Norton Healthcare wants to make it easy to apply for financial assistance. You can apply before you get sick, or before a family member does, and it applies to your covered family starting on the date you sign your application and submit it. What does that mean? It means if you are approved, the program will pay for medical bills dating back two years from the signed application date and extending for 12 months after that date. You can reapply after that 12-month period ends. Yes, that means, potentially, two-year-old medical bills could be paid in full.

The Norton Healthcare Financial Assistance Program covers hospital-based emergency or other medically necessary care to patients who cannot afford to pay and who qualify for financial assistance based on income, resources and family situation.

How do you qualify?

You may qualify for the program if you meet the following criteria:

• You don’t have health insurance or you have an unpaid balance after your insurance plan has either paid or rejected a claim.
• You do not qualify for subsidized coverage or government assistance, such as the Disproportionate Share Hospital Program, Children’s Health Insurance Program (CHIP), Medicaid, a Medicaid managed-care organization or Hoosier Healthwise.
• You have a combined household income equal to or less than 350% of the federal poverty guidelines. For example, a family of four with a combined household income of up to $112,525 per year can qualify.

Getting started

Here’s what you’ll need to get started:

• The last three bank statements from your checking and savings accounts (If you don’t have either, you’ll need to call the Norton Healthcare customer service team at (502) 479-6300.)
• Proof of all income documents such as alimony, child support, employment pay stubs, retirement or pension payments, Social Security benefits, Supplemental Security Income, disability, unemployment or other income
• A copy of your last year’s tax return or other documents, if requested

How to apply

You can fill out an online application at NortonHealthcare.com/Assistance or through your Norton MyChart account. You also can apply inside any Norton Healthcare emergency department or hospital with the help of a financial counselor or start your application over the phone by calling Norton Healthcare customer service at (502) 479-6300. You’ll need to provide documentation by uploading your documents, or photos of your documents, to the financial assistance application page or to Norton MyChart, or bring them in person to the financial counselor to include with your application. You also can mail an application to:

Norton Healthcare
SBO Financial Assistance, Dept. 14-7
P.O. Box 35070
Louisville, KY 40232-9972

You’ll be notified by mail if your application is approved. You also can call customer service with any questions about the status or decision made on your application. Call (502) 479-6300. Once you’ve been approved for financial assistance from Norton Healthcare, the program can give you peace of mind should you or your family need care. Apply today!

The post Norton Healthcare’s Financial Assistance Program appeared first on Norton Healthcare.

Cassandra and Carlton Moore prepared to welcome their third child in late August. This was another milestone in their love story that started when the two first met at Noe Middle School in Louisville. They have been together for nearly 30 years. Having had two babies already, they thought they knew what to expect as they headed for the hospital for a planned cesarean section.

Everything was going as just as planned, until it wasn’t. Baby girl Indigo arrived, and Carlton took a quick peek. When he looked toward Cassandra, he saw she was no longer awake.

Monitors started beeping, and the staff began working together to save Cassandra’s life, doing chest compressions to try to resuscitate her. Teams from throughout the hospital poured in, delivering blood and medications and assisting in any way possible.

Cassandra had experienced an amniotic fluid embolism, where amniotic fluid enters the bloodstream. The cause is not known, but it’s extremely serious and life-threatening. It can happen without warning, and very few people survive.

“An amniotic fluid embolism is not a common event, but when it happens, it’s devastating and it’s hard for everyone,” said Maria R. Schweichler, M.D., an OB/GYN with Norton Women’s Care who is Cassandra’s obstetrician. “We knew instantly what had happened and began chest compressions.”

After 20 minutes, Cassandra’s heart started again, and she was transferred to the intensive care unit (ICU) — where her heart stopped again. This time the team worked again to revive her. The team at Norton Women’s & Children’s Hospital did not give up. Cassandra also experienced a stroke, and her heart was beginning to fail.

“You can’t wrap your mind around the situation,” Carlton said. “Thinking what could happen but not wanting to …”

“We kept chest compressions going until we were able to get enough blood and platelets in her that she had a pulse,” Dr. Schweichler said. “We just all took turns and rotated. Everyone was amazing.

“Everyone said, ‘She’s healthy; she’s young. We can save her.’ And that’s how everybody felt. So we just kept doing it.”

After 40 minutes, Cassandra’s heart started again.

The advanced heart failure team from Norton Heart & Vascular Institute arrived to help the Norton Healthcare Adult Transport Team take Cassandra to Norton Audubon Hospital. There, she was placed on extracorporeal membrane oxygenation (ECMO), a machine that takes over for the heart and lungs and allows the body to heal. She also needed dialysis to help her kidneys regain function.

