Farm Safety Tips for Your Hands

Farm Safety Tips for Your Hands

Farm Safety Tips for Your Hands

It’s hard to imagine life without the benefits of powerful farm equipment, but farm implements also pose dangers to the people who use them. Each year in the United States farming is ranked as one of the most dangerous professions, with many farming accidents involving the upper extremities.

Jewish Hospital Hand Care Center offers the following safety guidelines to help keep you, your family and employees safe while working with farm equipment.

Farm Equipment Safety

  • Know the proper use, and limitations of your equipment. If you do not have instructions, contact the manufacturer.
  • Match tractors with equipment of same power and speed levels to prevent machine failure and possible serious injury.
  • Use heavy-duty equipment for heavy-duty jobs.
  • Do not modify or remove safety features such as kill switches, roll bars or control bars. Use safety features and heed the manufacturer’s warnings!
  • Use runners and chain guards on mowers.
  • Keep power transmission shafts covered and shield power takeoff shafts properly.
  • Disengage or unplug all power takeoffs, blades, cutterbars, crimper rolls or other moving parts before handling equipment.
  • Do not use hands to clear jammed equipment.
  • Keep hands and feet clear of moving parts.
  • Inspect controls and parts for loose nuts and bolts before each use.

General Farm Safety

  • Avoid working alone. Use “the buddy system.” Your buddy should know safe usage of equipment and will be able to get help immediately in case of an accident.
  • Never allow children to operate equipment, ride double or play or work nearby. Children may be hit by flying debris or dragged into moving parts. They are not strong or knowledgeable enough to handle equipment properly.
  • Avoid loose or baggy clothing. Clothing can be dragged into machinery.
  • Be vigilant of area and terrain. Stumps, rocks, and hidden debris can cause overturns, and low tree limbs can knock an operator off a tractor.
  • Inspect banks and slopes for stability. On steep slopes, plan path of travel downhill. Never take shortcuts!
  • Report any skin conditions to your physician. Farm soil contains many pathogens conducive to serious infection. Use chemical-resistant work gloves to prevent burns and infection.

To learn more about the Jewish Hospital Hand Care Center, please contact 502.587.4799 or 502.561.4263. For additional information on hand care emergencies, call 502.540.3727.

A Better Solution for Tremor

A Better Solution for Tremor

Kathleen Prezocki’s essential tremor had progressed to the point that compromised her quality of life.

“It was affecting me in eating, writing and speech,” Prezocki said. “The medicine was not allowing me to control the symptoms anymore. Trying to put a necklace on and trying to get that hook in there — my goodness that was frustrating!”

Prezocki’s physicians suggested deep brain stimulation (DBS) therapy, and she decided it was time to take the next step. She was the first patient in the region to receive the St. Jude device. Joseph Neimat, MD, chairman of the Department of Neurosurgery at the University of Louisville, implanted Prezocki’s DBS device at Jewish Hospital, part of KentuckyOne Health.

Since receiving the device, Prezocki has been able to stop taking tremor medications. Her ability to write is improved and she is able to play bridge without a cardholder.

Kathleen Prezocki and Dr. Neimat

Kathleen Prezocki (left) credits deep brain stimulation with helping her now perform daily life tasks easier. Joseph Neimat, MD, (right) implanted Prezocki’s device at Jewish Hospital.

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

 

Caring for Your Feet

Caring for Your Feet

Your feet do a lot for you. Make sure you do right by them.

You depend on your feet to take you everywhere you need to go. It’s no surprise, then, that they may need some maintenance to feel their best.

Dr. Tim Ford“Some of the problems we see, such as bunions and hammertoes, develop due to hereditary factors and the shoes you wear,” said Tim Ford, DPM, FCFAS, podiatric surgeon and director of KentuckyOne Health’s Podiatric Residency Program. “Others, such as diabetes-related wounds, can be prevented with proper medical care and watchfulness. We can help diagnose foot problems and guide patients to relief.”

Some of the most common problems Dr. Ford and his colleagues address include:

  • Bunion — A large bump on the side of the big toe that occurs in certain foot types. Symptoms include pain, redness, inflammation and numbness.
  • Hammertoe — Typically starts out as mild bending of one or both joints in your toes (not the big toe). Hammertoe is often aggravated by poorly fitting shoes.
  • Plantar fasciitis — Inflammation of the band connecting your heel to the base of your toes that often causes heel pain. According to Dr. Ford, people with a high arch or flat foot are especially prone to plantar fasciitis.

