The eCoin device is implanted during a quick, in-office procedure that typically takes thirty minutes. Once implanted, the device automatically delivers gentle electrical stimulation to the tibial nerve, helping to regulate communication between the bladder and the brain and reducing symptoms associated with OAB.

OAB affects millions of Americans and can significantly affect quality of life through frequent urination, sudden urges to urinate and accidental leakage. eCoin therapy offers a convenient alternative to more invasive procedures and ongoing treatment regimens.

“We are excited to offer eCoin as a new treatment option,” said Urologist Dustin Gayheart, MD. “This innovative technology provides a simple, minimally invasive solution that will help patients spend less time worrying about their bladder and more time enjoying life.”

Urologist Mark J. Swofford, DO, added, “One of the things I find most exciting about eCoin is that a device no larger than a coin has the potential to significantly improve a patient’s quality of life.”

The eCoin device is indicated for patients with refractory urge urinary incontinence and is implanted using local anesthesia. Unlike other neuromodulation devices, the eCoin stimulates the posterior tibial nerve every two weeks without requiring patient input, recharging or a remote control. Patients interested in learning more about eCoin therapy or determining whether they may be candidates for the procedure are encouraged to contact Pikeville Medical Center’s urology department at https://pmcky.org/urology/ or call 606-430-2202.

About Pikeville Medical Center

Pikeville Medical Center is a 348-licensed-bed regional referral center and Kentucky’s only level II trauma center. PMC offers over 400 services, including most major specialties and many subspecialties and features the region’s most advanced medical technology. PMC employs over 3,500 people and has over 600 credentialed healthcare providers.

PMC’s mission is to advance the health and well-being of our region through comprehensive care in a Christian environment. For more information, visit www.pmcky.org.

Pikeville Medical Center (PMC) is proud to announce the successful completion of its first solo MitraClip procedure. The groundbreaking, minimally invasive procedure was performed by Maen Assali, MD, an Interventional Cardiologist at the Heart & Vascular Institute of Eastern KY, offering a new, life-changing treatment option for patients with severe mitral regurgitation (MR) who are considered too high-risk for open-heart surgery. 

MitraClip is one of the world’s first mitral transcatheter edge-to-edge repair (TEER) therapy, also referred to as TMVr (transcatheter mitral valve repair), that delivers a minimally invasive treatment option for select patients. It is a well-established procedure with more than 20 years of clinical use and over 200,000 patients treated globally. MitraClip has the highest reported-to-date MR reduction. 

Mitral regurgitation is a condition in which the heart’s mitral valve leaflets do not close tightly, causing blood to leak back into the heart. If left untreated, it can lead to heart failure and other serious cardiac complications. The MitraClip device repairs the leaky valve without the need for a heart-lung bypass machine or a large chest incision. 

“The successful launch of our independent MitraClip program marks a major milestone for Pikeville Medical Center and the patients we serve throughout the region,” said Dr. Assali. “While this marks our first procedure performed completely on-site by our local team, our program is uniquely backed by a collaborative partnership with leading structural heart specialists from Cincinnati. This gives patients throughout the community access to university-level expertise without the stress of traveling. For those with severe MR who aren’t candidates for open-heart surgery or would respond better to non-surgical options, we can now offer a life-changing, minimally invasive solution close to their families. Because this technique is minimally invasive, most patients can go home the next day.” 

During the procedure, Dr. Assali attached a small clip to the patient’s mitral valve leaflets, helping it close more completely and restore normal blood flow. The procedure typically takes one to three hours and allows for a shorter recovery time than open heart surgery. Patients who undergo the procedure are twice as likely to see major improvements in quality of life compared to medication alone. 

About Pikeville Medical Center 

Pikeville Medical Center is a 348-licensed-bed regional referral center and Kentucky’s only level II trauma center. PMC offers over 400 services, including most major specialties and many subspecialties and features the region’s most advanced medical technology. PMC employs over 3,500 people and has over 600 credentialed healthcare providers. 

PMC’s mission is to advance the health and well-being of our region through comprehensive care in a Christian environment. For more information, visit www.pmcky.org. 

About Abbott Laboratories 

Abbott is a global leader in cardiovascular care, diabetes management, diagnostic testing, nutrition, pain and movement disorders and more. In addition, the company helps raise awareness for chronic disease prevention and other issues that impact global health through its various partnerships. 

Most people expect heart problems to feel dramatic… sudden chest pain or a medical emergency. But many heart conditions begin with small warning signs that are easy to brush off or explain away.