Cassandra’s condition was grave.

“It is hard to describe how sick she was,” said Maroun M. Ghossein, M.D., a pulmonary critical care physician with Norton Pulmonary Specialists. “I think it’s best to describe it on a scale of 1 to 10, and she was well off the scale.”

“She was definitely the sickest person in Louisville that day,” said Bassel Alkhalil, M.D., cardiologist with the Norton Heart & Vascular Institute Advanced Heart Failure & Recovery Program. “We were really worried that she would not be herself if and when she woke up.”

Over the next three weeks, Dr. Schweichler and others from the team at Norton Women’s & Children’s Hospital continued to visit and provide support and encouragement. The Norton Audubon Hospital ICU team went above and beyond, learning how to help Cassandra. Carlton knew that Cassandra, who is both an occupational therapist and a lactation consultant, wanted to be able to breastfeed their daughter.

“We had nurses who had never had a child before, and they’re [saying], ‘Show me what I’m doing,” said Sandy Corbin, R.N., a registered nurse in the Norton Audubon Hospital ICU. “We had communication with Norton Women & Children’s Hospital lactation consultants. We learned how to help Cassandra pump. We helped with skin-to-skin contact, even when Cassandra was still on ECMO.

“When I saw Cassandra move her hand, gently cupping Indigo’s head, I knew she was there,” Sandy said.

After a few weeks, Cassandra regained consciousness. At first, she began moving and opening her eyes. Then she began focusing and looking around.

“Just all of a sudden the light turned on and, you could see her personality starting to come back,” Dr. Alkhalil said.

“When we were able to, we got Cassandra up and took her outside in a special chair,” Sandy said. “When she moved into our medical ICU from the cardiac ICU, we knew she was going to be there awhile, so we put her in one of the front rooms that has the big windows that look out over top of the park, and you have more trees and scenery. We needed as much stimulation as we could for her.”

In all, more than 20 different departments between the two hospitals worked to save Cassandra.

“It is an army of people who took care of her,” Dr. Alkhalil said. “Medicine has become so specialized, and the human body is so complex, but one person, one discipline, one service is not enough. So you really need all the expertise to take care of those patients.”

After five weeks, Cassandra was able to start rehabilitation. After eight weeks, she was home with her family.

The Moores now have a new outlook on life.

“When I think about it, I’m in disbelief that I was able to get through all of that. It’s thanks to so many people who offered support — the teams at the hospitals and my family,” Cassandra said. “I’m so thankful for everything.”

The post Woman’s life-threatening heart event makes her ‘sickest person in Louisville’ appeared first on Norton Healthcare.

Unfortunately, a medical crisis and devastating diagnosis in 2025 makes it likely they will not see their 21st wedding anniversary. Bonny came to Norton Audubon Hospital on Monday, Jan. 27, with severe abdominal pain. After undergoing emergency surgery, she learned that she has a life-changing terminal diagnosis. She recently transferred to hospice care.  

Bonny learned that her cousin, who was visiting her in the hospital on Jan. 31, had just taken a course to be ordained to perform weddings. She looked over and asked Robert if he would like to renew their vows. 

Robert replied, “Of course I will, honey.” 

When Bonny’s care team at Norton Audubon Hospital found out about the vow renewal plan, they made it their mission to make the event — happening that day — as beautiful as possible. Reaching out to colleagues to assist, one ordered a dozen white roses on Door Dash while another supplied the couple with a plant for the bedside ceremony.

Two decades ago, what made them decide to marry after seven years of dating?

“He’s just a very good man,” Bonny said.

Robert made them both giggle with his reply: “Because she is hot and still is hot!” 

He called Bonny the “biggest-hearted person” he’s ever met. 

Bonny’s care team agrees and calls her an amazing woman who remains upbeat despite her diagnosis.  

“In the short time Bonny has been at Norton Audubon Hospital, she has won over the staff,” said Lindsay Lewis, BSN, R.N., director, invasive cardiology, patient care services “I’m pretty sure they are fighting over who gets to take care of her. 

“I let her know that even though there are times when we are with our patients only for a short time, they leave an impact on us that will stay with us forever.”

Bonny has been one of those patients for the staff on the Progressive Care Unit.  

What would Bonny share with others?

“When you love someone, let them know it — let them know it a lot,” she said. “You can’t lose your mind at the same time, but when you know, you just know.”

She takes it a step further. Each year on her husband’s birthday, she sends Robert’s mother a thank-you card.  

Bonny also wanted to share that the caregivers she has met at Norton Audubon Hospital are amazing, and the list of those who she raved about could go on and on. 

At a time when she was not able to drink or eat anything, yet was craving coffee, she said one of her favorite nurses smelled of coffee, and that just made her morning.

