University of Louisville Magazine

FALL 2017

The University of Louisville Alumni Magazine: for alumni, faculty, staff, students and anyone that is a UofL Cardinal fan.

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19 FALL 2017 It's official: UofL is baby-friendly The Center for Women & Infants (CWI) at University of Louisville Hospital has been named a Baby- Friendly Designated birthing facility by Baby-Friendly USA. The designation is awarded to birth- ing centers that offer an optimal level of care for infant feeding and mother-baby bonding. "We knew in our hearts we were 'baby friendly,' but the designation is a very exciting confirmation for us," said Therese Spurling, RN, who is board certified in lactation con- sulting by the International Board of Lactation Consultant Examiners. The CWI is the only downtown Louisville facility and the fourth facility in Kentucky to earn the designation. Currently there are 405 active Baby-Friendly hospitals and birthing centers in the United States and more than 20,000 worldwide. The designation is awarded to birthing centers that follow the "Ten Steps to Successful Breast- feeding," offering breastfeeding mothers the information, con- fidence and skills needed to successfully initiate and continue breastfeeding their babies. "The process to earn Baby- Friendly Designation truly involved a team effort," CWI Nursing Director Libby Smith, RN, said. "Obstetrical providers support breastfeeding from the begin- ning of the patient's prenatal care through delivery, and then while mom and baby are in the hospital. "The greatest congratulations are for the nurses and the lactation team who provide the support for the family. There is a lot of educa- tion that takes place in the CWI, and a lot of support when mom is tired and just wants to give up; everyone encourages her to keep going." K athleen Prezocki finally had enough. Her essential tremor had progressed to the point that she always ordered sandwiches instead of soup or salad when eating out, and she was forced to use a card holder so she could continue to play bridge. "It was affecting me in eating, in writing and in speech. The medicine was not allowing me to control the symptoms any- more," Prezocki said. "Trying to put a necklace on and trying to get that hook in there — my goodness that was frustrating!" Essential tremor is a neurological disorder that causes involuntary rhythmic shaking, usually in the hands. Prezoc- ki's Uof L physicians suggested deep brain stimulation (DBS) therapy, in which surgeons implant in the brain a wire lead that is attached to a battery controller, similar to a pacemaker used for the heart. The lead provides electrical stimulation to a precise point in the brain to mitigate the tremor. DBS has been in use for nearly 20 years, but when Prezocki heard an improved DBS device had become available in the United States, she decided it was time to take the next step. The new device, from St. Jude Medical, features a directional lead and uses an iPod touch controller, allow- ing doctors and patients to control the stimulation more precisely than pre- vious technology. Prezocki was the first patient in the region to receive the device for deep brain stimulation. Joseph Neimat, a neurosurgeon with Uof L Physicians and chair of the Uof L Department of Neurological Sur- gery, has implanted several hundred A better solution for essential tremor Kathleen Prezocki and Joseph Neimat DBS devices, including Prezocki's. "This therapy can make a dramatic difference in a patient's quality of life, particularly if they like to write, to play piano, to eat soup," Neimat said. "And even though it is brain surgery, it's a relatively low-risk surgery." Victoria Holiday, clinical director of the Deep Brain Stimulation Pro- gram at Uof L Physicians, says the new device allows doctors to better control the stimulation and avoid side effects. "Think about a wire inside the brain and electricity is surround- ing that wire in a ball shape. With this device, we can cut that ball into pie pieces. It allows us to steer away from areas of the brain that may be causing trouble," said Holiday, also an assistant professor in the Uof L Department of Neurology. Since activating the device, Prezocki has stopped all her tremor medications. Her ability to write is improved and she is able to play bridge without a card holder. It was affecting me in eating, in writing and in speech. The medicine was not allowing me to control the symptoms anymore. Oh, baby

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