You may think:
– “I’m just getting older.”
– “I’m out of shape.”
– “I’ve just been tired lately.”

But sometimes, your heart may be trying to tell you something.

COMMON WARNING SIGNS OF HEART DISEASE
Not every symptom means you have heart disease. But if you notice any of these signs, especially if they continue or worsen, it may be time to talk with a heart specialist.

1. Shortness of Breath
Do everyday activities leave you more winded than usual?

If walking uphill, climbing stairs, carrying groceries or doing simple chores suddenly feels harder, your heart may not be pumping as well as it should.

2. Chest Pressure or Discomfort
Heart-related chest pain is not always sharp or severe. Some people describe it as: 

• Pressure 

• Tightness 

• Heaviness 

• Burning, like indigestion 

• Fullness 

It may come and go, especially during activity.

3. Unusual Fatigue
Feeling tired all the time can have many causes, but extreme fatigue may also be linked to heart problems. If you feel exhausted doing things that never used to wear you out, don’t ignore it.

4.  Swelling in the Legs or Feet
Swelling in the lower legs, ankles or feet may happen when the heart struggles to move blood effectively through the body.

5.  Dizziness or Fainting
Feeling lightheaded, dizzy or faint can sometimes signal problems with blood flow or heart rhythm.

KNOW YOUR RISK FACTORS
Some people are more likely to develop heart disease than others. Risk factors include:

• High blood pressure
• High cholesterol
• Diabetes
• Smoking
• Obesity
• Family history of heart disease 

If you have one or more of these risk factors, even if you feel fine, regular checkups with your primary care doctor are important so that problems can be detected and treated early.

DON’T WAIT TO GET ANSWERS
Most importantly, if something doesn’t feel right, listen to your body. It may be time to schedule a visit with a heart specialist. The early diagnosis and treatment of heart disease can make a big difference. 

The good news is that advanced heart care is close to home. With an expert team of cardiac specialists and leading-edge facilities and technology, The Heart and Vascular Institute at Pikeville Medical Center has comprehensive capabilities and is nationally recognized for the care it provides. They provide that care with one focus… YOU. 

To learn more about the Heart and Vascular Institute of Eastern Kentucky, its providers and clinic locations in Pikeville, Prestonsburg, South Williamson, Whitesburg and Grundy, click here.  To schedule a consultation, call (606) 430-2201.

About Pikeville Medical Center

Pikeville Medical Center is a 348-licensed-bed regional referral center and Kentucky’s only level II trauma center. PMC offers over 400 services, including most major specialties and many subspecialties and features the region’s most advanced medical technology. PMC employs over 3,500 people and has over 600 credentialed healthcare providers.
PMC’s mission is to advance the health and well-being of our region through comprehensive care in a Christian environment. For more information, visit www.pmcky.org

About Medtronic

Medtronic is one of the world’s largest medical device companies, specializing in life-transforming healthcare technologies and therapies. Founded in 1949 and headquartered in Ireland (with operational headquarters in Minneapolis, Minnesota), the company employs over 90,000 people globally.

A stroke occurs when blood flow to the brain is disrupted, either by a clot blocking an artery (ischemic stroke) or by a blood vessel bursting and causing bleeding in the brain (hemorrhagic stroke). The consequences of both can be devastating, leading to disability or even death. Being able to identify stroke symptoms promptly can make a huge difference in saving lives and reducing the risk of long-term disability. PMC emphasizes the acronym “BE FAST” as a simple tool for recognizing stroke signs:

B– Balance: Sudden loss of balance or dizziness

E– Eyes: Vision changes

F– Face Drooping: One side of the face drooping or numb

A– Arms: Arm or leg weakness, specifically on one side

S– Speech: Slurred speech or hard to understand

T– Time: If any of these signs are present, seek emergency medical attention immediately.

Keeping track of when symptoms begin can help the healthcare team diagnose and treat patients more effectively. Stroke Awareness Month serves as a vital reminder of the impact a stroke can have on individuals, families and communities. By increasing awareness, promoting prevention strategies and advocating for timely treatment, the burden of strokes can be reduced, and outcomes can be improved for stroke survivors. By keeping these things in mind, more lives can be saved in the fight against strokes.

Knowing the risk factors for a stroke may help prevent one from occurring, and patients can learn about their risk factors by having regular medical checkups. Risk factors include high blood pressure, tobacco use, diabetes, high cholesterol, obesity and excessive alcohol intake. Increased age, women, and those with a family history of stroke are also more likely to experience one.

