LEXINGTON, Ky. (Dec. 8, 2014) — Celeste Shearer beat leukemia at the age of 5 only to develop crippling seizures as a child. By the time she was in high school, the Hart Countian was having three to four seizures a month. Many of them were "clustered," meaning she'd have several over the space of a day or two, with dormant periods in between.
Epilepsy is a common neurological condition where electrical disturbances in the brain can cause seizures. Outward signs of a seizure are extremely varied, but might include twitching, repeated blinking of the eyes or rapid eye movement, garbled speech or other speech difficulties, or a loss of consciousnesss. Nearly 3 million Americans have epilepsy, and upwards of 30 percent of those people are severely affected.
Epileptics cannot drive for safety reasons, and epilepsy can interfere with schoolwork, extracurricular activities and a social life.
"It's an understatement that I didn't have a normal childhood," Celeste says. "It was difficult to even spend a lot of time at a friend's house or go to a slumber party, because my parents would worry that I might have a seizure."
Celeste tried six different types of medication — both alone and in combinations — to prevent her seizures, without success. The medications also had terrible side effects that left her anxious, angry, depressed, and disinterested in food. At one point she weighed just 80 pounds.
Worst of all, Celeste was an avid performer. The possibility of a seizure was a constant threat for this singer, French horn player, and "Poetry Out Loud" competition finalist.
Her father, Greg Shearer, watched helplessly as Celeste suffered.
"She was so frustrated by her school situation," he said. "She still tried to do marching band and theater, but the seizures would interfere. She had to be carried off the practice field several times."
Then Celeste and her parents met Dr. Sid Kapoor, director of the UK Epilepsy Network. In that first appointment, Kapoor knew immediately that Celeste's epilepsy was refractory, or drug resistant. Celeste's only option was to have surgery to remove the parts of her brain that were causing her seizures.
Usually this surgery involves removing about 4.5 centimeters of tissue from the left side of the brain and 6.5 centimeters from the right.
"It's normal to assume that all patients want the same outcome for their surgery: to preserve the left part of the brain, which controls speech," Kapoor said. "Thankfully, I asked Celeste what was important to her. She made it clear right from the start that her aspirations to become a professional performer meant that she also needed to preserve her ability to sing and perform — which can involve the right side of the brain."
For Celeste, Dr. Kapoor and his team needed to chart new territory: determining how much to take from the right side of the brain without compromising Celeste's ability.
That involved revamping the usual process. The team met to develop a series of complicated tests designed specifically to pinpoint the areas of Celeste's brain that responded to music.
"There were a lot of people involved," Kapoor said. "This went way beyond the usual process for an epilepsy patient."
First, Celeste underwent a functional MRI, during which Kapoor's team played music for her.
Then came highly sophisticated WADA testing. Celeste was kept awake while a catheter was snaked into her skull to deliver a medicine that “disconnects” small parts of the brain for about three minutes.
As the clock ticked, the team asked Celeste to sing. They repeated this process multiple times, using the collected data to map exactly which portions of Celeste's brain to preserve.
"It was an elegant solution to a challenging problem," Kapoor said. "The team worked together so seamlessly, forging new territory, to achieve this goal."
Kapoor and his team ended up taking less tissue from the right side than the usual 6.5 cm. It worked. Within a month, Celeste was seizure free and singing again. In fact, removing the tissue that was short-circuiting her brain and causing the seizures has actually improved her singing ability.
"We asked Celeste to sing for some colleagues, and she chose 'Under the Sea' from 'The Little Mermaid.' Everyone in the room was moved. I don't think there was a dry eye in the house," Dr. Kapoor said.
"The summer after my surgery was the first summer I could be a real teenager," Celeste says. "I could stay up late with friends and not worry about getting overtired, which would bring on a seizure."
Then Northern Kentucky University called offering Celeste a fine arts scholarship. Her dream was back on track.
"We are delighted that Celeste has the opportunity to pursue her dreams of performing on stage," said Greg Shearer. "Even though we have moved to the other side of the state we still go to UK for our major health care needs. I don't think I could trust anyone else."
LEXINGTON, Ky. (Dec. 4, 2014) – UK HealthCare has announced that The Medical Center at Bowling Green has become the newest member of the Norton Healthcare/UK HealthCare Stroke Care Network, a community-based stroke initiative providing the highest quality clinical and educational programs to hospital staff and the community. The Medical Center is the only hospital in south central and Western Kentucky to join the network that includes 25 affiliate hospitals.
