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.

Read full article

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.

Read full article

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

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