therapy – MD Update

“It’s Just Scar Tissue, No Big Deal” Wrong!

August 1, 2021September 9, 2021 Tim Corkran achy jointed weekend warrior, active senior, big deal, bursitis, central Kentucky healthcare ecosystem, comfortable movement, connective tissue, Danesh Mazloomdoost, Dr. Danesh, effect of relieve constriction, elbow, fluid vibration, focused physical therapy, four-to-six, four-to-six week, Gil Dunn, Gil Dunn prior, high-pressure, hip, image001 photo, inter-fiber, inter-fiber scare, invasive procedure, joint pain, Kentucky healthcare ecosystem, length of the tendon, Mazloomdoost, micro-scar, micro-scar tissue, non-arthritic, outpatient, outpatient procedure, pain, patient year, patient year of comfortable movement, percutaneous tenotomy, physical therapist, physical therapy, procedure, reduce tendinitis, regenerative medicine specialist, regenerative treatment, relieve constriction, scar, scar tissue, shoulder, single-treatment, small area of tendon fiber, source of persistent pain, sufficient relief, surgery center, tendon, tendon debridement, tendon fiber, Tenjet, tenotomy, therapist, therapy, tissue, traumatized tendon, treatable area, treatable area of a tendon, ultrasound, use of percutaneous tenotomy, weekend warrior, Wellward, Wellward 's service, Wellward regenerative medicine

LEXINGTON The achy jointed weekend warriors and active seniors of our modern culture often need more than physical therapists and

OP/ED

Intersexuality and the Care of the Transgender Child

June 1, 2021September 9, 2021 Cameron S. Schaeffer, MD, FACS, FAAP abdominal testis, activist, adolescent gender-identity, androgen, androgenized, approach superior, arena of adolescent gender-identity, board-certified urologist, body-changing, body-changing steroid, CAH patient, Cameron Schaeffer, care of the Transgender child, chaos reign, child 's inchoate transgenderism, Cincinnati child, Cincinnati child 's hospital, cleft scrotum, clinic, clinic child, clinic phenomenon, clinic phenomenon of physician, clinician, cloacal, cloacal exstrophy, comprehensive female, counseled love, diminutive phallus, dysfunctional androgen receptor, elevated level of fetal androgen, emerge marketplace, emotional subject, exam table, exstrophy, FAAP, female CAH patient, fetal androgen, gender, gender clinic, gender-identity, genitalia, girl 's pantie, image001 Cameron Schaeffer, important sex organ, Intersex patient, judgment, judgment of a single surgeon, judgment of a team of specialist, labium majorae, laundry day, light-hearted remark, majorae, male genital reconstruction, MD-UPDATE, medical good practice, normal anatomy, normal enzyme, Nuremburg trial, path of body-changing steroid, patience, pediatric gender clinic, pediatric urologist, phallus, physician, plastic surgeon urge patience, potential fertility of a patient, pressure of activist, prudence, scrotum, single surgeon, sister 's clothes, solid foundation of data, surgeon, surgeon urge patience, surgery, testosterone receptor, therapy, tomboy, torrent of angst, transgender, Transgender health clinic, Transgender individual, transgenderism, triple board-certified urologist, urologist, virilize, well-adjusted woman, well-intentioned compassion, wokeness, XY, XY cloacal exstrophy patient, XY patient

Editor’s Introduction: Culture, medical best practices, and legislation are colliding in the arena of adolescent gender-identity and sexuality. MD-Update asked

Mental Wellness

How to Get to a Breakthrough without Having a Breakdown

June 1, 2021September 9, 2021 Jan Anderson, PSYD, LPCC afloat hold pattern, authentic human connection, autopilot mode, bad boyfriend, boyfriend, brain, brain 's need, breakdown, brief description of rain, client, comfort balm, comfort of the familiar fake, compassion, conflict aspect, conflict aspect of complex situation, counsel session, critic attack, crowd of stranger, curiosity, disorient sense, disorient sense of discomfort, emotional risk-taking, familiar fake, field of awareness, friendly curiosity, good type of guy, human programme, inner adrenaline junkie, inner critic attack, less-functional, less-functional behavior pattern, narcissistic boyfriend, neuroscientist, present moment, present-moment reward, present-moment reward of therapy, rain, reward, reward option, sensation, session, survival-inspired, therapist, therapy, too-bad-to-keep-it, too-good-to-rock-the-boat, unsettle experience, wave of sensation, window of tolerance, wonder change, young adult life

“Why do you keep going back if it’s making you feel worse?” my boyfriend asked. We were talking about one

Complementary Care

Demand for Medical Nutrition Therapy Increases During COVID-19

April 1, 2021June 16, 2021 Mary Branham academy of nutrition, appointment, average of four hours more, chi, chi saint, COVID-19, diabetes, dietitian, eastern Kentucky community, follow-up appointment, four hours more, individual stress, individualized nutrition treatment plan, initial appointment, Joseph, Joseph health, Joseph Heath, Karen Klefot, Klefot, lifestyle, lifestyle assessment, medical nutrition therapy, medical nutrition therapy increase, nutrition, nutrition plan, nutrition therapy, nutrition therapy process, nutrition treatment plan, OnePoll, OnePoll survey, outpatient, outpatient diabetes educator, pandemic, rd, recent OnePoll survey, referral, registered dietitian, specialized supplement, therapy, use of specialized supplement, wide variety of patient

