Spine Surgery’s New Side

Spine Surgery's New Side

Spine Surgery's New Side

By approaching spine surgery from a different angle, surgeons help patients recover faster.

The disks that give the spine its flexibility are remarkable structures, but they’re not immune to change. Over time, they can weaken and break. These changes may lead to conditions that cause pain or make the spine curve abnormally, such as spondylolisthesis or degenerative scoliosis.

Physical therapy, medication and steroid injections help many patients find relief from disk-related back and leg pain, but others run the gamut of conservative treatments without success. For them, spinal fusion surgery to remove the deteriorated disk and shore up the spinal column is an option — and now, a minimally invasive one.

Splitting the Difference

 

Saint Joseph East, part of KentuckyOne Health, now offers eXtreme Lateral Interbody Fusion (XLIF®), a procedure that uses a 2-inch incision in patients’ left side rather than a larger one in the back.

James Rice, MD“Entering through the side allows us to split muscles instead of cutting them, as is usually done in a traditional fusion performed from the back, so patients experience less pain,” said James Rice, MD, a fellowship-trained spine surgeon at Kentucky Orthopedic Associates and Saint Joseph East. “Once we get to the spine, we remove the damaged disk and replace it with an implant containing bone substitute. The implant will support the spine while bone grows over the area to join the vertebrae. We may use screws or plates to hold the implant in place while fusion occurs.”

Patients typically spend at least one night in the hospital after XLIF, a shorter stay than with traditional spinal fusion. XLIF leaves patients with a smaller scar and allows them to regain mobility and recover faster. Patients can walk and drive short distances soon after surgery but should avoid heavy lifting and repetitive motion short term, according to Dr. Rice.

“When it comes to lower back fusions, individuals who opt to have XLIF are some of my happiest patients,” Dr. Rice said. “They have outstanding results compared with patients who have traditional fusions.”

Part of what makes eXtreme Lateral Interbody Fusion a safe, precise procedure is NVM5®, an electronic intraoperative monitoring system. NVM5 is like a high-tech road map for the surgeon. The system updates the surgeon in real time about the location and function of nerves — important information that helps reduce injury.

This article originally appeared in the 2017 Fall edition of One Health Magazine. Sign up for your free subscription.

If you are suffering from a bone or joint disorder or a sports related injury, an orthopedic specialist can help you get back on your feet. Find a provider near you today

Best Places to Work, Celebrating 140-year Anniversary and More News

KentuckyOne Health News and Events

KentuckyOne Health News and Events

 

Saint Joseph London Hosts Ninth Annual Foundation Gala

The Saint Joseph London Foundation, part of KentuckyOne Health, will host its ninth annual Foundation Gala on Saturday, Feb. 3, 2018, to help raise funds for Saint Joseph London.

Read the full article

Saint Joseph Martin Receives Five-Star Hospital Compare Rating

Martin, Ky. (January 26, 2018) – Saint Joseph Martin, part of KentuckyOne Health, is among a select group of facilities nationwide to receive a five-star rating from the Hospital Compare website, part of the Centers for Medicare & Medicaid Services’ (CMS) Overall Hospital Quality Star Rating program.

Read the full article

KentuckyOne Health Has Strong Showing on “Best Places to Work in Kentucky” 14th Annual List

Louisville, Ky. (January 19, 2018) — Our Lady of Peace, Flaget Memorial Hospital, and Medical Center Jewish Southwest, all part of KentuckyOne Health, have earned a place on the 14th Annual Best Places to Work in Kentucky list, which identifies and recognizes Kentucky’s best employers.

Read the full article

Community Mass to Celebrate 140th Anniversary of Saint Joseph Hospital

Founded in 1877, Saint Joseph Hospital is celebrating 140 years in the Lexington community. The hospital, which was the first in Lexington, has pioneered many firsts in the health care community.

Read the full article

Fuzzy, Feel-good Therapy

Fuzzy, Feel-good Therapy

Fuzzy, Feel-good Therapy

Dogs specially trained to provide patients with inspiration and love are key players in the healing process at several KentuckyOne Health facilities.

There’s nothing like a wet nose and kind eyes to warm the heart and revive the spirit. But animals can offer more than companionship. Pets who have been specially trained to provide certain types of support to individuals facing health challenges can help people recover.