“He smelled so good!” she said.

It’s an important reminder to appreciate the small blessings in life — to be thankful during the good times and make the best of out of the bad. 

When we are given the opportunity to provide blessings during another’s bad time, it can make all the difference in the world.

The post When you love someone, let them know — a lot appeared first on Norton Healthcare.

Available to all Norton Healthcare employees, Papa is an innovative service connecting older adults and families with compassionate Papa Pals for companionship, assistance and peace of mind.

“She was worried about my carpal tunnel surgery, and how I was going to get around,” Sheila said. “You can’t exactly drive as well.”

Sheila elected to use the benefit after her wrist surgery. She could not drive so she had someone from Papa take her and her father, Merl, to doctor appointments. Sheila’s husband, Tom, was really busy at work and could not take time off.

“Merl, my dad, is 89 but very independent. At first, he and my husband, Tom, had some pushback to the idea of using Papa. Tom had concerns with having a stranger drive me, and my dad did not want the help of a stranger,” Sheila said. “I assured them it was through Norton Healthcare, and that it was safe. They eventually relented, and it turned out to be a huge benefit to us as a family.”

According to Sheila, the Papa Pals who showed up to help them were excellent. Every Papa Pal undergoes vigorous background checks and motor vehicle reports. For Sheila, they were on for scheduled pick-ups, accommodating and even early for the appointment. Everything was done in less than two hours, with no hassle.

Hans Buhts, a manager in the benefits department at Norton Healthcare, said the partnership was designed to benefit all employees.

“We know it can be difficult to manage work when you have additional responsibilities at home. Whether it’s taking care of an older parent, assisting kids with homework or needing to get ahead on household chores, we hope this benefit will help shift the load and reduce stress for our employees and their families,” Hans said. “We were excited to partner with Papa to provide companionship and assistance to our employees who may need help outside of work.”

According to Sheila, Tom and Merl were very grateful for their Papa Pal experience. Merl was happy he did not have to reschedule his appointment, and Tom was very relieved it all worked out so that he did not miss any time at work.

“I have already told so many people about this. I know another nurse in my unit who could benefit from it because she has a hurt knee,” Sheila said. “It is easy to sign up for. I am not tech savvy; if I can do it, anyone can! We have so many excellent benefits at Norton Healthcare — it is a perk of the job and a reason why I love working here.”

By the end of 2024, Sheila had used all 10 free hours available under the employee benefit. And she is looking to use more in the future to visit Merl at his nursing home.

About Papa

Whether it is for grocery shopping, watching your kids, a ride to a doctor’s appointment or assisting with nonmedical care, the Papa program extends a helping hand — when, where and how you need it most.

This benefit is available to all employees as part of our commitment to your well-being and work-life balance. All employees can use up to 10 hours of service, at no cost to you. Here’s how to get started:

• Visit Papa.com to verify your eligibility and create an account.
• Select who will be using your Papa benefits — you or your loved one(s) — along with the primary ZIP code where you would like assistance.
• Download the Papa Care app from the Apple or Google app stores and follow the steps to schedule your next visit.

If you are interested in using Papa, click here to learn more about the program and how to take advantage of it.

The post When a Norton Healthcare nurse had surgery on her wrist, an employee benefit helped with driving her and her dad appeared first on Norton Healthcare.

First, he became an intern in the regulatory and compliance office with research at Norton Healthcare. Second, he decided to enlist in the Kentucky Army National Guard. Making these decisions allowed him to serve not only his community, but his country too. He also had a goal in mind: becoming the first military officer in his family. Five years later, Kendrick, a clinical research coordinator at Norton Healthcare, is also an officer in the Kentucky Army National Guard.

In May 2024, Kendrick learned that he was being deployed to support a unit in the Middle East in two weeks.

Chandler Render, also a clinical research coordinator; Marti Gardner, system director for clinical research operations; and Avery Davenport, a clinical research manager; were among the first that Kendrick told. And each of them sprang into action to make sure Kendrick had the support he needed.

“We wanted to make sure that while Kendrick was overseas, he had no worries or thoughts about his job,” Marti said.

Marti and Avery made sure Kendrick knew that his job at Norton Healthcare was never in jeopardy while he was deployed. They made sure his job duties were covered and worked with human resources leaders to ensure resources (like our Veterans ERG, HR support, and retraining programs) were available to Kendrick upon his return, gave reassurance they were not looking to replace him. They even ensured his computer would not be locked when he returned.

“He is already under enough stress while protecting our country, so we did what we could to lift some weight off his shoulders,” Avery said.

