don’t skimp on good running shoes. They may be more expensive, but high-quality running shoes can help prevent joint problems sometimes caused by running.

Start slow

If you haven’t run before, it will probably take some time to get used to the activity. Give your body time to adjust. Start with what you can do, even if it’s just walking, and gradually increase your activity 10 percent each week. This will help you avoid overuse injuries.

“It’s never too late to become active. Even if you have chronic pain or other issues holding you back, a trainer or physician can help find activities suited to your needs and abilities,” said Dr. Patil. “Don’t let fear hold you back.”

Work Together

Tell others about the 5K you’ll be running. Better yet, ask someone to run it with you. This will give you a training buddy to help keep you accountable.

Go at Your Own Pace

It may be called a “race,” but that doesn’t mean you fail if you don’t finish near the top. Run, jog or walk if you need to. The goal is to finish.

“Tight hamstrings can cause lower back pain, meaning it is very important to stretch prior to and after finishing a run,” said Dr. Rollins. “You don’t have to run faster than everyone. Pick your own pace, and walk if your body is telling you to stop,” said Dr. Rollins.

Receive more health and wellness news and information by signing up for your free subscription to One Health magazine

Join KentuckyOne Health Sports Medicine Care Wednesday, July 26 at Medical Center Jewish Northeast for the free Training Program Kickoff for this year’s Urban Bourbon Half Marathon. Learn more and register to attend today. 

Bite Size Learning Event, Preventive Services and Screenings, and More News

KentuckyOne Health News and Events

KentuckyOne Health News and Events

Below is your weekly roundup of KentuckyOne Health news.

Saint Joseph London to Discuss fake cartier bracelets
Multiple Sclerosis During Bite Size Learning Event

London, Ky. (July 11, 2017) — Saint cartier love necklace Joseph London, part of KentuckyOne Health, invites the community to learn about multiple sclerosis at the Bite Size Learning health education event on Wednesday, July 19.

Read the full story

Kentucky Has Highest Hepatitis C Rate; KentuckyOne Health Encourages Testing

Louisville, Ky. (July 6, 2017) — Kentucky is no stranger to the hepatitis C virus. More than 38,000 Kentuckians are currently infected with hepatitis C, according to estimates from the Kentucky Department for Public Health.

Read the full story

KentuckyOne Health Encouraging Community Members to Take Advantage of Preventive Services

Louisville, Ky. (July 5, 2017) — Wellness cartier nail bracelet review
and prevention are essential for good health, which is why KentuckyOne Health is encouraging community members to take advantage of their covered wellness services.

Read the full story

A New Place to Start a Life-changing Journey

A New Place to Start a Life-changing Journey

A New Place to Start a Life-changing Journey

Kentuckiana patients now have another option to turn to for surgery that can help them shed pounds and transform their health.

Weight-loss surgery reshapes the stomach to allow it to hold less food and sometimes alters the hormones and intestinal bacteria that regulate hunger, depending on the type of procedure. Surgery is an option for individuals with a body mass index (BMI) of 40 or higher or a BMI of 35–40 occurring with an obesity-related chronic health problem, such as Type 2 diabetes.

“Exciting research is emerging that says weight loss surgery is an extremely effective treatment for Type 2 diabetes,” said David Geller, MD, bariatric surgeon at Jewish Hospital, part of KentuckyOne Health. “Some studies suggest the surgery may be appropriate for diabetes patients with BMI lower than 35.”

Much More Than Surgery


This spring, Dr. Geller and general surgeon Robert Farrell, MD, began offering three types of weight-loss surgery — sleeve gastrectomy, gastric bypass and gastric band — at Jewish Hospital. The operations, however, are just one part of the new surgical weight-loss program.

Learn more about each procedure on our Weight Loss Surgery 101 infographic. 


“Patients meet with the surgeon to determine the most appropriate operation for them, and then they have appointments with a mental health professional, an exercise physiologist and a nutritionist,” Dr. Farrell said. “They also
attend a support group meeting with pre- and post-operative patients.”

After surgery, patients continue to receive the multidisciplinary support they need to make the lifestyle changes that are crucial to success.

“Positive, long-term results depend not only on the success of the surgery, but on patients’ willingness to get active and follow a healthy diet,” Dr. Geller said. “Our team helps them navigate the transition and maintain those modifications.”

Register online to attend a free weight-loss surgery seminar or call 502.912.8751.

Transformation Before Transplantation


For individuals who need a liver or kidney transplant, having a body mass index (BMI) of 35 or higher can increase the risk of complications after surgery.

“Obesity can be prohibitive for patients who otherwise qualify for a transplant because they are more likely to experience issues with wound healing after surgery,” said Dr. Farrell. “The immune system-suppressing drugs they need to take after transplantation may compound those issues.”