The canine companions at Frazier Rehab Institute, part of KentuckyOne Health, are certified to deliver Animal Assisted Therapy services, and dogs at the Saint Joseph Cancer Center, Saint Joseph Hospital, Saint Joseph East and Saint Joseph East Cancer Center, all part of KentuckyOne Health, socialize with patients and visitors, helping keep smiles on their faces even when they’re dealing with medical concerns.

“Interacting with pets is soothing to many people,” said Jamine Hamner, director of Volunteer Services with KentuckyOne Health. “These animals can help lift spirits and calm people down when they are anxious. Our patients’ moods change when an animal is in the room — it’s amazing to see.”

A Tradition of Wagging Tails

 

Dogs began visiting patients at the Frazier Rehab Institute more than 15 years ago as part of a Pet Therapy Visitation program. Volunteer pet owners and certified therapy dogs visited patients on a weekly basis. The visits were a hit, and the staff decided to add a dog to the team permanently to interact with patients and families, as well as be involved in therapy interventions.

“Animal Assisted Therapy is a goal-directed program in which specially trained animals are an integral part of the treatment process,” said Jill Farmer, CTRS, manager of recreation therapy and adapted sports programs with Frazier Rehab Institute. “The therapy promotes improved physical, social, emotional and cognitive function. We saw real value in officially making dogs part of the work we do.”

Watch the video to hear Jill Farmer, CTRS discuss Animal Assisted Therapy and Animal Assisted Activity.

 

A dog named Madison was the first four-legged staffer to join the KentuckyOne Health canine collaboration in 2006. The Paws with Purpose Organization placed her with the Frazier Rehab Institute, where she served solo until 2014, when she was joined by another facility dog named Charlie.

A breeder in Deer Park, Washington, donated Charlie to Frazier Rehab Institute. Like Madison, he was trained as a service animal. In December 2016, thanks to donations to the Jewish Hospital & St. Mary’s Foundation, Frazier Rehab Institute welcomed a new therapy dog named Stanley.

These three four-legged pioneers forged ahead on a mission to help patients facing a variety of conditions, including working with patients who have had a:

  • Stroke — The facility dogs help encourage individuals to talk, walk, or use an affected arm or leg for grooming or petting.
  • Traumatic brain injury — Trained facility dogs can help improve a patient’s communication and thinking skills. For example, a therapist may ask the individual to identify or recall the dog’s age, color and name or to complete basic tasks, such as petting the dog.

The dogs can be especially helpful in pediatric cases, encouraging children to crawl, stand or speak.

“The dogs can motivate individuals to continue working rather than giving up,” Farmer said. “And receiving a service animal for personal use once they have been discharged home can open up a world of independence for a person. The animal can help with opening doors, pulling off shoes and socks, and retrieving dropped items.”

Patients need an order from a physician to work with a facility therapy animal. If a patient has a compromised immune system, this kind of treatment may not be recommended.

Helpful Volunteers

 

Dogs who visit patients at Saint Joseph facilities serve a purpose that is a little less clinical than the dogs at Frazier Rehab Institute. But their work is just as important.

“These dogs are volunteers, and their human parents are volunteers,” Hamner said. “They show up at the hospital according to a self-determined schedule and then walk around to cheer people up as requested. It’s an awesome experience.”

Volunteer dogs who visit Saint Joseph facilities must already be trained therapy dogs. Pet owners may sign up to volunteer online, and when a dog has been approved, the owner can use the same online system to set up visits. These dogs receive special therapy badges, clock in when they are ready for work and visit patients in need of furry companionship.

Partners in Puppy Love

 

KentuckyOne Health partners with community organizations Paws with Purpose, Pet Partners for Independence, Wonderful Animals Giving Support (WAGS), Central Kentucky Love on a Leash and Alliance of Therapy Dogs.

Paws with Purpose puppies in training visit Frazier Rehab Institute patients on the weekends. Pet Partners for Independence offers facility and therapy dog training. And volunteers with WAGS bring in trained therapy dogs to visit patients during the week.

Together, these organizations brighten the days and improve the health of patients.

Funding for the pet therapy program at Frazier Rehab Institute was provided by a generous gift from June and Stanley Atlas.

More Than Man’s Best Friend

 

While it can be tempting to pet and cuddle the doggy helpers, remember that facility dogs who are working as service animals have to keep their focus on their work when they are on the clock.

