KentuckyOne Health Foundations are Celebrating Three Major Grant Awards

Foundations Celebrating Three Major Grant Awards

Clinical Pastoral Education Curriculum Development Grant

Jewish Hospital & St. Mary’s Foundation received a $5,000 Clinical Pastoral Education (CPE) curriculum development grant from the “Transforming Chaplaincy: Promoting Research Literacy for Improved Patient Outcomes” project.

This project, funded by the John Templeton Foundation, aims to guide chaplains in the use of research to evaluate and advocate for the daily spiritual care they provide to patients, family members and colleagues. This award will allow the implementation of a research literacy component to University of Louisville Hospital’s existing Chaplaincy training program.

ULH’s Clinical Pastoral Education Center is accredited by the Association for Clinical Pastoral Education, Inc. and is one of only 32 centers nationwide to receive the award.

This initiative was led by Frank Woggon, Director of Chaplaincy Services at University of Louisville Hospital and Rabbi Nadia Siritsky, Vice President of Mission at University of Louisville Hospital and Jewish Hospital.

Grant from Mead Johnson Nutrition

Saint Joseph Hospital Foundation has received a $2,500 independent medical education grant from Mead Johnson Nutrition to provide a two day infant massage certification class to five staff members of The Women’s Hospital at Saint Joseph East.

The training will be conducted by Laura Barnhart, OTR/L, CIMI-2, CIIT, Occupational Therapist for KentuckyOne Health. Ms. Barnhart is a certified Infant Massage Therapist and is a certified trainer through the World Institute of Nurturing Communication d/b/a International Association of Infant Massage.

Each participating staff member will receive his or her certification in Infant Massage after completing 14 hours of classroom work, successfully completing an exam, and upon proof of demonstrating the massage techniques to five families within six months.

Infant massage provides many benefits including improvements in sleep patterns, growth and development, weight gain, bonding between the mother and the infant, and reductions in infant mortality rates and colic.

This initiative was led by Emily Ray, PT, Laura Barnhart, OTR/L, CIMI-2, CIIT, Becky Wheatley, RN, and Janell Oliver, Director of Proposal Development for KentuckyOne Health.

Grant from the United States Department of Agriculture

The United States Department of Agriculture has awarded Jewish Hospital & St. Mary’s Foundation $11,355 in grant funding toward the purchase of a seasonal high tunnel to benefit KentuckyOne Health’s Iroquois Urban Farm.

In partnership with Louisville’s Metro Housing Authority, the Food Literacy Project, and local farmer/agricultural consultant Ivor Chodkowski, 8.7 acres at the former Iroquois public housing site is being converted into an urban farm, creating a living laboratory to test the economic viability of a direct “farm-to-hospital-table” concept that will ultimately benefit patients and families served at Sts. Mary & Elizabeth Hospital.

In addition, the farm will become a new outdoor classroom immediately proximal to Hazelwood Elementary and other south central schools, making the Food Literacy Project’s experiential educational programming more accessible to area students and their families.

The seasonal high tunnel, approximated at 2,178 square feet, will include roof runoff structures and a holding tank in support of these efforts. This is the first grant KentuckyOne Health has received from the USDA.

Good Vibrations: Leading-edge treatment for a life-limiting gastrointestinal (GI) disorder

Good Vibrations

Good Vibrations: Leading-edge treatment for a life-limiting gastrointestinal disorder

In 1992, while practicing in Memphis, Tennessee, Thomas Abell, MD, medical director at the Jewish Hospital GI Motility Clinic and professor of medicine at the University of Louisville, and his GI team developed a gastric electrical stimulation therapy, now called the Medtronic Enterra Therapy System. This innovative therapy is used to treat symptoms of gastroparesis, a stomach disorder affecting roughly 5 million Americans.

The condition results in slow digestion of food, which causes severe, chronic nausea and vomiting. The Food and Drug Administration (FDA) approved the therapy in 2000, eight years after the first system was implanted. Prior to the advent of the Enterra Therapy System, patients had limited and minimally effective treatment options, including dietary modifications, medications, tube feeding or surgery.

Electrifying Effects

Enterra Therapy works by emitting mild electrical pulses to stimulate the top portion of the stomach’s wall. Its high success rate offers new hope to patients suffering from gastroparesis symptoms.