Through regular checkups, patients will be educated about some risk factors that can be changed or treated by medication or lifestyle changes. It is critical for those who have experienced a stroke to manage their risk factors and take any medications as prescribed. The risk of another stroke is ten times greater in patients who have already had a stroke than in those who have never experienced one.

As Stroke Awareness Month continues, PMC encourages community members to take an active role in protecting their health by learning the warning signs, understanding personal risk factors and seeking care without delay. Through education, prevention and advanced treatment options, the organization remains committed to reducing the impact of stroke across the region. When it comes to stroke, every second matters, and knowing what to do could save a life.

To learn more about stroke signs and prevention, visit www.pmcky.org/stroke-center.

Nationally Recognized Stroke Care

Neurology is the study and treatment of disorders and diseases related to the nervous system, including the brain, spinal cord and nerves. At the Eastern Kentucky Neuroscience Center at PMC, neurologists play a critical role in diagnosing and treating patients with neurological conditions like stroke.

PMC Neurologists Dr. Naveed Ahmed and Dr. Ryan Owens collaborate closely with other specialists, such as neurosurgeons, radiologists and physical therapists, to provide comprehensive care to patients. They use various diagnostic tools such as magnetic resonance imaging (MRI) scans, computed tomography (CT) scans and electroencephalograms (EEGs) to assess a patient’s condition and determine the appropriate treatment. Neurologists also treat patients with degenerative conditions such as Alzheimer’s disease, Parkinson’s disease and multiple sclerosis.

Stroke, also known as a “brain attack,” is one of the most common neurological conditions. Neurologists use various options when caring for a patient who has suffered a stroke, such as clot-busting medications or surgical procedures to minimize the damage and help patients recover.

At PMC, neurologists and emergency department providers utilize advanced technology to help identify certain types of strokes quickly and effectively. The software is linked directly to a CT scanner, which uses rotating X-ray machines to create detailed images of a patient’s head, displaying bones, blood vessels and the brain.

This technology can quickly identify suspected large vessel occlusion (LVO) strokes, which happen when one of the brain’s major arteries is blocked, stopping the supply of blood and oxygen. Once a stroke is identified, stroke specialists are notified almost immediately. Many times, while the patient is still in the CT machine, neurologists can view the detailed images on their smartphones and begin treatment. PMC was the first hospital in eastern Kentucky to utilize this state-of-the-art technology.

Through innovation, collaboration and a commitment to excellence, PMC continues to elevate neurological care across eastern Kentucky. By combining advanced technology with the expertise of its dedicated providers, the hospital provides stroke patients with timely, life-saving treatment close to home. As the region’s leader in neuroscience services, the hospital remains focused on improving outcomes, enhancing quality of life and bringing hope to patients and families when it matters most.

For more information on advanced neurology care at PMC, visit www.pmcky.org/neurology.

National Nurses Week

PMC is proud to recognize National Nurses Week, held May 6-12, as a time to honor the compassion, dedication and resilience of nurses who serve patients across eastern Kentucky.

At PMC, nurses are more than caregivers. They are advocates, educators and a steady source of comfort for patients and families during some of life’s most challenging moments. From clinic to bedside, nurses play a vital role in delivering high-quality care close to home.

What began more than a century ago as a small 50-bed hospital has grown into a regional referral center with more than 3,000 employees and hundreds of providers serving patients across the region. Within that growth, nursing has remained at the heart of PMC’s mission to advance the health and well-being of the community through compassionate, patient-centered care.

Every day, PMC nurses embody the organization’s core values of quality, teamwork and integrity. They work alongside physicians, advanced practice providers and support staff to provide comprehensive care across more than 400 services and specialties. Whether assisting with life-saving procedures, guiding patients through recovery or offering reassurance during uncertain times, their impact extends far beyond the bedside.

National Nurses Week is also an opportunity to recognize the next generation of nurses. The organization continues to invest in education and professional development, helping prepare skilled caregivers who will carry forward a tradition of excellence in Appalachian healthcare.

As PMC celebrates National Nurses Week 2026, the organization extends its deepest gratitude to every nurse who chooses to serve. Their dedication, compassion and unwavering commitment make a lasting difference in the lives of patients and families throughout the region.