“Facility dogs like the ones at Frazier Rehab Institute are highly trained dogs who must go through a minimum two years of continuous training,” said Farmer. “They are not pets. They are allowed to be typical dogs when they are not at work but are required to follow specific commands when they are on the job.”

Charlie, a goldendoodleCharlie, a goldendoodle, celebrated his fifth birthday in April.

Teddy Stapleton, a cocker spanielTeddy Stapleton, a cocker spaniel, is one of the many therapy dogs helping KentuckyOne Health patients.

Stanley, a yellow Labrador retrieverStanley, a yellow Labrador retriever, joined the pet therapy program in 2016.

This article originally appeared in the 2017 Fall edition of One Health Magazine. Sign up for your free subscription.

Specialized Care for Moms and Babies

Specialized Care for Moms and Babies

Specialized Care for Moms and Babies

Maternal-fetal medicine physicians connect mothers and babies with specialized diagnostics, treatment and care designed to keep them well during high-risk pregnancies.

When a woman is carrying a child, everything can feel like a mystery. Is the baby healthy? What about the mother? Does she need to do something specific to ensure that the pregnancy is a success?

Maternal-fetal medicine specialists with Women’s Hospital Saint Joseph East, part of KentuckyOne Health, are dedicated to taking some of the guesswork out of pregnancy by providing extra support for expectant moms and their babies.

Maternal-fetal medicine specialists Kristine Y. Lain, MD, and Tracy Prosen, MD, are trained to address complications that may impact pregnancy. They work closely with mothers who have histories of obstetric complications during other pregnancies, such as preeclampsia, pregnancy loss or preterm delivery, as well as working with women who have never experienced such things.

“We focus on anything that is outside of routine prenatal care for an uncomplicated pregnancy,” Dr. Lain said. “Our job is to ask, ‘Is there anything about you, your pregnancy, your babies or your history that causes us to change recommendations for your course of care?’”

Other Categories

 

The maternal-fetal medicine team has several key areas of expertise in addition to prior obstetric complications, including:

  • Routine fetal imaging, such as early pregnancy ultrasounds, routine anatomic surveys, and growth and fetal well-being ultrasounds
  • Maternal medical complications, such as autoimmune disorders, gestational diabetes, high blood pressure or underlying seizure disorders
  • Fetal complications, including chromosome abnormalities, multiple gestations, fetal anomalies and problems with fetal growth

To manage each unique situation, the maternal-fetal medicine specialists make use of the Fetal Imaging Center at Women’s Hospital Saint Joseph East and collaborate with other physicians.

“We work with and serve as consultants for our general OB-GYNs to assist with patients who have complications,” Dr. Lain said. “Making sure patients are in the care of appropriate experts helps ensure the best possible outcomes for everyone.”

This article originally appeared in the 2017 Fall edition of One Health Magazine. Sign up for your free subscription.

The Women’s Hospital provides a broad array of specialized services and amenities, including a fathers-only lounge, a play area for siblings and education center. If you’d like to learn more about delivering at the Women’s Hospital, register for one of our free Maternity Tours today

A Treatment So Hot, It’s Cool

A Treatment So Hot, It’s Cool

A Treatment So Hot, It’s Cool

When cancer spreads to the spine, the resulting tumors can cause painful nerve compression. To treat them, physicians are turning up the heat.

Tumors in the spinal cord can press on nerves, causing pain, tingling and numbness. Easing that pressure is an important part of treating spinal cancer.

Dr. Harry Lockstadt“Traditional treatments for spine tumors can include radiation and a procedure called kyphoplasty, in which we insert a balloon into the compressed area, inflate it and inject cement to fill the space to prevent painful spinal column compression and collapse,” said Harry Lockstadt, MD, board-certified orthopedic surgeon at Bluegrass Orthopaedics & Hand Care at Saint Joseph East, part of KentuckyOne Health. “I’m always concerned that, during the course of performing kyphoplasty, it is possible tumor cells might be seated into the bloodstream and spread to another part of the body.”

At Saint Joseph East, a minimally invasive, outpatient treatment called OsteoCool™ RF (radiofrequency) Ablation reduces the risk of cancer cells spreading while providing many patients with almost instant relief from pain.

Seek, Destroy and Stabilize

Using OsteoCool, a surgeon can ablate the spinal tumor and shore up the spine at the same time with a subsequent kyphoplasty. The procedure typically takes an hour or less.