“This affiliation with the Norton Healthcare/UK HealthCare Stroke Care Network will enhance The Medical Center’s ability to carry out our mission to care for people and improve the quality of life in the communities we serve,” said Connie Smith, president and chief executive officer of Commonwealth Health Corporation, parent company of The Medical Center. “Through collaboration with affiliate members, we will ensure patients in South central Kentucky have access to the most advanced stroke treatment and prevention.”
As part of the Norton Healthcare/UK HealthCare Stroke Care Network, the medical center will continue to be a first-line stroke treatment center. The collaboration will allow for the sharing of best practices and outcomes data to promote continuous quality improvement in stroke care.
“By educating members of the community and Emergency Medical Services personnel in the region, we work together to provide valuable information about recognizing the signs of stroke and the importance of early treatment,” said Dr. Michael R. Dobbs, director of the Norton Healthcare/UK HealthCare Stroke Care Network. “Our affiliate hospitals teach us about their communities and their patients. Meanwhile, we provide access to the resources and knowledge we have as an academic medical center.”
The Medical Center is the first hospital that was already designated as a Primary Stroke Center by The Joint Commission before joining the network. Other hospitals in the network obtained their Primary Stroke Center designation after becoming affiliates of the network.
“Primary Stroke Center designation by The Joint Commission is testament to the outstanding stroke care already provided by The Medical Center for stroke prevention, diagnosis and treatment,” said Smith. “This affiliation will further enhance the stroke care we provide by allowing us to tap into the resources and expertise of other affiliate members.”
Lexington, Ky. (Oct. 31, 2014)- A team from The University of Kentucky's Neurosurgery Residents program placed second in their first year of competition at The Congress of Neurological Surgery Resident Academic Competition. Dr. Steven Grupke and Dr. Farhan Mirza were the two residents selected for the team.
The live competition, which was held at the annual congress in Boston in Oct. 15-22, featured the top nine teams from an initial pool of 105 neurosurgery resident programs from the United States and Canada. The elimination process for the competition began with year-long serious of multiple timed internet quizzes about neurology.
The finals were formatted like a college bowl with rapid-fire questions. Points were awarded to the team who buzzed in first and correctly answered the question. For incomplete or wrong answers points were deducted. In the semifinals, UK dominated Thomas Jefferson and Cedars-Sinai by more than 100 points before losing to Walter-Reed in the finals (1,600-1,100).
"We in Neurosurgery are very proud of this showing and the positive statement this makes about the academic excellence of our program here in Lexington. Our congratulations go out to Drs. Grupke and Mirza, and to Program Director Dr. Thomas Pittman," said Dr. Phillip Tibbs, chair for the Department of Neurology and director of the UK Spine Center. "UK bested 103 of 105 of the teams in the competition, including powerhouses like Yale, Harvard, Duke, and the Mayo Clinic."
The dream team plans to compete in next year's competition.
"Now that they have been exposed to the format in person, who knows what will happen?" said Tibbs.
LEXINGTON, Ky. (Oct. 21, 2014) -- Dr. Ruhel Boparai, resident in the University of Kentucky's Department of Psychiatry, is a contributing author on one of the chapters in "Treatment of Neurodevelopmental Disorders: Targeting Neurobiological Mechanisms."
The book brings advances in genetics, neurobiology, and psychopharmacology to the clinic to enhance treatment for neurodevelopmental disorders.
Boparai assisted in the writing of fourth chapter, entitled "Neurodevelopmental and Neurobiological Aspects of Major Depression: From theory to therapy."
"Significant progress has been made in identifying the neurobiological mechanisms of several disorders," Boparai said. "However, the ability to utilize this knowledge has not been summarized in one place for the practicing clinician. This book will fill that gap by providing the theoretical underpinnings and the latest advances in targeted treatments."
Several neurodevelopmental disorders are reviewed in detail including clinical features and behavioral phenotypes, standard treatments and new targeted treatments based on the latest advances in neurobiology and the animal model studies that have lead to new treatments.
The disorders covered include psychiatric disorders: schizophrenia, depression, autism and ADHD; single gene disorders including Tuberous Sclerosis, Fragile X Syndrome and fragile X- associated disorders, Angelman Syndrome, PKU, and Muscular Dystrophies; and complex genetic disorders such as Down syndrome. This book also highlights the commonalities across disorders and new genetic and molecular concepts.
More information can be found at http://ukcatalogue.oup.com/product/9780199937806.do
LEXINGTON, Ky. (Oct. 2, 2014) — After Cony Puac delivered her daughter Evany, birthing attendants placed the newborn in her arms and cleared the room.