Dr. Ford and the podiatry team also help patients with traumatic foot and ankle injuries, which include broken bones, lacerations and even injuries sustained from lawn mowers or other equipment. Treatments provided by the practice range from medication, bracing and other conservative therapies to surgical procedures for bunions and even total ankle replacement.

Wound care management for foot and the lower leg/ankle is an integral part of podiatry care at the new Wound Care Center at Jewish Hospital, part of KentuckyOne Health.

Knowledge Is Prevention

 

It’s important to stay familiar with your feet. Inspect them regularly. That way, you’ll notice quickly if something is wrong.

This is particularly important for individuals with diabetes, who, due to diabetic nerve damage, may not feel pain from slow-healing wounds. Don’t wait to see your doctor if you have any concerns. Podiatrists can help with discomfort and possibly even save your feet.

High Heel How-to

 

High heels are stylish, professional and just plain fun — but if you wear them too often, they could damage your feet. Their instability makes it easier to turn your ankle, which could cause a sprain or fracture.

“If you stay in high heels too long, you also develop a tight (shortened) Achilles tendon, and it becomes difficult to get your foot flat to the ground,” said Dr. Ford. “Swap heels periodically for flat-soled shoes, and you should be OK.”

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

Are you experiencing foot pain? Don’t wait to get help. View our Provider Directory to find a podiatrist near you. 

Delving Into DBS

Delving Into DBS

Implanting electrodes into the brain may sound like science fiction, but an innovative treatment performed at Jewish Hospital, part of KentuckyOne Health, called deep brain stimulation (DBS) uses that exact process to treat movement disorders.

Movement disorders affect people’s ability to move, walk, speak and otherwise function normally. Many of these issues are caused by malfunctions in the neural processes and circuits of the brain.

“DBS helps stop irregular neural firing and encourages a normal pattern of brain activity,” said Joseph Neimat, MD, chairman of the Department of Neurosurgery at the University of Louisville, who performs the procedure at Jewish Hospital. “The results are amazing.”

Circuit Work

Traditionally, medications are used to treat movement disorders, but over time, they may become less effective. DBS uses electrodes to pulse electricity to the proper area of the brain and alleviate symptoms — often yielding lasting, reproducible results.

“DBS alters the brain’s circuits in the same way as medications, but it does so in a more predictable and measured way,” Dr. Neimat said. “The therapy produces consistent benefits, and can truly change the quality of patients’ lives.”

Prep and Programming

Patients work closely with a team of neurologists, neurosurgeons and other providers to prepare for the two procedures necessary to begin DBS therapy.

First, MRIs, CT scans and microelectrodes are used to discover the area of the brain that is malfunctioning. Once the proper area is found, one or more neurostimulator electrodes are placed in the brain. Patients normally return home the day after this procedure.

A week later, patients return to the hospital for a second surgery. The electrodes are connected to a battery that is implanted in the chest. Over the next few months, providers work with the patient to program the electrodes and make sure they are stimulating the brain with the correct charge, amplitude and frequency.

“Patients who find that their medications are losing effectiveness should definitely consider DBS,” Dr. Neimat said. “The surgery is very safe and effective and changes patients’ lives for the better.”

Movement Disorders Program at Frazier Rehab Institute

Through a partnership with the University of Louisville, the Movement Disorders Program at Frazier Rehab Institute, part of KentuckyOne Health, provides a comprehensive approach to care for individuals with Parkinson’s disease and other movement disorders. For more information, call 502.582.7654.

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

A Lifetime of Giving Back

A Lifetime of Giving Back

A Lifetime of Giving Back

After dedicating years to improving the care of others, Marcia Schuster recently retired from her role as a volunteer. Her spirit of service is an inspiration to us all.

Many people struggle to find time to give to something greater than themselves. So when someone dedicates herself and donates more than 4,500 hours of her time, it deserves special recognition.

A Volunteer Career

 

Marcia SchusterSchuster has been a volunteer at Jewish Hospital, part of KentuckyOne Health, since 1972. During her decades as a volunteer, Schuster was:

  • Elected to the Jewish Hospital Board in 1983
  • Vice chair of Jewish Hospital Health Services
  • Awarded the Jewish Hospital Board presidency in 1993
  • Honored as a life member of the board in 2000
  • Presented with the Volunteer of the Year award in 2011

“We can’t help but applaud Schuster’s contributions as a trustee, board chair and volunteer,” said Richard Schultz, vice chair of the KentuckyOne Health Board of Directors. “We are all grateful for her years of service and everything she has given to us.”