“This device is a great option for patients who have tried other treatments but haven’t experienced improvement,” Dr. Abell said. “This new approach is highly effective — about 80 percent of patients experience a considerable improvement in their symptoms.”

To provide more cost-efficient care, the Jewish Hospital GI Motility Clinic first offers patients a temporary Enterra device, placed outside the abdomen in an outpatient endoscopy lab, to see if their bodies respond to therapy and symptoms improve.

Watch the video below to hear Dr. Abell discuss Enterra Therapy

“We can usually tell within a week if the therapy is going to work for a patient,” Dr. Abell said. “If they respond well to the treatment, we surgically place a permanent device, which is inserted under the skin over the abdomen.”

Because the permanent device requires a surgical procedure, patients need several weeks to recover from the surgery before the device is activated.

“This therapy has been evolving greatly over the last 16 years since it was first approved by the FDA, and it holds great promise for patients who suffer from these symptoms, which can significantly impact quality of life,” Dr. Abell said. “We continue to see great success with this therapy, and look forward to seeing even more improvement as we learn more about this condition and similar GI illnesses.”

This article originally appeared in the 2017 Winter edition of One Health magazine. For more stories like this one, subscribe to One Health today.

Sixth Annual Golf Tournament, Bite Size Learning Event and More News

KentuckyOne Health News and Events

Sixth Annual Golf Tournament, Bite Size Learning Event and More News

Below is your weekly roundup of KentuckyOne Health news.

Team Registration Open for Flaget Memorial Hospital Foundation’s Sixth Annual Golf Tournament

Bardstown, Ky. (May 2, 2017) – The Flaget Memorial Hospital Foundation, part of KentuckyOne Health, will host its sixth annual golf tournament on Friday, June 2 at Maywood Bardstown Country Club.

Read the full story

Saint Joseph Berea to Discuss Chronic Disease During Bite Size Learning Event

Berea, Ky. (April 28, 2017) – Saint Joseph Berea, part of KentuckyOne Health, invites the community to learn more about chronic disease in Kentucky and effective treatment options at the free Bite Size Learning event on May 9, 2017.

Read the full story

Saint Joseph Martin Takes Top Honors During “Best Places to Work in Kentucky” Awards Ceremony

Martin, Ky. (April 28, 2017) Saint Joseph Martin, part of KentuckyOne Health, received top honors during the 13th Annual Best Places to Work in Kentucky awards ceremony, held on Wednesday, April 26 at the Hyatt Regency Lexington.

Read the full story

A Heart for Transplant

A Heart For Transplant

Kathy Anderson has a heart for organ donation. Literally.

When she was just 20 years old, Anderson received a donor’s heart. Now, 30 years later, she doesn’t miss a beat.

Anderson, of Brandenburg, had been taking medicine while she was pregnant with her twin girls that she later learned had caused her heart to deteriorate. By the time the girls were delivered, her health was serious. Her babies were just three weeks old when her physician, Dr. Laman Gray, flew to Florida to retrieve the heart of a 23-year-old donor.

Kathy Anderson and Family

Kathy Anderson, center, and family

“Transplant was so foreign back then,” Anderson said.

Organ donation took on a new meaning for their family in 2010, when Anderson’s brother died in a car accident. His liver was donated to a woman who was being treated at the University of Kentucky.

Anderson now returns to Jewish Hospital every year for a checkup, and she’s actively helped raise funds to support the hospital system through the Jewish Hospital & St. Mary’s Foundation.

“Jewish Hospital is the reason I’m here,” she said. “I’ve had this heart longer than the one I was born with.”

Painful Acid Reflux Disease Affects Many Americans

Painful Acid Reflux Disease Affects Many Americans

Painful Acid Reflux Disease Affects Many Americans
Acid reflux disease, also known as gastroesophageal reflux disease (GERD), is a chronic digestive disease that affects nearly 20 percent of Americans, including children and adults.

A painful disease in which stomach acid flows backwards into the esophagus, GERD causes irritation and other negative side effects. Acid reflux disease can eventually lead to esophageal cancer if left untreated, so it is important to understand the symptoms and when to seek treatment.

The stomach produces harsh acids after a meal that help with the digestion of food. In a healthy person, a ring of muscle at the bottom of the esophagus called the lower esophageal sphincter prevents the acid from backing up into the esophagus in a movement called reflux. In people with acid reflux disease, this muscle does not function properly, and the acid backs up, or refluxes, into the esophagus.