Chandler did similar things as a co-worker, but also took it further as Kendrick’s friend. Chandler remembered when her stepdad was deployed and he wouldn’t stop talking about everything he missed from back home while overseas. She made sure Kendrick had everything he needed by putting together care packages to send him. He had limited time to talk to friends and family, so she made an Amazon wish list so everyone could pitch in to make sure he was reminded of home.

Kendrick, who was in Jordan for two weeks, then Kuwait for four months, spoke about how much that meant to him.

“There was a 12- to 14-hour time difference. I only had two to three hours to speak with people from back home. When you are over there, you start to miss home, because life goes on there without you. The phone call check-ins and care packages kept me going — gave me a reminder of what I was protecting,” Kendrick said. “I really appreciated it.”

Chandler also helped watch Charli, Kendrick’s dog. It was an added layer of comfort knowing his best friend was watching over his other best friend. He could do his job with the Army without worrying about anything back home.

This gave Kendrick an idea — to nominate Norton Healthcare for the Patriotic Employer Award from Employer Support of the Guard and Reserve (ESGR) — a Department of Defense office. The award is presented to employers who go the extra mile to protect the job of military service members who are deployed. Only a few employers win recognition every year, and this year’s have not been announced. Meanwhile, Kendrick nominated Chandler, Marti and Avery for the Patriot Award. This award goes to individuals who provided support directly to military members like Kendrick and his family. Kendrick said it was a thank-you for everything they did for him. It was his first deployment, and his team made sure he felt comfortable leaving and returning, while simultaneously sending him encouragement while on deployment and allowing him to do his duty with little to no worries.

He kept it a secret, and surprised Chandler, Marti and Avery with the award presentation by Kendrick and a member of the ESGR during a department holiday party in late December 2024. 

“When you come to work, you bring your whole self — which includes things that happen off the clock. Norton Healthcare supports that work-life balance and understands that things impact you from other aspects of your life. It is important to know what is happening in your employees’ lives,” Marti said. “It helps form a respectful and open relationship. It all goes back to our mission, vision, values and culture.”

According to Avery, initiatives like VETS (Veterans Engaging Through Service), Norton Healthcare’s employee resource group for military veterans, make it easier to lean on others so leaders and colleagues don’t have to shoulder the support alone.

“When you are called to serve, the last thing you want to be thinking about is whether or not you’ll still have a job,” Kendrick said. “I’ve never worried about that with Norton Healthcare, from the moment I enlisted they were there to support me every step of the way.”

The post Balancing service and career appeared first on Norton Healthcare.

Today, he’s a bit more cautious about how much time he spends in the sun. In the past three years, Randy has had two basal cell carcinoma skin cancers removed from his face, the first requiring significant reconstruction due to the lesion’s proximity to the left side of his nose and eye socket.

Randy said he didn’t think too much about the initial spot at first. When it grew more noticeable, he asked his primary care physician about it. According to Randy, his family medicine physician, Karalee Bessinger, M.D., at Norton Community Medical Associates primary care in Carrollton, Kentucky, referred him to a dermatologist in LaGrange, Kentucky. That doctor wanted to refer him to a facility in Louisville, Kentucky, because of the lesion’s location and the intricate surgery it would take to remove it.

Not one for city traffic, Randy sought another opinion, turning to Jonathan Hanson, M.D., otolaryngologist (ear, nose and throat specialist) with Norton King’s Daughters’ Health in Madison, Indiana. Dr. Hanson met Randy in January 2022 and assured him that he could remove the lesion and provide any necessary reconstruction.

“The art of facial reconstructive surgery takes into account a lot of factors,” said Dr. Hanson, adding that about 15% of his practice includes skin cancer removals on the face, ears, head and neck. “Elasticity of the skin varies from the nose to the cheek to the eye. It’s also important to factor in the shape and location of a patient’s natural skin lines and contours. The goal is to meet surgical needs while minimizing any noticeable incisions when healing is complete.”

During Randy’s first surgery, Dr. Hanson opened a large flap on the left side of Randy’s face, following the natural skin lines under his eye to the edge of his mouth. After fully removing the cancerous lesion, he carefully stitched the seam back together using the natural skin folds along his cheek and eye. Today, you would never know Randy underwent significant facial surgery.

“He’s a fabulous doctor,” Randy said. “He told me exactly what he was going to do and followed up with everything he said he was going to do.”

In May 2024, Randy returned to Dr. Hanson for a second area of concern: an elongated bump just below his right eye. A less extensive surgery was needed, and Dr. Hanson again developed a plan of action and executed it perfectly.

“One reason I enjoy the work is the creativity,” Dr. Hanson said. “Every face and every person is unique. There’s no cookbook or recipe.”