Weight-loss surgery for transplant candidates is available at Jewish Hospital. Approximately six months after the operation, the surgeon evaluates patients’ BMI to determine whether they have lost sufficient weight to be listed for a transplant.

This article originally appeared in the 2017 Spring edition of One Health magazine

Finding Hope, One Step At a Time

Finding Hope, One Step At a Time

Finding Hope, One Step At a Time
When Eden Hoelscher became paralyzed during a simple gymnastic move, her family traveled across the country to get her back on her feet.

On Dec. 23, 2015, Eden was a typical 5-year-old playing with her older sister, Isabella, when the unthinkable happened. Eden was performing a backbend — a gymnastic and dance move she had done hundreds of times — when she fell to the ground in agony. She was paralyzed from the waist down.

“We were in absolute disbelief,” said Kylee Hoelscher, Eden’s mother. “We lived in Los Angeles at the time, and every hospital we took Eden to gave us the same answer: She was going to be paralyzed the rest of her life.”

Crossing the Country for Care

Eden HoelscherUnwilling to give up, Kylee and Nicholas, Eden’s father, moved their family to Louisville to work with the team at Frazier Rehab Institute, part of KentuckyOne Health. The team quickly earned the trust of the Hoelscher family.

“They made treatment fun for Eden and encouraged her goofy personality to come through,” Kylee said. “Some physicians and physical therapists just do what they were taught in school. At Frazier Rehab Institute, they look outside the box.”

Little Miracles

Within 50 days, Eden was able to take her first steps with the support of a friend named Violet, who was visiting Eden from California.

Kylee recalls Eden predicting the progress she made with her friend’s support.

“Eden said, ‘Violet loves me so much,’” Kylee recalled. “‘I think when she gets here, her love will be so strong it will make me walk.’”

During a physical therapy session, Eden and Violet had an imaginary swordfight. While the physical therapist held Eden up, she began taking steps toward Violet and eventually made it all the way around the room and into the hallway. The family will always remember the day she took those first steps.

Nicholas, Eden, Isabella and Kylee Hoelscher

Nicholas, Eden, Isabella and Kylee Hoelscher

Grateful for the support and life-changing care Eden has received, the Hoelscher family are now firm supporters of Frazier Rehab Institute. They routinely raise funds for Jewish Hospital & St. Mary’s Foundation to support the facility that changed their daughter’s life, and invite the rest of the community to do the same.

“People come to Frazier Rehab Institute from all over the world. We want to give to a program that really makes a difference in the lives of children,” said Kylee.

This article originally appeared in the 2017 Spring edition of One Health magazine.

Get Hands-on About Your Health

Get Hands-on About Your Health

Get Hands-on About Your Health
Preventive screenings help you understand your state of health.

Health screenings look for the risk or presence of a wide variety of conditions, including diabetes, heart disease and certain types of cancer, to name a few. When done regularly, screenings can help pinpoint many problems early, when they may be corrected with lifestyle changes such as eating a healthy diet, exercising or taking medication.

Having the right screenings at the right time is vital.

Let’s Talk About It


“When — or even if — you need certain screenings depends on many factors, including your age, family history and other medical issues you may be living with,” said Ron Waldridge II, MD, physician executive at KentuckyOne Health Medical Group and family practice physician with KentuckyOne Health Primary Care Associates. “It’s best to have a relationship with a primary care doctor who can help you make smart screening decisions.”

Use your annual wellness visit as an opportunity to talk with your primary care doctor about screenings and check in regularly about any other medical concerns that may arise. Together, you and your doctor can design a wellness plan that uses screenings and preventive measures to help you stay healthier, longer.

Speak with your primary care physician to learn more about each type of health screening.

Looking for Lung Cancer


Statistically, cancer occurs more frequently in Kentucky than anywhere else in the U.S., and lung cancer in particular is a serious health concern in the Commonwealth.

“Hearing you have cancer is devastating,” said Hilary Deskins, RN, manager of cancer prevention services with KentuckyOne Health. “Our lung cancer screening program helps us diagnose this potentially deadly disease early. That’s important, because catching it early saves lives. According to the Lung Cancer Alliance, ours is the largest screening program in the United States.”

A lung cancer screening is done using a low-dose computed tomography (CT) scan.

Patients qualify for the screening who:

  • Are ages 55 to 80
  • Have a 30-pack-year smoking history (the equivalent of smoking one pack of cigarettes per day for 30 years)
  • Haven’t had a chest CT scan in the last year
  • Don’t already have symptoms of lung cancer
  • Still smoke or quit within the last 15 years

This article originally appeared in the 2017 Spring edition of One Health magazine. To receive more wellness news and information, subscribe today