Cause and Effect

The stomach lining is tough and it’s made to handle acid, but the esophagus is not. It has much more delicate lining and doesn’t repair itself as well. As a result, refluxed acid can lead to burns, which are painful and can make people feel nauseated or make like they have to belch frequently. Other symptoms of acid reflux include heartburn, regurgitation of bitter acid into the throat, bitter taste in mouth, dry cough, hoarseness, feeling of tightness in the throat, and wheezing.

There are many factors that can contribute to acid reflux, including:

  • Lifestyle
  • Medications
  • Diet
  • Pregnancy
  • Rapid weight gain
  • Certain medical conditions

Tests to diagnose acid reflux disease include X-rays of the esophagus, stomach and upper part of the intestine, gastrointestinal endoscopy, esophageal manometry, and a 24-hour pH probe study, a test where a thin probe or tube is placed in the esophagus. A gastroenterologist will perform any number of these tests to determine if symptoms are being caused by acid reflux or another health issue.

Prolonged acid reflux disease can cause long-term damage, including a precancerous condition called Barrett’s esophagus, where normal tissue lining the esophagus changes to tissue that resembles the lining of the intestine. Those who have suffered from acid reflux for five years or longer may require additional testing to see if they are at risk for Barrett’s esophagus.

Watch Video About Barret’s Esophagus


Relief in Reach

There are a variety of ways to reduce or eliminate the symptoms of acid reflux. In some cases, patients may receive a prescription for acid-blocking medication, which helps stop the acid-producing cells in the stomach. That way, when stomach fluids come back up, they include less acid, and don’t irritate the tissue.

Acid reflux can sometimes be prevented by changing the habits that may cause reflux. This includes avoiding alcohol and smoking, limiting fatty foods and other food triggers, maintaining a healthy body weight, and avoiding large meals within three hours of bedtime.

This article originally appeared in the Winter 2017 edition of One Health magazine. For more stories like this one and additional health and wellness information, subscribe today.

Kathleen Martin, MDKathleen Martin, MD

Dr. Kathleen Martin is a gastroenterologist with KentuckyOne Health Gastroenterology Associates.

Dr. Kapur on Crohn’s Disease [Video]

Dr. Kapur on Crohn's Disease

Crohn’s disease is an inflammatory condition in which the body attacks the lining of the bowel.

Dr. Ashok Kapur describes the symptoms.

“Something’s triggered in the body and the battlefield is the lining of the bowel and that leads to chronic inflammation,” said Dr. Kapur. “A majority of the patients will have pain, diarrhea or weight loss.”

Doctors at KentuckyOne Health can offer expert, individualized treatment for patients with Crohn’s disease.

“A majority of the patients will do fine with medications. The aim of the treatment is to not simply get relief from their symptoms but also to get them back to normal in terms of their functional status,” said Dr. Kapur.

5 Ways to Nip Your Allergies in the Bud [Infographic]

5 Ways to Nip Your Allergies in the Bud

Five Ways to Nip Your Allergies in the Bud

The Asthma and Allergy Foundation of America (AAFA) estimates that nearly 50 million Americans each year suffer from nasal allergies.

Kentucky is commonly ranked among the worst places to live with spring allergies by AAFA. While there is no known cure for allergies, they can be managed through prevention and treatment.

Review the infographic below for tips on how to manage your seasonal allergies, often referred to as hay fever, as trees and flowers begin to bloom.

Five Ways to Nip Your Allergies in the Bud


GPS-guided, Minimally Invasive Treatment for Brain Tumors

GPS-guided, Minimally Invasive Treatment for Brain Tumors

GPS-guided, Minimally Invasive Treatment for Brain Tumors
A new technology at Jewish Hospital, part of KentuckyOne Health, can help patients with epilepsy and brain tumors previously considered inoperable.

The NeuroBlate System is a new technology that treats tumors and epilepsy using a laser guided by magnetic resonance imaging (MRI). The laser applies heat directly to diseased tissue in the brain until the damaged area dies. Depending on the size of the tumor, removal can take as little as two minutes.