After a life spent farming, working at a factory and serving his country in the Army, Randy relishes his slower pace. He enjoys being home, spending time in his self-proclaimed man cave and watching car racing on television. He and his wife, Carolyn, still live on a 60-acre farm outside Carrollton, near family and friends.

These days on the farm, one thing is different. If you see Randy outside mowing or working on a project, he’s wearing a straw hat. It’s a small price to pay to help keep the sun off his face.

“The earlier we find skin cancers, the better,” Dr. Hanson said. “The smaller they are, we get much better results. It’s easy to ignore them. Any spot that is raised or pigmented or grows or changes needs to be reviewed by a family provider. If they think it’s suspicious, the patient can be referred for follow-up.”

The post Reconstructing damage from skin cancer appeared first on Norton Healthcare.

Brushing your teeth, pouring coffee, lifting food to your mouth — things millions of people do each day without a second thought. But for many who live with essential tremor, simple tasks like these can become impossible. The constant, uncontrollable body tremors can be embarrassing, frustrating and exasperating.

For as long as they can remember, Patrick Murphy and Bob Bender lived this struggle daily.

“As time has gone on, it’s become very obvious,” Patrick said. “I am constantly self-conscious about how [noticeable] it was. And then as soon as I think about it, it gets 10 times worse. You worry about people thinking, ‘What’s wrong with this guy?’ So it kind of builds on itself.”

The experience has been similar for Bob.

“It’s gotten so bad in the past year, that it’s become unbearable,” Bob said. “I will literally go some places and keep my hands in my pockets so people can’t see it. [I wonder if] people ask, ‘Is he going through detox? Is he on drugs?’ I mean, I think about that … I really do.”

After years of this struggle, Patrick and Bob finally found relief at Norton Neuroscience Institute, in the form of a new, incisionless brain surgery that relieved their tremor symptoms in a matter of hours.

On Nov. 13, 2024, Patrick and Bob were the first two people in the state of Kentucky to undergo high-intensity focused ultrasound treatment, sometimes called HiFU, for their tremors.

‘I see the frustration’

Patrick knew as a child that essential tremor was going to be an inevitable part of his future.

The disorder runs in his family, affecting Patrick, his father, brother, nephew and daughter.

“I remember watching my dad,” he said. “We used to work on cars together when we were younger. He would get way more frustrated than I do. But I can remember a lot of cuss words and throwing tools. It just makes you mad.”

Patrick officially was diagnosed with what was then called familial tremors in the early ’90s. Since his diagnosis, life has grown progressively harder.

“I wake up in the morning and immediately notice it,” Patrick said. “It can get better or worse throughout the day, depending on the day — doing things like drinking coffee, moving my mouse around the computer screen, little things.”

‘We do laugh about it, because that’s how we get through it’

“I see the frustration,” Patrick’s wife, Diane, said. “And he says he doesn’t get mad, but he does. In the beginning, I didn’t recognize it at all. But now, I really try to help. Sometimes it’s just easier if I do things, because he’ll spill it. Just watching him eat and miss his mouth [is so hard]. And we do laugh about it, because that’s how we get through it. But I know how frustrating it is.”

He tried several medications, but they didn’t work. He began scouring for a more permanent answer.

Patrick first discovered HiFU roughly five years ago, as he was researching new treatment options for essential tremor patients. He wanted to have the surgery immediately, but he’d have to travel to receive it. Plus, his insurance wouldn’t cover the procedure at the time. But this past summer, he learned Norton Neuroscience Institute had acquired the technology. He quickly scheduled an appointment with movement disorders neurologist Justin T. Phillips, M.D., at Norton Neuroscience Institute. Then Patrick underwent evaluation and was felt to be a good candidate for the surgery.

‘The things that I’ve stopped doing’

Bob noticed his tremors back in the 1970s. Small tremors were made worse by intense exercise. They were frustrating, but they were something he could live with.

In 2012, however, Bob’s life changed dramatically when he was involved in a motorcycle crash. Six months later, the tremors came on with a vengeance. They got progressively worse, affecting every aspect of his life. Roughly three years ago, they became insufferable.

“I don’t go out to eat; I don’t pour milk or coffee; I have to drink from a straw,” Bob said. “It’s unbelievable when you think about it, the things that I’ve stopped doing.”

A recent visit to the gas station showed how tremors can make otherwise routine tasks impossible.

Bob was there to buy some protein bars after a workout. He didn’t have cash at the time, forcing him to pay with his card. Only problem — his tremors prevented him from steadying his hand enough to fit his debit card into the card reader. The line was building up behind him. So was his embarrassment. Eventually, after a few seconds that felt like hours, Bob had to give his card and his PIN to the clerk, who completed the transaction for him. He ran out of the store and immediately changed his PIN.