Born in a remote Guatemalan village surrounded by snow-capped volcanoes, even in the first moments of life, children born with facial clefts are ostracized from society. Evany was diagnosed with a severe midline cleft palate by an orthodontist in her community. An opening at the center of her face spanned from her bottom lip to the space between her eyes. On either side of the opening, her eyes were separated by 38 centimeters — 20 centimeters wider than that of an average child's. Evany's nostrils were pushed to the left side of her face in cluster of tissue. At the crown of her head, Evany suffered from several holes in the cranium bone beneath the skin.
Evany also lacked an upper lip, which she needed to receive nourishment early in life through breastfeeding. In order to feed Evany, her parents obtained special bottles designed for children with severe cleft palates from a charity called Evelyn's Baskets of Love and Life. Adapting to her condition, Evany learned to feed herself without a palate by mashing solid foods with her fist and the inside of her mouth. As she continued to grow in her first year, the facial cleft impeded Evany's speech development. Only able to form sounds in the back of her throat, she replaced the word "Papa" with the sound of "a-a."
University of Kentucky pediatric reconstructive plastic surgeon Dr. James Liau said children born with craniofacial cleft palates in countries with limited medical resources are deprived of the chance to live a normal life. Facial clefts and cleft palates are widely misunderstood abnormalities that affect babies across countries and cultures, although environmental conditions and hereditary factors could contribute to the condition. At the University of Kentucky, Liau helps counsel families that have severe facial clefts while babies are still in the womb, and he intervenes as soon as possible after birth. In Guatemala, most rural populations don't have access to surgical experts who can correct these facial abnormalities in children.
"I feel very lucky to have the opportunity to do what I can do," Liau said. "In Guatemala, that's it. Your child dies, or you try to find someone overseas that can help you. It's sad, but it's an unfortunate fact of life."
Liau travels to Guatemala once a year with the Children of the Americas, a nonprofit dedicated to providing medical and surgical services to women and children in rural Guatemala. Liau packs a small surgical kit to perform cleft lip and palate surgeries during his volunteer trips in conjunction with other medical professionals. When he encountered Evany and her family during a trip in January 2014, he knew that correcting Evany's condition would require a major procedure that couldn't safely be performed in Guatemala.
"Her case was pretty severe and pretty dramatic," Liau said of Evany's facial cleft. "It's probably one of the most exotic facial clefts that you'll ever see."
Working with a national network of doctors and volunteers, Children of the Americas, arranged for Evany and her mother to travel to the UK Chandler Hospital for the first, and the most intensive, of three reconstructive surgeries. Evany's craniofacial surgery involved a team of UK HealthCare specialists representing the divisions of anesthesiology, pediatric neurosurgery and pediatric plastic surgery.
Cony Puac and 18-month-old Evany arrived in Kentucky on May 12 and visited the UK Chandler Hospital for a pre-surgery cat scan on May 23. While in the waiting room, the new walker clanged a tambourine and grinned while playing games, oblivious to the impending surgery. Puac, 19, quietly sat with translator Jennifer Christmann, who is also interim director of facilties planning and development at UK HealthCare and volunteers with Children of the Americas.
Puac traveled away from her husband and 3-year-old son in Guatemala to accompany Evany through the surgery. A volunteer family based in New Albany, Indiana, hosted the Guatemalan mother and daughter for several weeks before and after the surgery. While Puac's host family treated her to shoe shopping and Culver's cheeseburgers, she said she missed her home and family.
"She knows she is here for a purpose," Christmann said.
On May 30, Evany underwent a cranial vault reconstruction at the UK Chandler Hospital to bring the orbits of her eyes closer together. Liau worked with UK HealthCare pediatric neurosurgeon Dr. Thomas Pittman to correct Evany's cranial bone structure, laying the groundwork for future soft tissue surgeries. During the surgery, Liau and the plastic surgery team removed a part of her skull, and then united the facial bones at the location where they plan to reconstruct Evany's nose. Evany was held in the pediatric intensive care unit for a few days as part of post-operative protocol.
Walking with more confidence in an examination room two weeks after surgery, Evany recovered with her same playful and sweet spirit as before, which Liau said was a good sign. Her hair would eventually cover a scar left from a line of stitches marking the incision made at the crown of her head. With the adjustments to the orbits of her eyes, Evany was now seeing straight ahead. She inspected Liau as he held her in his lap, speaking in Spanish and calling her "sweet pea." Mom, Cony Puac, was overwhelmed with gratitude to Liau and the surgical team.
"It’s a big change, and I am very happy that she’s changed." Puac said of her daughter through a translator. "I am very happy (Liau) did such a good job. I am very appreciative and very thankful to him."