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

Inspired by Schuster’s spirit of giving? Follow her footsteps by registering to volunteer your time today.

Bringing Cancer Treatment Home

Bringing Cancer Treatment Home

Bringing Cancer Treatment Home

Oral chemotherapy can make cancer treatment a little easier.

A cancer diagnosis is never convenient, and traveling to and from the hospital to receive intravenous chemotherapy treatments can be a real drain on patients’ time and morale. Now, for certain patients, KentuckyOne Health offers oral chemotherapy — a treatment option that frees patients from long sessions of infusion therapy.

“Like traditional chemotherapy, oral chemotherapy is used to destroy cancer cells, but it does so through a pill you can swallow,” said Scott Pierce, MD, hematologist and oncologist at KentuckyOne Health. “Oral chemotherapy is considered just as effective as the traditional version and has the benefit of allowing patients to undergo treatment at home.”

Cancer patients who opt for oral chemotherapy also don’t have to deal with being hooked up to an IV, which is a necessary measure for traditional chemotherapy that can cause discomfort or anxiety for patients.

No Magic Pill

 

The ability to undergo treatment from the comfort of one’s home has turned oral chemotherapy into a very popular option. However, this method of treatment isn’t without its drawbacks, including:

  • Strict instructions. The burden of remembering how and when to take oral chemotherapy falls squarely on the shoulders of the patient. Patients must also remember to avoid certain foods, drinks, vitamins and supplements when taking the medication.
  • Pricey pills. Oral chemotherapy can be expensive and isn’t always covered by insurance plans. Because of this, it’s important for people to check with their medical insurance before choosing this line of treatment.
  • Same old symptoms. The side effects of oral chemotherapy are comparable to those of traditional chemotherapy. Fatigue, weakness, nausea, vomiting, appetite loss, diarrhea, weight loss, hair loss, bleeding gums, skin changes, low blood count, loss of menstrual periods and compromised immune system are all possible.

“Oral chemotherapy may be used alone or in combination with radiation therapy, surgery or immunotherapy,” Dr. Pierce said. “Talk with your physician to see if oral chemotherapy might be an option for your type of cancer.”

Handle with Care

 

As with most prescription medications, it’s extremely important to follow your physician’s directions when embarking on an oral chemotherapy treatment program.

Certain oral chemotherapy drugs are hazardous. Follow your doctor’s instructions for handling hazardous medications with care, which may mean wearing safety gloves, storing pills in a certain location or packaging, and being extra cautious about the other medications or supplements you take, even if they come over-the-counter.

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

Employee Reunited with Family, Clinic at Rupp Arena, It’s Heart Month, and More News

KentuckyOne Health News and Events

KentuckyOne Health News and Events

“Lost Boy of Sudan” and Jewish Hospital Employee Reunited with Family

 

A Jewish Hospital surgical tech and former “Lost Boy of Sudan” was recently reunited with his wife and three daughters from Uganda, thanks to help from the Jewish Hospital & St. Mary’s Foundation, part of KentuckyOne Health, and Congregation Adath Jeshurun in Louisville.

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Forty Lucky Ladies Win KentuckyOne Health Contest to Attend Women’s 101 Clinic at Rupp Arena

 

Approximately 40 women will hit the hardwood of Rupp Arena for the fifth year of the Women’s 101 Clinic. In one of the world’s elite basketball settings, the clinic tips off just in time for tournament season.

Read full article

Learn More About Irregular Heartbeat During American Heart Month

 

Louisville, Ky. (February 6, 2018) – American Heart Month is underway, a time during which community members are encouraged to learn about heart disease and how to make healthy lifestyle changes to lead to a lifetime of heart health.

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Saint Joseph East Marks Lands Tenth Consecutive Recognition for Higher Quality in Bariatric Surgery

 

Lexington, Ky. (February 5, 2018) – For the tenth year in a row, Anthem Blue Cross and Blue Shield in Kentucky has recognized Saint Joseph East, part of KentuckyOne Health, with a Blue Distinction® Center for Bariatric Surgery designation as part of the Blue Distinction Specialty Care program.

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Saint Joseph Mount Sterling Recognized Again for Higher Quality in Maternity Care

 

Mt. Sterling, Ky. (February 5, 2018) – Anthem Blue Cross and Blue Shield in Kentucky has recognized Saint Joseph Mount Sterling, part of KentuckyOne Health, with a Blue Distinction® Center for Maternity Care designation as part of the Blue Distinction Specialty Care program.