“It was packed in there,” Bob said. “And there was a big line and they could see it. And it’s just so embarrassing. People are looking and saying, ‘What’s wrong with this guy?’ And I saw a lady and this guy just looking at me. I wanted to say something, because it’s irritating. But this is why I carry cash. That way, I can just pay in cash and if there’s change to give me back I just tell them to keep it for the next person. I don’t even keep track of my change. You have no idea how many times I just want to run out of stores and back to my car and not go in.”

Bob knew he needed help.

He visited with Jason L. Crowell, M.D., also a movement disorders neurologist at Norton Neuroscience Institute. Dr. Crowell explained HiFU and advised him on next steps. After a few evaluations, Bob was felt to be a good candidate for the procedure, to be performed by Abigail J. Rao, M.D., stereotactic and functional neurosurgeon with Norton Neuroscience Institute.

“I was nervous, but I was more excited than nervous to have it done,” Bob said. “When Norton Neuroscience Institute called me and told me they scheduled me to see Dr. Rao, I was shocked.

“I told her, ‘You’re going to be able to get me before Christmas?’ She said, ‘I believe I can do that.’”

What is HiFU

HiFU treatment, also known as high-frequency focused ultrasound or MRI-guided focused ultrasound, is an incisionless brain surgery, in which more than 1,000 ultrasound waves are focused down to the millimeter, creating heat that forms a small lesion, or ablation, in the tremor-causing area of the brain.

The roughly two-hour procedure is performed while patients are lying in an MRI machine. Brief, frequent scans monitor the location, size and temperature of the lesion as it’s created. Patients are awake and alert, allowing the surgeon to test the tremor and neurologic function in real time.

After the procedure, most patients experience dramatic and immediate relief of hand tremor and do not require a hospital stay. That said, the procedure only treats one side of the brain at a time, meaning some patients may wish to have a 2^nd surgery at least nine months later to treat the other side.

“This treatment’s exciting to participate in as a physician, because we see these immediate effects and we can interact with the patient,” Dr. Rao said. “I mean, that’s not why we do it, but instant results are part of what makes it satisfying. With a lot of our surgeries, we’re very happy with great outcomes, but we don’t always see them right then and there. So that’s part of what makes it really special.”

The HiFU procedure was approved by the Food and Drug Administration in 2016 after years of clinical trials to determine its safety and efficacy.

Norton Neuroscience Institute Cressman Parkinson’s & Movement Disorders Center is the only site in Kentucky to offer HiFU for essential tremor and tremor-dominant Parkinson’s disease. Norton Neuroscience Institute is also one of the first health care systems in the country to use an upgraded version of HiFU called Exablate Prime. This upgraded technology allows for a faster procedure and improves the patient’s comfort on treatment day. The technology was purchased with $2.8 million in funding through the Norton Healthcare Foundation.

“We have several patients who’ve reached out to us to learn more and are still considering their options,” Dr. Rao said. “And I think it’s only going to continue to expand. Another thing that will expand is its indications, meaning what we might be able to treat with this technology in the future. It’s really amazing to see. I mean, this is not the only or the first neurosurgical treatment that has immediate effects, but getting testable results that don’t involve any implantation into the brain, or even incision, is very exciting.”

Bob: ‘I am 100% happy’

The surgery was successful for both Patrick and Bob.

Within two hours after surgery, each stood up from the MRI scanner and walked out. As friends and family looked on in tears of joy, and as the clinical team removed the patients’ helmets, the two men looked down at their hands.

For the first time in years, they didn’t shake.

Both Patrick and Bob performed simple post-procedure tests _— drawing spirals, signing their names, even drinking water from a bottle. No shakes. No spills. The improvement was dramatic. The two men stayed for roughly an hour to be monitored for any side effects.

When they were cleared to go, the two men walked out of the hospital visibly changed, ready to do the little things again _— go out to dinner, pour a cup of coffee, put their debit card in a card reader.

For the first time in decades, Patrick and Bob finally felt steady.

“I just want everybody to look at it,” Bob said. “I just want everybody to see it. I mean, it was crazy. It was just … it’s unbelievable. I still can’t wrap my mind around it. I am 100% happy. Emotional, of course. It’s crazy.”

Patrick: ‘Feels like it’s normal’

“It feels amazing,” Patrick said. “It feels like it’s normal, the way I should be. [I’m] just looking forward to people not being able to see me shaking and thinking, ‘Wow, is this person really nervous?’ So that’s the biggest thing — being still in just about everything I do.”

The post Norton Neuroscience Institute successfully completes its first high-frequency focused ultrasound procedures appeared first on Norton Healthcare.