After using X-ray guidance to pinpoint the tumor’s location, the surgeon makes one or two small incisions in the patient’s back. Once access instruments inserted through those holes reach the site of the tumor, the surgeon places an RF device at the tumor site using a small tube. The tip of the device uses intense, highly focused RF heat to destroy the tumor. Once the tumor portion has been ablated, stabilization is then performed using kyphoplasty.

“OsteoCool has low complication and infection rates with minimal risk of bleeding,” Dr. Lockstadt said. “Unlike radiation, it’s a one-time treatment, and it doesn’t affect surrounding, healthy areas. Results are predictable: Patients almost always wake up with their back pain gone. They’re free to go home and continue cancer treatment. In the three years we’ve been offering OsteoCool at Saint Joseph East, I’ve been very impressed with it.”

If you have been diagnosed with cancer and experience new back or neck pain, as well as weakness or loss of sensation below the painful area, tell your medical team about it immediately. The symptoms could be signs of cancer that has spread to the spine.

This article originally appeared in the 2017 Fall edition of One Health Magazine. Sign up for your free subscription.

9 Tips to Keep Your Hands Safe

9 Tips to Keep Your Hands Safe

9 Tips to Keep Your Hands Safe

We use our hands so frequently that we rarely stop to consider how much they are exposed.

With hand injuries being a common cause for emergency room visits, Jewish Hospital Hand Care Center offers some helpful tips to keep injuries at bay.

  1. Use warm water and soap to keep hands clean.
  2. Carefully and routinely clean your fingernails. Clip your fingernails regularly and file any rough edges. Never bite or chew your fingernails.
  3. Wear protective gloves when cleaning with harmful chemicals.
  4. Keep a fire extinguisher in the kitchen. Do not put water on a grease fire. Leave the flaming pan in place and put out the fire with an extinguisher.
  5. If a burn occurs, immediately place the injured area in cold water, then contact a doctor.
  6. Stay alert when using knives in the kitchen. Always cut away from hands.
  7. Trash cans and bags can lead to serious injury – your hands will inevitably find the dirty, sharp object your eye could not see.
  8. Be aware of what dishes have been placed in a dishwater; the blade of a sharp knife may lead to a cut.
  9. Refrain from slamming doors shut to prevent crushed fingers or hands.

Bite Size Learning Event, Screenings for Better Health in the New Year, and More News

KentuckyOne Health News and Events

KentuckyOne Health News and Events

Our Lady of Peace to Host Free Seminar to Address Anxiety in Children and Teens

 

Lexington, Ky. (January 11, 2018) — Our Lady of Peace, part of KentuckyOne Health, will hold an upcoming seminar focused on an issue that affects many children and teenagers nationwide, both in the home and at school.

Read the full story

Saint Joseph London to Discuss Making Healthier Food Choices in 2018

 

London, Ky. (January 10, 2018) – Saint Joseph London, part of KentuckyOne Health, invites the community to learn about ways to have a healthier year, at the Bite Size Learning health education event on Wednesday, January 17.

Read the full story

Top Five Screenings for Better Health in 2018

 

Louisville, Ky. (January 9, 2018) – The new year is underway, and KentuckyOne Health is encouraging community members to kick off the year on a healthy note by resolving to get their recommended health screenings.

Read the full story

Turkey Chipotle Chili [Recipe]

Turkey Chipotle Chili [Recipe]

Chipotle Turkey Chili Recipe

Chili is a cold weather staple. Give this seasonal favorite a spicy, nutritious makeover with this diabetes-friendly recipe.

Ingredients

 

  • 2 cups chopped onions
  • 3/4 cup chopped green pepper
  • 1/2 cup fresh or frozen whole-kernel corn
  • 2 Tbsp minced garlic
  • 2 Tbsp olive oil
  • 2 Tbsp finely chopped, canned chipotle chili peppers in adobo sauce
  • 1 Tbsp tomato paste
  • 1 Tbsp chili powder
  • 1 Tbsp dried oregano, crushed
  • 2 Tbsp ground cumin
  • 1 tsp ground coriander
  • 4 cups low-sodium chicken broth
  • 3 cups chopped or shredded roasted turkey breast
  • 1 15-ounce can no-salt-added diced tomatoes, undrained
  • 1 15-ounce can no-salt-added tomato sauce
  • 1 15-ounce can no-salt-added black beans, rinsed and drained
  • 1/4 cup finely snipped, fresh cilantro
  • 1/4 cup chopped green onions
  • 2 Tbsp lime juice
  • 6 Tbsp plain Greek yogurt

Directions

 

In a 4-quart Dutch oven, cook onions, green pepper, corn and garlic in hot olive oil for 5 minutes or until vegetables are tender. Stir in chili peppers and tomato paste. Cook an additional minute.