Liau said moving the cranial and facial bones into place was the hardest step in Evany's journey. The next two surgeries, which will be performed by Liau in Guatemala, will involve reconstructing the soft tissue features of Evany's face. Liau will use existing tissue to construct Evany's nose and upper lip during the second surgery in January. He will return the following year to perform a procedure that will rebuild the palate. Through the course of two years and three surgeries, Liau hopes to achieve the closest semblance to "normal" for Evany. He believes all children deserve a chance to live a normal life.
"A cleft palate should not keep you from having a healthy, normal, productive life," Liau said. "We are at a stage in cleft care when you should just continue on with what you're supposed to be doing, which is to be happy and have a family and have a life. The ability to do that either here in Kentucky or overseas is something I'm really happy to have."
LEXINGTON, KY. (Sept. 29, 2014) -- We've strayed far from the Dr. Marcus Welby persona -- in popular television, at least. But even Dr. Gregory House, the irascible main character in the Fox television drama, has moments of compassion.
In real life, compassion is still very much an important part of a physician's practice. And there is perhaps no clearer example of a physician's need for compassion than in the treatment of headaches.
Chronic pain -- including headaches -- affects more than 36 million Americans. But the vague nature of symptoms and a lack of patient awareness often inhibit sufferers from seeking help. Furthermore, some doctors aren't completely aware of the full range of pain management options or even that headache pain of unknown origin is a legitimate thing. Sufferers end up limping through life, thinking there's no help for them, maybe even thinking it's all in their head.
Their personal and family lives aren't the only casualties. One study estimates that migraines cost employers $13 billion in lost productivity each year. Tonya Morgan has first-hand knowledge of that.
The 30-year-old chemist had experienced occasional migraines all through college, but one day in 2011 came a headache that wouldn't go away.
"I couldn't even get out of bed, let alone go to work," Morgan remembers. Her pain was so debilitating that her mother moved to Georgetown from Owen County to help out. They visited many doctors for answers, without relief.
Going from full-time work to having no life at all was emotionally devastating for Morgan. "I was so sensitive to noise that I could lie in my bed and hear my mother down the hall eating potato chips. Going to a restaurant, driving, going to church -- all of those became unbearable. I was miserable."
After 11 one-week stints at the Cleveland Clinic, Morgan was told she required extremely risky brain surgery. By now she was being prescribed upwards of 30 different types of medicine a day. "They weren't working," Morgan says flatly.
Instead of the surgery, Morgan ended up seeing Dr. Siddharth Kapoor, director of the Headache Clinic at the Kentucky Neuroscience Institute at UK HealthCare.
"The first thing he said to me was, 'I promise I won't give you any more meds unless we can prove they're working,'" Morgan says. "I could tell immediately that he cared about me and my pain and would do everything he could to fix it."
Dr. Kapoor and his colleague Dr. Jonathan Smith, spend a lot of time with each patient, learning as much as possible about their headaches and finding the most effective way to alleviate them. Others echo Morgan's devotion to these physicians -- their letters of praise are filled with words like "caring," "patient," "empathetic," and "godsend." Many of them say Drs. Kapoor and Smith gave them their personal cell numbers or came in on their lunch breaks to administer a needed treatment. Some of them say they'd never heard of a headache doctor until they met Kapoor and Smith. All of them say they now have their lives back.
"Headache is an extremely complex neurological process, and there usually isn't a quick fix for pain relief," Kapoor says. "Unless you spend a lot of time with each patient, listening to their problems and asking a lot of questions, it's nearly impossible to find the right way to help them."
In Morgan's case, Kapoor tried several options without success. Nerve blocks helped, but with temporary and decreasing effect. After consultation with other UK physicians, Morgan underwent a procedure called radiofrequency ablation, during which high-frequency electric current is targeted at specific nerves in the brain, destroying the tissue responsible for Morgan's headaches. She is now headache free.
"Myths about headache abound," Smith says. "For example, the emphasis of diet as a trigger for migraine isn't panning out. And the theory that migraines are caused by changes in blood vessels in the brain has been debunked."
Smith explains that, historically, the only option for headache relief was symptom management, but new research into understanding headache triggers and the neurological processes involved combined with advances in pain management have leveled the playing field somewhat.
"We can now attack headache on many fronts," says Smith, ticking the options off on his fingers. "We can try to prevent migraines using existing drugs, such as blood pressure or anti-seizure medicines or antidepressants. Botox, which appears to deactivate the pain fibers in the head, offers potential relief. Nerve blocks are useful for acute treatment. If none of those work, there are other options, like Tonya's ablation."
Furthermore, Smith says, there has been more understanding and acceptance of non-medical treatments for headache, such as biofeedback and acupuncture. In other words, he says, "We've come a long way from 'take two aspirin and call me in the morning.'"