LEXINGTON While it’s been over a year since COVID-19 was classified as a pandemic, taking a toll on countries worldwide,

Mental Wellness

How to Ask for Help If You’re a Perfectionist

February 1, 2021April 14, 2021 Jan Anderson, PSYD, LPCC ability of therapy, actionable change, airline captain, B., big predictor, book coach, book therapist, book-writing, book-writing phobia, bout of profound confusion, Brett Steenbarger, brief psychotherapy, client, client-counselor, client-counselor relationship, confrontational, counsel, divorce, Dr. John Gottman, end of discussion, entrepreneurial mode, environment of hope, ever-expanding morass, exhilarate high, exhilarate high of productivity, expert Dr. John Gottman, exploration of new pattern, face-saving way, favorite face-saving way, focused change effort, good therapist, hand-on-the-doorknob, hand-on-the-doorknob comment, increased empathy, increased expertise, intensive one-on-one therapy, new pattern, old pattern of thought, one-and-done marriage therapy session, one-on-one therapy, ongoing reinforcement, perfectionist, perfectionist tendency, perfectionistic professional, period of absolute clarity, personal counsel experience, personal turn point, plenty personal, powerful emotional experience, pre-marital, pre-marital counsel, professional development, profound confusion, rehearsal of the new pattern, relationship go, science of brief psychotherapy, starter marriage, strength of the client-counselor relationship, stuckness, therapeutic alliance, therapist, therapist 's help, therapy, tortured-reasoning, tricky part, troublesome period, true perfectionist, unhappy couple, use of a supportive relationship, well-meaning adage

I’m writing a book. There, I’ve said it. So almost five years into the process, I guess it’s actually going

Public Health

Obesity Prevention and Weight Loss a Community Effort

February 1, 2021April 14, 2021 Brian Boisseau, CHFS, DPH, DPQI activity opportunity, bariatric, barrier, behavior therapy portion of weight loss, CHFS, determinant, diabetes, DPQI, evidence-based, evidence-based program, first-line strategy, Frankfort, FRANKFORT excess weight, harsh picture, harsh picture of the consequence of obesity, image001 Brian Boisseau, impact of obesity, individual medical cost burden, initial weight loss, Kentucky, Kentucky department, Kentucky physical activity, lifestyle, lifestyle change program, line evidence-based weight loss strategy, long-term weight loss success, national diabetes prevention program, NHLBI, NHLBI obesity education initiative, nutrition, nutrition program, nutritious food, obesity, obesity prevention, overall population health, person 's risk of develop type 2 diabetes, person of normal weight, physical activity, physical activity opportunity, population health, public health, public health initiative, quality-of-life outcome, SDOH, social determinant, social determinant of health, strategy, success of initial weight loss, surgery, therapy, type 2, type 2 diabetes, weight loss success, weight loss surgery, weight-loss, wide range of health

FRANKFORT Excess weight and obesity are serious threats to the health and wellbeing of many people. In Kentucky, over 36%

Cover Story

One Heart, A Team of Doctors

February 1, 2021April 14, 2021 Donna Ison access technique, Ahmad, Ahmad khan, Alexandra Rogers, aortic valve replacement, aortic valve stenosis, baptist health, biophysics, Brian Kaebnick, cardiac anesthesiologist, cardiac catherization lab, cardiologist, cardiology, cardiothoracic, cardiothoracic surgeon, catherization, catherization lab, Christopher Semder, combined skill, coordinator, critical component of the team, director of the cardiac catherization lab, diverse train, ECMO, Emory, Emory university, fellowship, Flaherty, general surgery residency, good outcome, graduate of new York medical college, heart nurse coordinator, heart program, heart team, image001 photography, image002 Christopher Semder, image003 Sebastian Pagni, image004 William Dillon, individual skill set, interventional cardiologist, join physician, Kaebnick, khan, knowledge of a team of talented cardiac specialist, La Plata medical school, lead patient, leaflet, Louisville, Louisville 's structural heart team, medical degree, medicine, Michael Flaherty, Michael P., modality, necessary test, new York medical college, option, outcome, oxygenation, P., Pagni, physician, physician function, procedure, regurgitation, replacement, residency, Sebastian Pagni, Semder, service interaction, stenosis, stroke, structural heart nurse coordinator, structural heart program, structural heart team, structural heart team 's medical director, sub-team of cardiac anesthesiologist, surgeon, surgery, surgery residency, surgical director, surgical director of structural heart program, surgical director of the structural heart team, talented cardiac specialist, TAVR, TAVR-based, TAVR-based modality, team 's medical director, team approach, team of doctor, therapy, trained set, trained set of people, transcatheter, UofL, Valhalla, valve, valve repair, valve replacement, valve stenosis, William Dillon

LOUISVILLE Each Monday, the Structural Heart Team at Baptist Health Louisville brings its diverse training, accumulated experience, and individual skill

Special Section