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Saint Joseph Martin Hosts Go Red for Women Heart Health Awareness Luncheon

 

Martin, Ky. (February 5, 2018)— As part of the national effort to increase awareness of cardiovascular disease in women, Saint Joseph Martin, part of KentuckyOne Health, is partnering with the American Heart Association to host a Go Red for Women Lunch and Learn event.

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Road to Recovery

Road to Recovery

Severe and persistent mental illness can affect a person’s ability to function in daily life. But with the right help, there is hope.

Left untreated, conditions such as schizophrenia, schizoaffective disorder, bipolar disorder and major depressive disorder can have severe consequences. Individuals with these illnesses may find it difficult to maintain personal relationships, live independently and keep steady jobs.

Careful intervention, counseling and support are the keys to changing that narrative.

Finding Peace

Our Lady of Peace in Louisville, part of KentuckyOne Health, has an intensive outpatient program that provides help to those who are living with severe and persistent mental illnesses. These groups incorporate the recovery model, focusing on building resilience and coping skills to improve patients’ daily experiences and long-term well-being.

“There’s a definition of recovery that we use in the group,” said Heather Marcus, LCSW, intensive outpatient therapist at Our Lady of Peace. “We say recovery is a process by which a person overcomes the challenges presented by a mental illness to live a life of meaning and purpose.”

Daily Improvement

Peer support plays an important role in the group therapy process. The psychotherapy groups Marcus leads meet five days a week and welcome people at all stages of their recovery. Members of the group work toward learning ways to manage the symptoms of their illnesses while strengthening their relationships with friends and family.

“People can join the group on the same day that others are graduating,” Marcus said. “That helps new attendees see it is possible to make progress and feel better; graduates are examples of hope that recovery is possible.”

During and after the program, Our Lady of Peace offers supplemental resources for patients and family members to help ensure they maintain the positive momentum started in group counseling. These include a no-charge, after-care program that lasts six months after graduation, multiple on-site family support groups and a long-acting injection clinic to make it easier for eligible patients to receive their long-acting, anti-psychotic medication.

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

Our Lady of Peace offers a comprehensive array of clinical behavioral health services. For more information or for a no-charge assessment, call the Assessment and Referral Center at 502.451.3333 (Louisville) or 859.313.3515 (Central/Eastern Kentucky).

A Judge’s Journey of Healing

A Judge's Journey of Healing

A Judge's Journey of Healing

After surviving a devastating automobile accident, County District Judge Leigh Anne Stephens found healing at Saint Joseph Hospital, part of KentuckyOne Health.

On the evening of June 29, 2015, the life of Judge Stephens changed forever.

“My cousin and I were in the car driving down a two-lane road with my dogs when a driver came flying around the curve,” Judge Stephens said. “A mountain was on one side and a river on the other, so there was nowhere to go. At 7:28 p.m., a man who had been in my courtroom once for drunk driving hit my car head on, killing himself and one of my dogs, Judge Butterscotch.”

The Impact of the Accident

Though Judge Stephens, her cousin and one of her dogs survived the collision, they required serious medical intervention from the closest medical facility, Appalachian Regional Hospital.

Judge Stephens had a broken left leg and shattered heel bone. But that wasn’t the full extent of the consequences the accident would have on her health. She later developed an infection from her injuries and sought treatment at Saint Joseph Hospital in Lexington.

With the support of Frank Burke, MD, with the Saint Joseph Wound Center and board-certified foot and ankle surgery specialist Bradford Fine, DPM, Judge Stephens underwent a robust regimen of treatments to manage the infection. The team administered antibiotics, performed surgery and ultimately had to amputate her left foot.

“I look back on that time, and I think that they knew I was going to eventually lose the foot. But their first priority was to save my life,” Judge Stephens said. “I have never felt so cared for, loved and encouraged.”

Healing and Hope

Following the amputation, Judge Stephens received hyperbaric oxygen therapy at Saint Joseph Wound Center and has been steadily adjusting to a series of prosthetics. The course of treatment she received has been boosted by the faith-filled friendships she cultivated at Saint Joseph Hospital.

“Having people around to share faith and pray with me was the best possible scenario,” Judge Stephens said. “The doctors and nurses saved my life and healed my spirit. I may have lost my foot, but I am so very blessed.”

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

Your Support Makes All the Difference

Grateful patients and families are among the largest supporters of the mission of Saint Joseph Hospital Foundation. Have the dedicated providers at your local hospital made a difference in your life? Giving back can make a big difference in the lives of others.

Share your story or make a donation of your time or money to support the life-saving work and rehabilitation at Saint Joseph Hospital.

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