When using NeuroBlate to treat patients, surgeons make a small opening in the skull. The tiny incision means NeuroBlate patients have less pain, discomfort and scarring, as well as a faster recovery following the procedure, compared to patients who have open procedures.

“NeuroBlate is a minimal access procedure — it’s done through a hole the size of a pencil eraser, and we only need to make one incision the width of a pinkie,” said Brian J. Williams, MD, neurosurgeon and director of the Brain Tumor Program in the University of Louisville Department of Neurosurgery. Dr. Williams uses the NeuroBlate system on brain tumors. “The procedure is done using a GPS-guiding system that allows us to be ultra-precise. We watch the brain in real time to monitor the procedure.”

Watch the video


A Broader Scope

NeuroBlate procedureNeuroBlate allows physicians to treat areas of the brain that are difficult to reach and is often used on patients who have recurring brain tumors. NeuroBlate may also be appropriate for patients with epilepsy who have tried two or more medications and still have uncontrolled symptoms.

“There are a lot of patients having seizures who don’t realize something can be done,” said Joseph S. Neimat, MD, neurosurgeon and chair of the Department of Neurosurgery at the University of Louisville. “If you’ve had seizures twice a week for 20 years, that’s a tough way to live. It’s difficult to hold down a job or drive. With NeuroBlate, we help patients get their lives back.”

NeuroBlate is part of the neurosurgical hybrid operating room at Jewish Hospital, which was funded by the Jewish Hospital & St. Mary’s Foundation.

This article originally appeared in the Winter 2017 edition of One Health magazine. For the latest news on KentuckyOne Health, visit our News Center and read more about robotic laser therapy for brain tumors.

Solving Structural Heart Problems

Read Solving Structural Heart Problems

Solving Structural Heart Problems
When the valves and chambers in your heart aren’t working correctly, a specialized heart team with experience can make the difference.

Structural heart disease describes any defect with the anatomy of your heart or chambers. Whether it’s the valves that control blood flow, the chambers that make up your heart or a problem with the aorta, structural heart disease can lower your quality of life and put you at increased risk for potentially life-threatening heart health concerns, such as heart failure or stroke.

Some common structural heart problems include:

  • Valve stenosis (narrowing). When blood flows from one area of the heart or body to another, it passes through a valve, which acts as a gateway in or out of the heart. The aortic valve controls blood flow from the heart to the rest of the body. The mitral valve controls blood flow between the two chambers on the left side of the heart. And the pulmonary valve controls blood flow out of the heart and into the lungs. All can have narrowing. Left untreated, valve stenosis can cause irregular heartbeat, stroke, heart failure or loss of life.
  • Mitral valve regurgitation. When the mitral valve does not close properly, it can allow blood to flow backward, leading to heart failure and arrhythmia. Degenerative mitral regurgitation (wear and tear) along with mitral valve regurgitation caused by other conditions, such as coronary artery disease or heart muscle problems, are common causes of mitral regurgitation. If severe enough, mitral valve regurgitation can cause heart failure.
  • Atrial septal defect (ASD). A wall of tissue separates the upper chambers of the heart. An ASD is a hole in the tissue that allows oxygen-rich blood to flow into the oxygen-poor part of the heart. Symptoms vary depending on the size of the hole.

Treatment Requires a Skilled Team

Although medications can sometimes be used to manage symptoms of structural heart problems, surgery or a minimally invasive procedure may be the best treatment option.

“This subset of heart disorders is very complex and requires a collaborative team approach to address effectively,” said Nezar Falluji, MD, MPH, FACC, FSCAI, board-certified interventional cardiologist with KentuckyOne Health Cardiology Associates–Lexington. “At KentuckyOne Health, we offer a comprehensive, multidisciplinary approach. We combine the skills of interventional cardiologists, who specialize in structural heart disease, with those of cardiovascular surgeons to provide the best evidence-based pharmacologic, minimally invasive and surgical intervention care.”

A Minimally Invasive Approach to Treating AVS

If you are dealing with aortic valve stenosis (AVS), you know how exhausting the condition can be. For patients with severe AVS who are not ideal candidates for surgical replacement, implanting a prosthetic aortic valve using a minimally invasive approach saves lives and improves quality of life. This approach is known as transcatheter aortic valve replacement (TAVR).