Six months ago, Gene could only dream of doing that.

“I couldn’t even go like this,” he said as he reached for the sky. “I had some reservations, but I wanted more mobility and [Dr. Givens] made me feel good. So I went for it.”

‘I’d been in pain for 10 years’

Gene’s whole career has been reliant on his hands.

The former meat cutter and maintenance man is retired now but spent more than 30 years doing manual labor. Among other things, the constant use wore away the cartilage in his shoulders. He developed arthritis and eventually tore the rotator cuff in both shoulders.

He was in pain 24/7.

“I’ve been in pain for 10 years,” he said. “I could barely do anything. It affected me every day. I knew I needed help, so that’s what led me down the path to surgery.”

In 2019, Gene had his right shoulder replaced at a facility in Florida. It was a traditional shoulder replacement, but came with unexpected complications. Gene experienced internal bleeding, requiring a seven-day hospital stay. He continues — five years later — to experience neuropathy down his right arm. It was more than three months following that surgery before he could return to work.

“I still have pain in my right shoulder,” Gene said. “And it made me scared to have my left one done. I knew I needed it, but I put it off for a while just because I didn’t want to repeat what happened during the first one.”

Eventually, the pain in his left shoulder became unbearable. He had to find a solution. His primary care provider referred him to Norton Orthopedic Institute and to Dr. Givens.

“I always tell my patients, ‘I don’t save your life; my job is to make your life better,’” Dr. Givens said. “I want you to leave my office with a better life. And so, that’s the way I approach each patient — how can we get them the best long-term result but without a year of torture in between.”

‘I want you to go out and live your life’

Dr. Givens knew Gene needed surgery.

In addition to his arthritis, Gene had a retroverted left socket, a condition that develops when the shoulder socket, called the glenoid, is abnormally angled in relation to the shoulder blade. A  healthy shoulder has about 5 degrees of retroversion. In Gene’s case, it was 45 degrees, meaning his socket was essentially pointing out the back of his body.

To repair it, Dr. Givens needed to reconstruct Gene’s socket and fully replace his shoulder joint. This procedure would be nothing like the one Gene underwent in 2019.

Dr. Givens specializes in a subscapularis-sparing total shoulder replacement, an innovative surgical technique that aims to minimize damage to the subscapularis muscle, which is responsible for shoulder stability and arm mobility. This technique drastically improves surgical outcomes and reduces recovery time, allowing patients to return to their usual, day-to-day lives quicker.

After the doctor and patient discussed the options, Gene agreed to have the surgery. On April 24, 2024, Dr. Givens performed a successful shoulder replacement, using a 3D model to create a custom implant _— fit perfectly for Gene’s body — to reconstruct his glenoid and reposition his shoulder to its correct position.

“I’m big on getting things as they’re supposed to be and then letting you use them,” Dr. Givens said. “Other surgeons put restrictions on patients — either with lifting or movement — but there’s no data that’s ever supported that with the shoulder.

“We know it’s a mechanical part and, in theory, could wear out. But there’s no data to support that it will, so why are we keeping people from being active, working out and bettering their overall health? I want you to go out and live your life.”

Gene was out of a sling in seven days, which is typical for the method used by Dr. Givens. Gene began physical therapy shortly thereafter. In two weeks, he had 140 degrees of motion. By the six-week mark, he was able to lift his arm straight over his head, a stark contrast from where he was in 2019.

This is why when Gene steps into Dr. Givens’ office for his follow-ups, he smiles. He knows it’s a testament to how far he’s come and how the right doctor can make all the difference.

“I was amazed,” Gene said. “Because the right [shoulder] had so many complications … so when Dr. Givens told me I’d be out of a sling in a week, I said, ‘Are you kidding me?’ But he was right. I think during my first follow-up, I waved at him from down the hall. Every time I’m in [the office] the staff is shocked at how much I can move, how far I bend.”

“This is a team approach,” Dr. Givens said. “And so, that helps us get people seen and get them seen efficiently as well. And that’s the point of orthopedic specialty clinics and why bring these to our community.”

The post Norton Orthopedic Institute surgeon’s shoulder replacement method brings reduced recovery times, better outcomes appeared first on Norton Healthcare.

“We will touch the lives of people who live here. This is where I live. This is where I work. This is where I worship. And so this community is in need, and so we can make this difference,” Adrienne said. “Do you know the impact we’re going to have? The lives that we’re going to change?”

The post A role with purpose, a future with impact appeared first on Norton Healthcare.

The hospital, located at 28th Street and West Broadway, will offer comprehensive services, from primary care and surgery to social support, with a diverse team of providers dedicated to meeting the needs of patients.