Nearly 28 million people in the United States are living with asthma, including many individuals across the Appalachian region. Asthma is a chronic condition that causes inflammation and narrowing of the airways, making it difficult to breathe. While a cure for asthma is not currently available, symptoms can often be controlled with proper treatment, medication and lifestyle adjustments. Access to care and early diagnosis are especially important in rural communities, where symptoms may go unrecognized or untreated.

Asthma affects individuals differently, but it is typically characterized by persistent inflammation in the airways. This inflammation makes the lungs more sensitive to common triggers such as pollen, mold, dust, pet dander, smoke and respiratory infections. In Eastern Kentucky, additional triggers may include exposure to tobacco smoke, wood-burning stoves and occupational irritants related to industries such as mining and manufacturing. During an asthma flare-up, or asthma attack, the airways swell further and produce excess mucus. At the same time, the muscles surrounding the airways tighten, limiting airflow and causing symptoms such as wheezing, coughing, chest tightness and shortness of breath.

Today, asthma is recognized as a group of conditions with varying causes and characteristics, including allergic, aspirin-induced, cough-variant, exercise-induced, nighttime, steroid-resistant and occupational. Identifying the specific type of asthma allows health care providers to develop personalized treatment plans that address each patient’s unique needs.

For those seeking care close to home, Pikeville Medical Center (PMC) offers comprehensive respiratory services to help patients manage asthma and improve their quality of life. Treatment options may include quick-relief inhalers for sudden symptoms, long-term control medications to reduce inflammation and prevent flare-ups and advanced therapies for more severe cases. Patients also receive education on recognizing triggers, using medications correctly and following an asthma action plan.

During National Asthma and Allergy Awareness Month, community members are encouraged to take proactive steps toward better respiratory health. Recognizing early warning signs, scheduling routine checkups and working closely with a trusted provider can make a meaningful difference in managing asthma. With the right care and support, individuals living with asthma in eastern Kentucky can lead active, healthy lives.

For more information, call 606-430-2208 or visit www.pmcky.org/pulmonary-clinic. To schedule an appointment with a PMC provider, call 606-430-2235 or visit www.pmcky.org/find-care-now.

Food Allergy Awareness Month

May is also recognized as Food Allergy Awareness Month, with Food Allergy Research & Education leading the nationwide effort to raise awareness. This month highlights the seriousness of food allergies and the importance of understanding how to identify and respond to allergic reactions. For families across the region, this observance offers an opportunity to learn more about a condition that can be life-threatening if not properly managed.

Food allergies affect an estimated 32 million Americans, including many children and adults throughout the Appalachian region. A food allergy occurs when the body’s immune system mistakenly identifies a specific food as harmful and triggers a reaction. Even a small amount can cause symptoms that range from mild to severe. The most common food allergens include milk, eggs, peanuts, tree nuts, soy, wheat, fish and shellfish.

Reactions to allergies can vary widely. Mild symptoms may include hives, itching, nasal congestion or stomach discomfort. More severe reactions, known as anaphylaxis, can involve difficulty breathing, swelling of the throat, a sudden drop in blood pressure and loss of consciousness. Anaphylaxis is a medical emergency that requires immediate treatment with epinephrine, also known as an EpiPen, and prompt medical care.

In eastern Kentucky, limited access to specialty care and longer travel distances can make managing food allergies more challenging for some families. This makes education, preparation and early diagnosis especially important. Parents, caregivers, schools and workplaces all play a role in creating safe environments for individuals with these allergies by understanding triggers, reading food labels carefully and avoiding cross-contact during food preparation.

PMC provides resources to help patients manage allergies and related conditions. PCPs can assist with diagnosis, develop personalized care plans and educate patients on how to avoid allergens and respond to reactions. Patients at risk for severe allergic reactions are often prescribed EpiPens and are encouraged to carry them at all times. If a patient must use their EpiPen for an allergic reaction, it is highly recommended they seek prompt medical attention at their nearest emergency department.

During Food Allergy Awareness Month and Food Allergy Awareness Week, community members are encouraged to learn the signs and symptoms of allergic reactions and how to respond in an emergency. Simple actions, such as knowing how to use an EpiPen, can save lives. By increasing awareness and support, local communities can help create safer environments and improve outcomes for individuals living with food allergies.

Allergy Care Close to Home

Living with allergies, especially in eastern Kentucky, can be challenging. PMC’s specially trained team offers comprehensive allergy services for adult and pediatric patients.

Allergy testing plays an important role in identifying triggers and developing an effective treatment plan for patients with suspected allergic conditions. Two of the most common methods used by healthcare providers are percutaneous testing and intradermal testing. While both are designed to detect allergic reactions, they differ in how they are performed, their sensitivity and when they are typically used.