Indeed, UK has come a long way as well, with its headache program considered among the top 20 accredited programs in the country. UK HealthCare's Orofacial Pain program, which complements the services of the Headache Clinic, is one of just 12 accredited programs nationally, and the only one in the entire midwest and south.
"Headache is quite complicated, but because we are a multi-disciplinary program, we can coordinate resources to treat the patient," Kapoor says. "We have a range of treatments available for headache sufferers that is unmatched in this area, including the only orofacial pain clinic in the state. With a combination of the right treatments along with lifestyle changes, it can bring about a significant change in the management of headaches."
Morgan has resumed a normal life, driving, working, and attending Zumba classes. Her mother has moved to a new place close by, and now has some freedom to pursue her own personal interests. Both of them have a new appreciation for their good health, which Morgan "pays it forward" by teaching a health class at her church.
"I want everyone to know that headaches are not a life sentence," she says. "There is hope if you get to the right person. I'm living proof of that."
Media Contact: Laura Dawahare, firstname.lastname@example.org
LEXINGTON, Ky. (Aug. 19, 2014) – A new web-based program developed by University of Kentucky Markey Cancer Center researchers will provide a simple, free way for healthcare providers to determine which brain tumor cases require testing for a genetic mutation.
Gliomas – a type of tumor that begins in the brain or spine – are the most common and deadly form of brain cancer in adults, making up about 80 percent of malignant brain cancer cases. In some of these cases, patients have a mutation in a specific gene, known as an IDH1 mutation – and patients who have this tend to survive years longer than those who do not carry the mutation.
Developed by UK researchers Li Chen, Eric Durbin, and Craig Horbinski in collaboration with software architect Isaac Hands of the UK Markey Cancer Center Cancer Research Informatics Shared Research Facility, the program uses a statistical model to accurately predict the likelihood that a patient carries the IDH1 mutation and requires screening.
Gliomas are often tested for IDH1 mutation following surgery to remove the tumor, but undergoing this type of testing often requires stringent insurance pre-approvals due to rising healthcare costs, Horbinski says.
"Currently, there are no universally accepted guidelines for when gliomas should be tested for this mutation," Horbinski said. "Obtaining insurance pre-approval for additional molecular testing is becoming more commonplace, and this program will assist healthcare providers with an evidence-based rationale for when IDH1 screening is necessary."
Additionally, Horbinski notes that the program will help conserve research dollars by helping brain cancer researchers narrow down which specific older gliomas in tumor banks – previously removed in a time before IDH1 testing was routine – should be tested as data for research projects.
Horbinski's research on the program was published in the May issue of Neuro-Oncology. The work was funded through a grant from the National Cancer Institute, the Peter and Carmen Lucia Buck Training Program in Translational Clinical Oncology, and the University of Kentucky College of Medicine Physician Scientist Program.
MEDIA CONTACT: Allison Perry, (859) 323-2399 or email@example.com
LEXINGTON, Ky. (Aug. 11, 2014) – With multiple concussions between the two of them, Dan Han and Lisa Koehl's latest research interest isn't surprising.
"I played competitive soccer through high school and continue to play recreationally," says Koehl, a doctoral candidate in the University of Kentucky's Department of Psychology, "so I have firsthand experience with the dynamics that come into play when a teen suffers a concussion."
As a former high school assistant principal in the Chicago public school system, Han was responsible for overseeing student-athletes' return to school after a concussion. Han left educational administration to pursue his doctorate in neuropsychology. Now director of the Multidisciplinary Concussion Program at UK HealthCare, Han has a reputation for top-notch clinical work and research on concussion.
"There aren't many places in Kentucky where you find a true multidisciplinary concussion program," Han says. "UK HealthCare's Multidisciplinary Concussion Program embraces an interdepartmental group effort -- from neurology, from neurosurgery, sports medicine, physical medicine and rehabilitation, from the trauma team -- we all work together to look at how brain injury affects the cognitive, physical and emotional state of our patients."
This group effort puts the athlete's safety first. For that reason, UK HealthCare's concussion program is the go-to for the athletics programs at Fayette County Public Schools, the University of Kentucky, Eastern Kentucky University, and Kentucky State University, who all rely on the UK Multidisciplinary Concussion Program's clinical expertise in sports concussion for state-of-the-art input to help make decisions affecting an athlete's return to play.
Add to Han's clinical skills a lifelong love of full contact martial arts (Han practices kickboxing and Brazilian jujitsu), and it's easy to see how Han and Koehl are well-suited to study the symptoms of sports concussions.
Drawing from a large UK database of patients with brain injury, Koehl and Han used a subset of 37 athletes aged 12 to 17 to explore post-concussion changes in physical, emotional, and cognitive symptoms over time.