Keep reading to meet four compassionate providers who share why they chose to work at Norton West Louisville Hospital and their excitement for making a positive impact on the community.

Kalyn Churchill, APRN: Commitment to community health

Kalyn Churchill, APRN, a primary care nurse practitioner who will work with adult patients, feels a strong connection to West Louisville, where her two children attend elementary school.

“I honestly feel called to be in this position,” she said. “There’s no other community that I’d rather serve.”

Kalyn’s husband and his family are West Louisville natives, and she is passionate about supporting patients who have historically faced barriers to accessing quality health care.

“For the years that I’ve been here, I’ve been deeply connected to this community,” she said.

Kalyn enjoys educating patients, helping them meet their health care goals and understanding the importance of taking preventive measures to live longer, healthier lives. She values getting to know her patients and their families on a more personalized level. With a focus on building trust and relationships in her practice, she hopes to create a welcoming environment where people feel comfortable seeking medical care.

Kaylyn says traditionally underserved areas often lack access to health care.

“I believe Norton West Louisville Hospital is here to make that change,” she said.

Melinda C. Ruberg, M.D.: Making health care accessible for all

Melinda C. “Mel” Ruberg, M.D., medical director of Norton West Louisville Hospital, values inclusivity in health care, putting patients at the center of her work.

“We want everyone who walks through the doors of this hospital to feel like they belong,” she said.

Dr. Ruberg will be a family medicine provider, interacting with patients of all ages, and looks forward to creating a compassionate and welcoming environment for all West Louisville families.

“I like putting family in the center of medicine, so if patients want to come in with 11 family members and we go through the entire family medical history at the same time, I’m all in,” she said.

As a lifelong Kentuckian, Dr. Ruberg believes Norton West Louisville Hospital will provide an opportunity for equitable health care access across Louisville. It is the first hospital to be built west of Ninth Street in the past 150 years. She looks forward to helping build up the community, after understanding barriers that have historically existed.

“I had a roommate in medical school who was from the West End, [and] that helped to really take my blinders off, and I attribute a lot of what I know about the West End to him,” she said.

Stephen J. Kelty, M.D.: Bringing surgical expertise to the community

As chief of surgery, Stephen J. Kelty, M.D., brings over 33 years of experience to Norton West Louisville Hospital, with a passion for providing surgical care to those who need it most.

“This opportunity coincided with my interest in medical mission work overseas,” he said.

Dr. Kelty, a Louisville native, is excited about the range of surgical services the hospital will provide, including general surgery and advanced abdominal and esophageal endoscopies.

He looks forward to performing a variety of surgical procedures for patients, including abdominal, breast, thyroid, hernia and gall bladder operations, plus colonoscopy screenings and more.

“The equipment, materials and technology at the hospital are all top-of-the-line,” he said. “Patients can be very assured that they are going to get really good care here.”

Aisha Rucker, LCSW: Addressing social determinants of health

With 20 years of experience, licensed clinical social worker Aisha Rucker, LCSW, has a passion for people.

“There is something in our DNA; once you’re called to serve, you want to go serve,” she said.

Aisha will be the hospital’s manager of social work and care continuum, which is a role dedicated to addressing the social factors that impact the overall health of patients in West Louisville.

According to recent Louisville health equity reports, the life expectancy of residents in West Louisville is more than 10 years less than those living in other areas of town. Disproportionate health outcomes in the Black community also were apparent during the COVID-19 pandemic, which added fuel to Aisha’s passion to serve her community.

“Most of my formative years were here in West Louisville, so it’s kind of personal,” she said. “The West End has more diversity than just the Black community, but the majority of West Louisville is Black people, people who look like me,” Aisha said. “I wanted to serve the people who look like me, and hopefully we can close the health disparity gaps we’ve seen throughout history.”

Aisha’s team will support patients by identifying social determinants of health, so the patients continue to have support after they leave the hospital — whether that is via connecting patients with necessary medical equipment or providing other resources for basic needs. The team will work with patients to detect disparities, such as transportation, housing and food insecurity. Patients will have access to a food pantry inside the hospital.

Social workers also can provide therapeutic support for people navigating life transitions or a new diagnosis.

“This hospital is a place of healing,” said Aisha, who believes that hospital leadership and staff share this common mission. “I think people are going to experience that [healing] when they come to Norton West Louisville Hospital.”

Looking ahead to opening day

Norton West Louisville Hospital’s team of experienced health care professionals is excited to serve the West Louisville community. The new hospital will begin welcoming patients on Nov. 11, 2024.

The post Introducing the care team at Norton West Louisville Hospital appeared first on Norton Healthcare.