Percutaneous testing, often referred to as a skin prick test, is usually the first step in allergy evaluation. During this test, small amounts of potential allergens are placed on the surface of the skin, typically on the forearm or back. The area is then gently exposed so the allergens can interact with the skin. If a patient is allergic, a small raised area may appear within about 15 to 20 minutes. This method is widely used because it is quick, minimally invasive and provides reliable results for many common allergens such as pollen, pet dander and certain foods.

Intradermal testing is typically used when additional sensitivity is needed or when percutaneous test results are negative but an allergy is still suspected. This method involves placing a small amount of allergen just beneath the surface of the skin. Because the allergen is introduced slightly deeper, intradermal testing can be more sensitive and may detect allergies that a skin prick test does not. It is often used for evaluating reactions to medications, insect stings or certain environmental allergens. Both methods are considered safe when conducted by trained professionals, and any mild skin reactions usually fade quickly.

PMC staff perform both types of allergy testing. They may also administer allergy treatments, if necessary, which come in the form of drops or injections. For children ages 3 and over, percutaneous allergy testing is available, while percutaneous or intradermal allergy testing is available for children 6 and older.

PMC specialists can help determine which type of allergy testing is most appropriate based on symptoms, medical history and suspected triggers. Understanding the differences between percutaneous and intradermal testing allows patients to feel more informed and confident as they take steps toward managing their allergies and improving their overall health.

For more information, call 606-430-2209 or visit www.pmcky.org/allergy-services. Those interested in allergy testing at PMC may talk to their PCP or their child’s pediatrician for a referral.

 Immunization: Protection for All

World Immunization Week, observed each year in April, highlights the role vaccines play in preventing disease and protecting communities. The observance serves as a reminder that immunization is not only a personal health decision, but also a part of the broader effort to reduce the spread of preventable disease.

Immunization often begins in childhood, building a foundation of protection early in life. Pikeville Medical Center (PMC) recognizes how immunizations support both individual health and the well-being of the entire community.

Vaccines help prevent serious and potentially life-threatening diseases, including measles, polio and whooping cough. They work by helping the body build immunity without causing the illness, allowing children to develop protection early in life.

Immunization also helps reduce the spread of disease. As more people are vaccinated, transmission within a community becomes more difficult. This level of protection is especially important for those who cannot be vaccinated, including newborns, senior adults and individuals with weakened immune systems.

Vaccines are tested for safety and effectiveness. They are continually monitored by national health organizations, including the Centers for Disease Control and Prevention (CDC). Most side effects are mild and temporary, such as soreness at the injection site or a low-grade fever. Serious reactions are rare.

PMC providers support families through routine wellness visits, education and access to recommended vaccines while encouraging informed, confident decision-making. Families with questions or those seeking more in-depth information are encouraged to review guidance from trusted sources such as the CDC at cdc.gov or speak with a qualified healthcare provider to better understand recommendations.

Recommended Immunizations by Age

Staying up to date on vaccinations is an important part of maintaining health at every stage of life. While schedules may vary based on individual needs, national guidelines provide a general framework for recommended immunizations.

Below is a simplified guide to commonly recommended vaccines by age group.

Infants and Children

Vaccines in early childhood help protect against serious diseases during the most vulnerable years of development. These immunizations are typically given in a series of doses during the first years of life, beginning in infancy, to build strong, lasting protection.

• Hepatitis B
  • Rotavirus
  • Diphtheria, tetanus and pertussis (DTaP)
  • Haemophilus influenzae type b (Hib)
  • Pneumococcal (PCV)
  • Polio (IPV)
  • Measles, mumps and rubella (MMR)
  • Varicella (chickenpox)
  • Hepatitis A

  *Additional recommended vaccines may also be advised based on age, risk and current public health guidance.

  Teens and Adolescents

  As children grow, additional vaccines help maintain protection and address risks that become more relevant during adolescence. These vaccines help protect against infections that can have long-term health effects or spread easily in school and group settings.

• Tetanus, diphtheria and pertussis (Tdap)
  • Human papillomavirus (HPV)
  • Meningococcal (meningitis)
  • Annual influenza (flu) vaccine

Adults and Seniors

Vaccination remains important later in life, as recommendations continue to evolve with age and health needs. These immunizations help reduce the risk of severe illness, complications and hospitalization.