According to Koehl, 22 of the 37 study participants demonstrated post-concussive emotional symptoms. Of those, 23 percent were sensitive to light while 14 percent were sensitive to noise. In comparison, of the 15 teens without emotional symptoms, 13 percent were sensitive to light and no teens were sensitive to noise.
There were no differences between the two groups in factors such as what percentage experienced loss of consciousness, amnesia, nausea and/or headaches, indicating that the groups were likely comparable in the level of severity of concussion.
"We discovered a bidirectional relationship between both emotional symptoms developing in conjunction with physical symptoms, and also emotional symptoms developing because of the physical symptoms," said Koehl.
In other words, said Koehl, "This research gives us a better understanding of the interaction between physical and emotional symptoms in concussion and will allow us to explore ways to help adolescents recover in a more timely fashion."
According to Han, teens in the study who reported anxiety were 55 percent more likely to experience attention difficulties than those without anxiety, while teens with irritability/aggression were 35 percent more likely to self-report problems with attention than teens without irritability.
"While these findings are preliminary and require a larger sample size to predict outcomes with more confidence, we are intrigued by the potential these data offer in terms of providing teens with a better treatment plan based on their unique cognitive, physical and emotional response to concussion," Han said.
"Identifying factors that affect a teen's experience after concussion may help in planning for the appropriate treatment and in making decisions about when to return to play and what accommodations are needed at school during recovery.”
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LEXINGTON, Ky. (July 29, 2014) – University of Kentucky Endowed Chair of Neuroscience Dr. Diane Snow was recently elected by her colleagues to serve as president-elect of the National Neurotrauma Society (NNS). With this appointment, Snow will hold the position of president in 2015-2016.
Since joining the NNS in 2003, Snow has championed women's contributions to neurotrauma research and mentorship opportunities for young members of the profession, including students, postdoctoral fellows and young professors. She served as the three-term president of Women in Neurotrauma Research (WINTR), an arm of the NNS that promotes gender equality in neurotrauma research. She also proposed the society's Ask An Expert online database for young professionals and students to make connections with practicing clinicians and researchers who are senior NNS members.
The NNS is a society committed to promoting neurotrauma research, providing a forum for clinicians and supporting members of the profession in their endeavors to discover new treatments for neurotrauma victims. Snow was inducted as president-elect during the society's annual symposium, June 29-July 2, in San Francisco.
Snow graduated with a bachelor's degree in biology and German, and a master's degree in neuroscience from the University of Akron and Northeast Ohio University College of Medicine. She completed her doctorate in neuroscience at Case Western Reserve and postdoctoral work at the University of Minnesota. In 1996, she joined the University of Kentucky as an assistant professor in anatomy and neurobiology and currently serves as an endowed chair and professor of the Spinal Cord and Brain Injury Research Center. She is also the interim director of the UK Honors Program and the director of the Office of Undergraduate Research.
"I'm really looking forward to the opportunity to advance the society by providing a platform conducive for training and sharing of knowledge, in the hopes of finding a cure for people with traumatic brain injuries," Snow said. "Of the many societies I belong to, this is the most nurturing of young scientists and clinicians and is the most interactive. They are always concerned about mentoring and providing opportunities."
Snow's primary duties as president will be fundraising and selecting a site for the 2016 annual meeting. For the first time, the NNS will consider Lexington as one of three possible host sites in 2016.
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LEXINGTON, Ky. (April 16, 2014) -- UK HealthCare's Kentucky Neuroscience Institute (KNI) has received the "Get With The Guidelines-Stroke Gold-Plus Quality Achievement Award" for maintaining specific quality measures outlined by the American Heart Association/American Stroke Association for the treatment of stroke patients.
KNI also received the association’s "Target: Stroke Honor Roll" for meeting stroke quality measures that reduce the time between hospital arrival and treatment with the clot-buster tPA, the only drug approved by the U.S. Food and Drug Administration to treat ischemic stroke. Stroke patients who receive the drug within three hours of the onset of symptoms may recover more quickly and are less likely to suffer severe disability.
This marks the fourth year that KNI has received this designation.
"This award provides patients with tangible evidence of KNI's commitment to the highest standard of stroke care," said Dr. Michael Dobbs, UK HealthCare's associate chief medical officer and chief of neurological services. "But patients aren't the only ones who benefit. By participating in the 'Get With The Guidelines-Stroke program,' we are able to share our expertise with other member hospitals around the country, including access to the most up-to-date research, clinical tools and resources, and patient education resources."
"What this means for Kentuckians is that the best possible stroke care is available right here in Lexington."
