Fit Louisville


Greater Louisville Health Guide is a directory and resource guide to health providers and services in Louisville, Kentucky. Includes listings of area doctors and dentists, hospitals, nursing homes and emergency care.

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4 4 F I T 2 0 1 5 - 2 0 1 6 A cardiologist deals with diseases and abnormalities of the heart. An endocrinologist deals with the endocrine glands, hormones and their metabolic consequences, including treatment of diabetes. A gastroenterologist specializes in disorders of the stomach and intestines. A gynecologist deals with functions and diseases specifc to women and girls, especially those affecting the reproductive system. A hematologist studies blood diseases that affect the production of blood and its components, such as blood cells and the mechanism of coagulation. A hepatologist studies the liver, gallbladder, bilary tree (the pathway by which bile is secreted to the small intestine) and pancreas. A nephrologist deals with the function and diseases of the kidney. A neurologist studies disorders of the nervous system, including the central, peripheral and autonomic systems along with their coverings, blood vessels and effector muscle. An oncologist specializes in diagnosing and treating cancers. An orthopedic doctor deals with bones and muscles. An otolaryngologist deals with diseases of the ear, nose and throat. A pathologist specializes in the diagnosis of disease by examining cells, body fuids and tissues. A pediatrician specializes in children's health and diseases. A radiologist employs the use of imaging (X-ray radiography, ultrasound, CT, nuclear medicine, PET, and MRI) to both diagnose and treat disease. A rheumatologist deals mainly with clinical problems involving joints, soft tissues, autoimmune diseases, vasculitis and heritable connective-tissue disorders, including arthritis. A toxicologist studies the adverse effects of chemicals, including symptoms, mechanisms, treatments and detections of the poisoning of people. A urologist focuses on the urinary tracts of males and females, and on the reproductive system of males. Cytopathology: Susan McKee, Louisville Pathology Associates "Cytopathology, that's the study of just cells. We look at cells by smear, on a slide, and we're looking for anything atypical just to basically diagnose what's going on with the patient, whether it's an infection or something that's (a tumor) or cancer." Forensic pathology: Amy Burrows-Beckham, Offce of Chief Medical Examiner "When somebody dies, the coroner is called to get information about the person. Usually these are people with no medical history, who die and we don't know why, or they die a violent death, such as homicides or car wrecks — or a lot of overdoses is what we're seeing these days. So we do autopsies and we will testify in court about our fndings." If you haven't been to medical school and you look at a list of doctors' specialties, you probably think, "Cytopathology? Molecular genetic pathology? Huh?" Here, four doctors in obscure specialties explain what they actually do. Medical microbiology: James Snyder, University of Louisville Department of Pathology and Laboratory Medicine "Microbiologists are the detectives. We examine specimens from patients and attempt to detect, recover and identify infectious agents in bacteria, virus, fungus and parasites. In today's world, we're doing more molecular diagnostics, which is an analysis of the specimen for certain infectious agents. For example, we have a capability of taking a specimen known as a nasopharyngeal swab, which is a sampling of the nasopharynx (the upper part of the throat)" — stay with us — "and we can put it through extraction for nucleic acid, and we put it in an analyzer and can detect up to 19 respiratory viruses (like the fu) from that specimen." Molecular genetic pathology: Sameer Talwalkar, CPA Lab "Molecular pathology is further divided into three categories: molecular oncology, molecular genetics and molecular infectious disease. My primary interest is molecular oncology, which deals with identifying abnormalities in genes that are responsible for human cancers. I work closely with medical oncologists, and as part of the team we help identify patients with different types of cancers (most common being breast, colon, lung and melanomas) who may have genetic abnormalities (either hereditary or acquired) and may beneft from specifc chemotherapy." They do what? ...And more?

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