• Annual influenza (flu) vaccine
  • Tetanus, diphtheria and pertussis (Tdap or Td booster)
  • Shingles (herpes zoster)
  • Pneumococcal (pneumonia)
  • Respiratory syncytial virus (RSV)

  Vaccination recommendations may vary based on age, health history, lifestyle and evolving public health guidance. Additional vaccines, including those recommended for adults and seniors, may also be advised. For a complete and up-to-date schedule, visit the CDC at cdc.gov/vaccines or speak with a qualified healthcare provider.

Vaccination is Routine Care

Immunizations play an important role in protecting health at every stage of life, from infancy through adulthood. Knowing where to go and who to call can help make staying up to date on recommended vaccines simple and accessible.

PMC offers vaccination services for patients of all ages through primary care providers, pediatric services and outpatient clinics. Routine wellness visits are one of the most common and convenient ways to receive recommended immunizations while also staying on track with overall health.

For children and teens, vaccines are typically provided during regularly scheduled checkups with a pediatric provider or family medicine physician. These visits allow providers to monitor growth and development while also keeping immunizations current.

Adults and seniors can receive recommended vaccines and boosters through primary care appointments, including annual wellness visits. Preventive care visits provide an opportunity to review immunization history and discuss which vaccines may be appropriate based on age, health status and lifestyle.

PMC care teams work with patients and families to support preventive health through education, access to vaccines and ongoing care at every stage of life.  Families and individuals who are unsure about their vaccination status or need to schedule an appointment are encouraged to contact a primary care provider or pediatric office. PMC can help guide patients to the appropriate clinic or service based on their needs.

To schedule an appointment or learn more about available services or schedule an appointment to discuss your vaccination needs, contact PMC at 606-430-3500 or visit pmcky.org.

Every Kid Healthy Week, observed the last full week April, highlights the connection between nutrition, physical activity, mental health and the development of healthy choices. Every day of this awareness week focuses on a different area of wellness. However, a simple message remains at the center: healthy children are better prepared to grow, succeed and thrive.

Nutrition, physical activity and mental health work together to shape how children grow, learn and feel each day. What a child eats affects energy, focus and overall development, while regular movement supports strength, heart health and emotional balance. When these areas are aligned, children are better equipped to stay engaged, build confidence and succeed.

Children are constantly growing, and the body is working hard during this stage of life. Proper nutrition provides the fuel needed to support growth. Meals that include fruits, vegetables, whole grains and lean proteins deliver essential nutrients, while limiting sugary drinks and highly processed foods help maintain steady energy and overall health. Establishing simple routines, such as regular mealtimes and balanced snacks, helps build habits that can carry into adulthood.

Physical activity plays an equally important role. Children benefit from at least 60 minutes of movement each day. This can include outdoor play, organized sports, dancing, riding a bike or even something as simple as taking a walk with family. Making movement part of everyday routines helps children stay active in ways that feel natural and enjoyable.

Mental and emotional well-being are essential to a child’s overall health and development. Children who feel supported, secure and understood are more likely to build confidence, develop healthy relationships and navigate challenges as they grow. Emotional health influences how children respond to stress, make decisions and care for themselves and others. When this area is nurtured, it helps lay the foundation for a healthy, confident future.

At Pikeville Medical Center (PMC), pediatric providers support the full picture of a child’s health through routine care, developmental monitoring and ongoing guidance. Care is delivered with a focus on compassion, respect and the well-being of every child and family served.

So this week, be reminded that small, consistent choices across all areas of health build a strong foundation for a lifetime.

Specialized Care for Growing Needs

As children grow, their health needs can become more complex. Supporting those needs early plays an important role in helping children stay active, engaged and progress through each stage of development.

Not all health concerns can be addressed through routine visits alone. While many conditions can be managed through primary pediatric care, some concerns may require a deeper level of evaluation or input from a specialist. Conditions affecting growth, nutrition, respiratory health or development may benefit from specialized care, offering additional insight through advanced testing and tailored treatment options.

Local children and families now have expanded access to specialized pediatric care through an affiliation between Pikeville Medical Center and Golisano Children’s Hospital at the University of Kentucky. Through this connection, patients can consult with pediatric specialists and receive advanced care closer to home.

The expanded access is reflected in the range of services available at PMC Mettu Children’s Hospital Specialty Clinic. Additional pediatric specialty services include cardiology, endocrinology, pulmonology and genetics, along with specialized programs through the pediatric BMI clinic. These services support children with more complex or chronic conditions, providing care that goes beyond routine treatment.