According to the American Heart Association/American Stroke Association, stroke is the number four cause of death and a leading cause of adult disability in the United States. In Kentucky, cardiovascular disease (which includes stroke) is the leading cause of death. On average, someone suffers a stroke every 40 seconds; someone dies of a stroke every four minutes; and 795,000 people suffer a new or recurrent stroke each year.
LEXINGTON, Ky. (April 10, 2014) -- The National Association of Epilepsy Centers (NAEC) has given Level 4 designation to the Comprehensive Epilepsy Center at the University of Kentucky's Kentucky Neuroscience Institute (KNI).
UK is the only Level 4 epilepsy center in the Bluegrass, and among 149 such centers in the United States. Level 4 of epilepsy care is the highest designation level offered by the NAEC.
"KNI has a commitment to providing the highest level and broadest range of treatment for its patients, and the NAEC Level 4 designation is yet another acknowledgement of our success in reaching that goal," said Dr. Michael R. Dobbs, interim chair of neurology and associate chief medical officer for UK HealthCare. "I'm delighted that the program has been recognized for its quality and range of care, and credit justly goes to the multidisciplinary team of physicians, nurses, rehabilitation specialists and staff that makes us worthy of this designation."
A Level 4 center provides the most complex forms of evaluation, including invasive brain monitoring and imaging and neuropsychological evaluation, and offers a broad range of medical and surgical treatment options.
"The epilepsy center has been providing the most comprehensive and specialized care to the people of Central and Eastern Kentucky for more than two decades," said Dr. Meriem Bensalem-Owen, director of KNI's Epilepsy Program. "Our epilepsy clinics, an active surgical program, and clinical trials offer a broad range of advanced forms of therapy for patients with difficult to control seizures. Those, in combination with our neuropsychological expertise and outreach efforts, make us the gold standard for epilepsy care in the bluegrass."
The NAEC is a non-profit group of more than 170 specialized epilepsy centers in the United States with the mission of setting a national agenda for quality epilepsy care.
LEXINGTON, Ky. (April 3, 2014) -- Turning 21 is widely considered a milestone -- a time when life's possibilities appear unlimited. At first, this was not so for Marietta Barton-Baxter. She was diagnosed with multiple sclerosis (MS) at 21. "When I first heard that I had MS, I was scared and angry," Barton-Baxter says. "I felt as if I had been robbed of all my dreams and my future."
But once she adjusted to her new situation, she began to make the proverbial lemonade out of lemons. She has worked at the University of Kentucky for 26 years, and is currently an administrative director for the Regulatory and Clinical Services Cores at the Center for Clinical and Translational Science (CCTS). She and her husband have travelled around the country doing motivational talks for MS patients and their care partners, and she continues to be an MS patient advocate, assisting newly diagnosed MS patients and their families. "It feels good to help patients and their families through the emotional times that come post-diagnosis," she says.
And now, the people at UK who have found her story inspiring have the opportunity to acknowledge her efforts. On May 31, 2014, staff from the UK Kentucky Neuroscience Institute (KNI) and CCTS will join Barton-Baxter at Walk MS Lexington.
"Marietta amazes us with her commitment to helping others at a time when it would be easy to focus on her own health," says Amber Mccormick, the Multiple Sclerosis Coordinator at KNI. "It seems fitting that we honor her efforts this way."
Multiple sclerosis (MS) is an inflammatory disease that damages the insulating covers of nerves in the brain and spinal cord, resulting in physical, mental, and sometimes psychiatric problems. Between 2 and 2.5 million people around the world have been diagnosed with MS, which is twice as common in women as in men. There is no known cure for multiple sclerosis, but there are several medications that can be used to manage symptoms. Barton-Baxter has been taking injections every other day for more than 20 years with tremendous success.
But, Barton-Baxter says, her hope for herself and for others is a cure. Proceeds from Walk MS helps to fund multiple sclerosis research efforts. "I don't want to see anyone else suffer from this debilitating disease," she says.
The Walk MS event will take place on Saturday, May 31 at the RJ Corman Railroad property; 101 RJ Corman Drive in Nicholasville. There are one and three mile course options. Walk registration will begin at 9 a.m.; walk begins at 10 a.m. For more information, contact Amber Mccormick at 859-323-5661 or email@example.com.
LEXINGTON, Ky. (Feb. 24, 2014) -- Leadership from the UK HealthCare's stroke team has been invited to assist The American Heart Association/American Stroke Association in a "prep visit" to the Cleveland Clinic as their stroke center applies for Comprehensive Stroke Center (CSC) designation from The Joint Commission.