Stir in chili powder, oregano, cumin and coriander. Then add broth, turkey, diced tomatoes, tomato sauce and black beans. Bring to a boil, and reduce heat to medium-low. Simmer, covered, for 20 minutes.

Stir in cilantro, green onions and lime juice. Simmer, uncovered for 2 more minutes. Top each bowl with a tablespoon of yogurt.

Nutritional Information

 

Makes 6 servings
338 calories
6 grams fat
34 grams carbohydrates
37 grams protein

This article originally appeared in the Fall 2016 edition of One Health Magazine. For more health news, wellness information and recipes likes this, sign up for your free subscription

Is Your Mammogram Doing Double Duty?

Is Your Mammogram Doing Double Duty?

Routine screenings for breast cancer can help identify calcium buildup — a sign of potentially serious coronary artery disease.

Calcium deposits can collect over time and block your coronary arteries, leading to heart attack and impaired heart function. These deposits are generally detected through coronary calcium scans — detailed imaging of the heart arteries. Now, researchers have found that women whose mammograms reveal calcium deposits in their breast tissue may benefit from talking with their doctors about their coronary artery health.

Research Reveals Link

In a 2016 study published by JACC: Cardiovascular Imaging, nearly 300 women were evaluated for calcium buildup in their hearts and breasts. Researchers found that seven out of 10 women with calcium buildup in their breast arteries also had calcium buildup in their hearts.

Dr. Brian Mattingly“Research is the first step to understanding the connection between breast artery calcification and coronary artery calcification,” said Brian Mattingly, MD, breast imaging radiologist with Medical Center Jewish East, part of KentuckyOne Health. “This could give us another tool for identifying coronary artery disease and helping patients who suffer from it.”

Next Steps

Risk factors for coronary artery calcification include advanced age, diabetes, hypertension, high cholesterol and a history of smoking. Coronary artery calcification can take years to develop and is often a symptom-free condition until it is advanced.

Mammogram results that include signs of breast calcium buildup can help start conversations about heart disease before the condition becomes serious. If calcium buildup is discovered, doctors can perform further screenings to determine if patients also have other known risks of heart disease, such as high cholesterol, or if the buildup is a symptom of more advanced coronary artery disease.

“Mammograms are already a useful tool and could prove even more beneficial once additional studies tell us more about their potential for identifying coronary artery disease,” Dr. Mattingly said. “We’re excited to see where this research leads and about carefully applying it to our patient population once more evidence and best practices are established.”

To schedule your digital mammogram today, find a location near you or call 502.587.4327.

This article originally appeared in the 2017 Fall edition of One Health Magazine. Sign up for your free subscription.

Quick Action and Treatment for Stroke Recovery

Patient Story - Jo Mae

When Jo Mae arrived at the Saint Joseph Hospital emergency room, the ER team knew immediately she was having a stroke.

Jo Mae was experiencing facial drooping, difficulty speaking and weakness on one side of her body. These are common symptoms of stroke, which can occur when blood supply to a part of the brain is interrupted or reduced.

Knowing that quick treatment was important, the Saint Joseph Hospital stroke team provided a blood clot-bursting medicine that restored blood flow in Jo Mae’s brain.

Thanks to her quick arrival at the hospital and the appropriate treatment, Jo Mae has no deficits from her stroke.

Watch the video below to hear her story.

Warning Signs and Common Symptoms of Stoke

F.A.S.T. is an easy way to remember the sudden signs of a stroke

  • Facial Drooping — Ask the individual to smile. Is one side of his or her face drooping downward?
  • Arms — Next, ask him or her to raise both arms and note whether one drifts downward.
  • Slurred or Strange Speech — Finally, ask the person to repeat a simple sentence. Is it correct? Is his or her speech difficult to understand?
  • Time — If someone has these symptoms, call 911 immediately. Don’t put off medical attention, even if the symptoms disappear.

Recognizing and responding to symptoms of stroke right away could save a life. Learn more about stroke symptoms, including risk factors, and see our list of Frequently Asked Questions