By combining trusted local care with access to advanced pediatric expertise, this collaboration creates a more connected approach to care, supporting children at important stages of development and giving families the clarity and confidence to make informed decisions when it matters most.

To learn more about pediatric specialty services at PMC, visit www.pmcky.org/pediatrics or call (606) 430-2207.

Supporting Every Child’s Development

Early childhood is a critical time for growth, development and learning. April is recognized as Autism Acceptance Month, an opportunity to highlight the importance of early support, understanding and care for children with developmental differences. When developmental differences are identified early, children have greater opportunities to build skills, gain confidence and reach their full potential.

Each child’s path to health is unique, and every child deserves support that meets their individual needs along the way.

The Appalachian Valley Autism (AVA) Center at PMC provides specialized support for children diagnosed with Autism Spectrum Disorder and related developmental challenges. Through early identification and individualized care, therapy can positively influence a child’s developmental path and create meaningful progress over time.

Care at the AVA Center is delivered through a multidisciplinary approach designed to support the whole child. Services include Applied Behavior Analysis (ABA) therapy, speech therapy, occupational therapy, physical therapy and feeding therapy. Each child receives a plan tailored to their unique strengths, needs and stage of development, helping improve communication, daily functioning and overall quality of life.

Support extends beyond the child to the entire family. Families receive guidance, education and resources to better understand their child’s needs and how to support growth at home and in everyday environments. This collaborative approach helps create consistency and confidence for both children and caregivers.

The commitment to compassionate, patient-centered care is reflected across pediatric services at PMC. With specialized training and environments designed to support children with autism and sensory sensitivities, care teams are equipped to meet children where they are and provide support with compassion and understanding.

When children are supported in ways that recognize their individual needs, they are given the opportunity to build skills, gain confidence and move forward with strength, creating a foundation that shapes not only their development today but their future tomorrow.

To learn more about pediatric services visit www.pmcky.org/pediatrics or call (606) 430-3500

PD is a chronic, progressive neurological disorder that occurs when brain cells responsible for producing dopamine become damaged or die. Dopamine is a chemical that helps control movement and coordination. As dopamine levels decrease, patients may develop symptoms that affect mobility and daily functioning. PD is the second most common neurodegenerative disorder after Alzheimer’s disease and affects more than 10 million people worldwide.

The condition most commonly develops around age 60, although some individuals may experience symptoms earlier. Classic motor symptoms include tremors, muscle stiffness, slowed movement and balance difficulties. These symptoms often begin gradually and worsen over time. Due to the slow progression of the disease, symptoms may initially be mild and easy to overlook.

It is important to note that motor symptoms usually appear later in the disease process. In many cases, individuals may experience non-motor symptoms years before movement problems develop. These lesser-known warning signs can include a reduced sense of smell, depression, anxiety, constipation, sleep disturbances or vivid dreams. Some patients may also experience cognitive changes or hallucinations.

Individuals who notice persistent symptoms are encouraged to consult their primary care provider. A physician can evaluate symptoms, rule out other conditions and provide a referral to a neurologist if necessary. Early evaluation allows patients to begin treatment sooner, helping slow the progression of symptoms and improving quality of life.

Both men and women can develop PD, though men are about twice as likely to be diagnosed with the condition. Several factors have been linked to a higher risk of Parkinson’s disease, including increasing age, certain genetic mutations and a history of traumatic brain injury. Researchers continue to study environmental and lifestyle factors that may also play a role.

While there is currently no cure for PD, many treatment options are available to help manage symptoms. Medications that increase or mimic dopamine in the brain are often used to help control tremors and movement difficulties. Physical therapy, occupational therapy and speech therapy may also help patients maintain independence and improve daily functioning. In some cases, surgical procedures may be recommended for individuals with advanced symptoms.

Although PD itself is not typically considered fatal, complications related to the condition can affect overall health and quality of life. With early diagnosis, consistent medical care and an individualized treatment plan, many patients are able to live active and fulfilling lives.

To schedule an appointment with a PMC physician, call 606-430-2235 or visit www.pmcky.org/our-doctors.

Expert Neuroscience Care at PMC

The Eastern Kentucky Neuroscience Center at Pikeville Medical Center (PMC) is among the top treatment centers in Kentucky for neurological disorders such as stroke, chronic migraine and Parkinson’s disease (PD). Neurological disorders affect the brain, spinal cord and nerves throughout the body, often impacting movement, speech, memory and coordination. Since these conditions can significantly affect a patient’s quality of life, timely diagnosis and specialized care are essential.