At Saint Joseph Hospital and Jewish Hospital, both part of KentuckyOne Health, physicians use a catheter to place the replacement valve within the old, damaged valve, almost like a stent. The new valve takes over, and normal blood flow is restored. At KentuckyOne Health, TAVR is performed under conscious sedation, which improves patients’ recoveries and decreases hospital length of stay.

“The quality of life prior to aortic valve replacement is poor, and patients with aortic valve stenosis can’t do any type of activity that requires exertion — climbing the stairs, walking more than a block or doing things they want to do become impossible,” said Michael Flaherty, MD, PhD, board-certified interventional cardiologist, associate professor of medicine and physiology at the University of Louisville and director of adult structural heart disease at Jewish Hospital.“Fixing the valve not only improves patients’ quality of life, but is lifesaving. All those limitations are gone. When we perform the replacement with a catheter and use conscious sedation, patients are up and walking around the day of the procedure and go home the next day.”

Fixing Blood Flow Without Surgery

Patients with mitral valve regurgitation also face exhaustion, extreme fatigue and shortness of breath. If you have severe leakage but are not a candidate for surgery, the MitraClip system can help.

Available at Saint Joseph Hospital and Jewish Hospital, this system uses a nonsurgical puncture and a catheter to place a clip on the mitral valve. MitraClip allows the valve to close more completely, reducing the backflow of blood.

This article originally appeared in the Winter 2017 edition of One Health magazine. For more stories like this one, subscribe to One Health today

Losing Weight for a Healthier Life

Losing Weight for a Healthier Life

Losing Weight for a Healthier Life

Did you know weight-loss surgery can help treat Type 2 diabetes?

Type 2 diabetes can be challenging to control. Adults with the condition must prick their fingers to check their blood sugar multiple times a day. Many also take one or more medications or use insulin injections to keep their glucose levels under control. Even with these treatments, some people have a difficult time managing their illness.

“Medications and insulin injections work to a point, but they’re like a bandage,” said Robert Farrell, MD, FACS, bariatric surgeon at KentuckyOne Health Weight Loss and Surgery Associates. “We’re now seeing a paradigm shift. Weight-loss surgery is becoming a prominent choice for some people with Type 2 diabetes who are overweight or obese.”

Available Options

Three weight-loss surgeries — Roux-en-Y gastric bypass, sleeve gastrectomy and gastric banding — were discussed at the 2nd Diabetes Surgery Summit as treatment options for Type 2 diabetes. All three are available at KentuckyOne Health and are performed laparoscopically, meaning surgeons operate through several small, key-hole-sized incisions instead of through one large incision. Laparoscopic surgery is usually less painful and gets patients back on their feet faster.

During a Roux-en-Y gastric bypass, surgeons create a small pouch from a portion of the stomach. This pouch is separated from the rest of the stomach and the two upper parts of the small intestine, which are known as the duodenum and jejunum. The pouch is then reconnected to the lower segment of the small intestine, forming a “Y” shape. The surgery limits the amount of food people can comfortably eat at one time and the number of calories and nutrients that are absorbed from food.

“Metabolic changes happen almost instantly when you bypass the duodenum, so people see diabetes improvement not long after surgery,” said Joshua Steiner, MD, FACS, bariatric surgeon at the Center for Weight Loss Surgery at Saint Joseph East, part of KentuckyOne Health. “Many of our patients go home needing very little of their diabetes medication.”

The American Society for Metabolic and Bariatric Surgery estimates that Roux-en-Y gastric bypass essentially cures Type 2 diabetes in 80 percent of cases. Roughly 85 to 90 percent of Dr. Steiner’s patients no longer have to worry about diabetes after surgery, and nearly 100 percent see improvement.
Dr. Farrell offers Roux-en-Y gastric bypass and sleeve gastrectomy, which was the most performed bariatric surgery in 2015, to patients looking to improve their Type 2 diabetes symptoms. During a sleeve gastrectomy, physicians remove roughly 80 to 85 percent of the stomach. More than 80 percent of his patients who have a sleeve gastrectomy notice Type 2 diabetes improvement or resolution.

“To see that there is an option that can treat diabetes and prevent serious complications fills people with hope,” Dr. Farrell said. “These surgeries are truly life changing.”

This article originally appeared in the Fall 2016 edition of One Health magazine. For more information about weight loss and nutrition, subscribe to One Health magazine today.