Kelley Elkins, UK HealthCare Stroke program coordinator, and Lisa Bellamy, director of education and quality for the UK HealthCare/Norton Healthcare-Stroke Care Network, will travel to Cleveland to share their experience with the CSC application process, which UK HealthCare completed late last year.
The prep visit is funded by the American Heart Association/American Stroke Association and is designed to help institutions applying for CSC designation understand TJC's expectations for accreditation.
"When we were working towards our CSC designation, we received the same type of support from AHA/ASA and from Riverside Methodist Hospital in Columbus, Ohio, which helped us considerably as we prepared for our site visit from TJC," said Elkins. " Interpreting the CSC standards can be challenging, and we hope our experiences can help The Cleveland Clinic achieve their goal of CSC designation."
The invitation comes just two months after UK HeathCare earned its own CSC designation, which is the highest honor TJC awards to stroke centers. UK HealthCare is one of only 63 U.S. institutions with CSC designation.
"It's quite a compliment that we've been asked to do this so soon after our own designation was announced," says Bellamy. "This type of sharing process prevents each institution from having to recreate the wheel, which is also what the Stroke Care Network is about."
The UK HealthCare/Norton HealthCare Stroke Care Network is a unique program dedicated to community education and standards-sharing with affiliate hospitals in Kentucky and West Virginia.
The Joint Commission is the nation's oldest and largest standards-setting and evaluation body in health care. An independent, not-for-profit organization, The Joint Commission evaluates and accredits more than 20,000 healthcare organizations and programs in the US.
LEXINGTON, Ky. (Feb. 20, 2014) -- Dr. Meriem Bensalem-Owen, associate professor of neurology, anatomy and neurobiology and director of UK HealthCare's Epilepsy Program, has been named a fellow of the American Clinical Neurophysiology Society (ACNS), a professional association dedicated to fostering excellence in clinical neurophysiology.
In addition to serving on the society's program committee, the Committee for Continuing Medical Education, and the Website/Social Media Committee, Dr. Bensalem-Owen will co-chair the Mentoring Program of the ACNS.
"This is a great honor for Dr. Bensalem- Owen as she is the first UK faculty member to be named a fellow of this prestigious society," said Dr. Michael Dobbs, associate chief medical officer for UK HealthCare and interim chair for the Department of Neurology. "She has represented herself, the University of Kentucky, and The Kentucky Neuroscience Institute well."
LEXINGTON, Ky. (Feb. 20, 2014) -- More than 100 UK HealthCare physicians affiliated with University of Kentucky Albert B. Chandler Hospital, Kentucky Children's Hospital and UK HealthCare Good Samaritan Hospital appear on the Best Doctors in America® List for 2014 -- more than any other hospital in Kentucky. Only five percent of doctors in America earn this prestigious honor, decided by impartial peer review.
The Best Doctors in America® List, assembled by Best Doctors, Inc. and audited and certified by Gallup®, results from exhaustive polling of over 45,000 physicians in the United States. Doctors in over 40 specialties and 400 subspecialties of medicine appear on this year’s List.
In a confidential review, current physician listees answer the question, “If you or a loved one needed a doctor in your specialty, to whom would you refer?” Best Doctors, Inc. evaluates the review results, and verifies all additional information to meet detailed inclusion criteria.
In bringing together the best medical minds in the world, Best Doctors works with expert physicians from its Best Doctors in America® List to help its 30 million members worldwide get the right diagnosis and right treatment.
The experts who are part of the Best Doctors in America® database provide the most advanced medical expertise and knowledge to patients with serious conditions – often saving lives in the process by finding the right diagnosis and right treatment.
The 2014 Best Doctors in America® from UK HealthCare and their specialty are:
About Best Doctors, Inc.:
Best Doctors works with the best five percent of doctors, ranked by impartial peer review, to help people get the right diagnosis and right treatment. The company’s innovative, peer-to-peer consultation service offers a convenient new way for physicians to collaborate with other physicians to ensure patients receive the best care. The global health solutions company, which has grown to over 30 million members worldwide, uses state-of-the-art technology capabilities to deliver improved health outcomes while reducing costs. Gallup® has audited and certified Best Doctors’ database of physicians, and its companion Best Doctors in America® List, as using the highest industry standards survey methodology and processes. Founded in 1989 by Harvard Medical School physicians, Best Doctors seamlessly integrates its trusted health services with Fortune 500 and Fortune 1000 employers, insurers and other groups in every major region of the world. The company also designs and implements international insurance programs that help people be sure they get the right health solutions.
For further information, visit Best Doctors at http://www.bestdoctors.com, Twitter, Facebook, and LinkedIn, or call (800) 223-5003.
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