At the Eastern Kentucky Neuroscience Center, patients have access to a multidisciplinary team of specialists who work together to diagnose and treat complex neurological conditions. This team includes neurologists, neurosurgeons, advanced practice providers, nurses, rehabilitation specialists and imaging experts who collaborate to deliver personalized care.

Advanced diagnostic tools such as magnetic resonance imaging (MRI) scans, computed tomography (CT) scans and electroencephalograms (EEGs) help physicians identify neurological conditions with speed and accuracy. Imaging technology, neurological testing and comprehensive evaluations allow providers to develop treatment plans tailored to each patient’s unique needs and conditions. These plans may include medication management, minimally invasive procedures, rehabilitation therapy or long-term disease management.

For patients with PD, specialized care focuses on managing symptoms and maintaining independence. Providers work closely with patients to adjust medications, monitor disease progression and recommend therapies that improve mobility, balance and daily function.

Stroke care is another critical component of the neuroscience center. During emergency stroke events, PMC’s neurological team works closely with emergency department (ED) staff to provide prompt care. Rapid diagnosis and treatment are essential in preventing long-term disability. The center’s coordinated stroke response team allows patients to receive prompt evaluation and treatment, improving outcomes for individuals across the region. At PMC, neurologists and emergency department (ED) providers utilize advanced technology to help identify certain types of strokes quickly and effectively, leading to more accurate diagnosis and better patient outcomes.

Patients in Eastern Kentucky often face challenges accessing specialized neurological care close to home. By offering advanced neuroscience services in Pikeville, the experienced team at PMC helps patients throughout the Appalachian region receive high-quality care without needing to travel far from their communities.

To learn more about the Eastern Kentucky Neuroscience Center, call 606-430-2208 or visit www.pmcky.org/stroke-center.

Managing Parkinson’s with a Team Approach

Managing Parkinson’s disease (PD) often requires care from multiple healthcare professionals working together to support patients through every stage of the condition. At Pikeville Medical Center (PMC), patients benefit from a team-based approach that focuses on treating symptoms, maintaining independence and improving quality of life.

Since PD affects movement, coordination and other bodily systems, treatment often extends beyond medication alone. Physicians collaborate with rehabilitation specialists, therapists and support staff to provide comprehensive care tailored to each patient’s needs.

Neurologists oversee the medical management of PD and closely monitor how symptoms change over time. They may adjust medications to help control tremors, stiffness and slowed movement while minimizing side effects. Regular follow-up visits allow providers to evaluate how well treatments are working and make adjustments when necessary.

Physical therapy plays an important role in helping patients maintain mobility and strength. Therapists work with individuals to improve balance, flexibility and coordination while reducing the risk of falls. Exercise regimens designed for Parkinson’s patients can also help improve endurance and overall physical health.

Occupational therapy focuses on helping patients maintain independence in everyday activities such as dressing, cooking and personal care. Therapists may recommend strategies or adaptive tools that make daily tasks easier and safer.

Speech therapy may also be beneficial for patients who experience changes in their voice or difficulty swallowing. Speech-language pathologists can provide exercises and techniques that strengthen communication skills and help prevent complications related to swallowing difficulties.

Education and support are also key components of Parkinson’s care. Patients and their families often benefit from learning more about the condition, understanding how symptoms may change over time and developing strategies to adapt to those changes. Support from healthcare providers can also greatly help individuals remain active and engaged in their daily lives.

Through coordinated care and ongoing support, the interdisciplinary team at PMC works to help patients living with Parkinson’s disease receive the resources and treatment they need to manage their condition and maintain the highest quality of life possible.

To learn more about the Eastern Kentucky Neuroscience Center, call 606-430-2208 or visit www.pmcky.org/stroke-center.

The event welcomed 225 ninth-grade girls from across Pike County and focused on leadership and future career opportunities. Students participated in roundtable discussions and heard encouraging messages about pursuing their goals despite the uncertainties ahead.

PMC departments represented included Radiologic Technology, Education, Wound Care, Physical Therapy, Occupational Therapy, Speech Therapy, Recruitment Services and Workforce Development.

A highlight of the day was a career exploration session organized by PMC’s Workforce Development featuring more than 20 stations, most of which focused on healthcare careers. PMC staff enjoyed sharing their experiences and introducing students to the many opportunities available in healthcare.