U.S. News and World Reports recently ranked Nebraska Medicine as one of the best hospitals in the country for its expertise in six adult specialties: cancer care, gastroenterology and GI surgery, nephrology, neurology and neurosurgery, pulmonology and urology. This is the best performance for the hospital in terms of national recognition in these rankings.
In a series of blog posts, the experts from each nationally-ranked department will highlight what makes Nebraska Medicine a leader in providing care to its patients.
We’re delighted with the news – that US News & World Report has given our division a #31 ranking among the best hospitals in America. It means our neurology and neurosurgery division is in very good company.
Some people might be surprised. They don’t expect to find excellent neurological care here in Nebraska. They think of institutions on the east coast—the famous hospitals with long histories.
Matthew Rizzo, MD Chief of Neurology and Neurosurgery
Well, it’s no surprise to those of us who chose Nebraska Medical Center for our medical practice. We recognize the top-notch individuals in this group. I like Nebraska and the Wild West mentality. The people here have a can-do attitude. We know that Nebraska Medicine is a rising star. The Department of Neurological Sciences and our partners in neurosciences make up an equally premier service on the rise—a very broad, comprehensive program involving mind, body and health.
Let me tell you about our neuroscience specialists — trained in neurology, neurosurgery, psychiatry, psychology, anesthesia and pain/palliative treatment. They treat the full range of neurological conditions—tumors of the brain or spine, epilepsy, Alzheimer’s or dementia, stroke, psychiatric disorders, multiple sclerosis, Parkinson’s disease, amyotrophic lateral sclerosis (ALS), spinal disorders, traumatic brain injury, degenerated or herniated disks, pain syndromes, vascular malformations and aneurysms.
In collaboration with our pediatrics colleagues at the Monroe Meyer Institute, we also treat children with autism and attention deficit disorders. And, we treat both adults and children with neurological problems related to diabetes and cancer.
Many, many people are affected by neurologic conditions for decades. These chronic conditions can be very debilitating. That’s why Nebraska Medicine stays on top of the latest treatments—and why we conduct ongoing research to uncover the best treatments. We aspire to be the best neurological service in Omaha, in the Heartland and in the world.
These specialty clinics are crown jewels in our neurology division:
Movement disorders clinic
Midwesterners don’t brag much, but maybe we should. In Neurology, we’ve brought on board many top experts, including Diego Torres-Russotto, MD, a specialist in movement disorders. Dyskinesia, for example, is characterized by a slight tremor or involuntary muscle movements. This is a symptom for several medical conditions, and requires a specialist to determine the cause. Dr. Torres-Russotto is an expert at this type of complex diagnosis and outlining the best treatment.
He is also a specialist in diagnosing orthostatic tremor, a neurological condition that involves the legs and trunk. Very few doctors recognize the symptoms or know how to treat this condition. With Dr. Torres, you’re in very good hands.
If you’ve got a tremor that is affecting your everyday life, it’s important to see a specialist who can recognize the subtlest clues—and who can make a correct diagnosis. That’s the only way to assure you’ll get the best treatment.
For example, we’ve found that Botulinum toxin is a very successful treatment for severe intractable tremors and a variety of neurological conditions—blepharospasm, cervical dystonia, writer’s cramp, spasticity, hemi-facial spasm and cerebral palsy. Many of these conditions are otherwise incapacitating.
While people didn’t know what to think about Botox a few years ago, we’ve found it to be an excellent treatment with very minor side effects. Botox is just one treatment we can offer our patients—to give them relief from debilitating problems.
We also have great expertise in treating epilepsy—including the really complex, difficult cases that require surgery. Deepak Madhavan, MD, is our epilepsy specialist, and he gives hope every day to patients whose lives are paralyzed by this disorder. He knows the difficulties that epilepsy causes—and he presents patients with medical and surgical treatments that can bring real relief.
In just a few years, the science and treatment of epilepsy has advanced tremendously—and patients can actually live seizure-free. That’s right, your hope is now more than a dream. We now have sophisticated diagnostic tools such as magnetoencephalography (MEG) under the expert guidance of Dr. Tony Wilson, PhD., to localize epilepsy in the brain. That allows us to determine the best treatment.
In Dr. Madhavan’s very capable hands, you can get on with your life, your work, your education with the security knowing that your seizures are under control.
Memory disorders clinic
Certainly, Alzheimer’s is a memory disorder we see every single day. Researchers say that if we live long enough, most of us are likely to develop dementia and Alzheimer’s, Parkinson’s disease or a related condition.
Many people come to us when they’re concerned about a family member. They see signs of a faltering memory, and they’re not quite sure whether to be concerned or not. We invite them to come in, and we provide the appropriate evaluation tests.
We can rule out treatable conditions that look like Alzheimer’s but really aren’t. Even hearing loss can make someone seem as if his or her thinking is impaired.
There may be a thyroid or sleep problem, or depression, which also affect memory and decision-making. Older people are often taking one or three or five medications – all prescribed by a well-intentioned doctor — but when taken together, memory can be affected.
In fact, prescription medicine for sleep problems or heart disease may cause slower thinking—making it look as if something is wrong. It may just be a too-high dosage, or it may be the patient needs a different pill.
After they are diagnosed, our patients receive the medications that help control symptoms. They also can enter a rehabilitation program for stroke or traumatic brain injury. Very often, we link patients with community resources and support groups. Also, our patients can participate in clinical trials and have access to new drugs long before they are widely available.
Our psychology and neuropsychology experts, under David Cates, PhD, are top-notch in diagnosing disease—which helps us begin early treatment, then gauge disease activity and improvement over time. Our goal is to help people age successfully at home, with healthy minds and brains, as long as possible.
Telemedicine and telehealth
This corner of the world — Nebraska and our nearest neighbors in the northern Great Plains — is a wide-open space. Many patients live in remote areas interspersed with small pockets of urban development. It’s a burden for them to drive to our clinic; they have to spend a lot of windshield time just to get to the doctor’s waiting room.
That’s why we’ve started a telemedicine program for stroke, Parkinson’s disease and multiple sclerosis (MS) patients. With high-speed internet and excellent technology, these patients can work with their local doctors—with the aid of consultations from our experts here in Omaha.
In fact, we have some specialists driving to these remote clinics—or even making house calls. Our patients love this personalized service. The specialists really enjoy doing this; it feels like you’re doing the right thing for your patients.
Many of these people wouldn’t get the medical treatment they need if we didn’t offer these telemedicine services.
The future for neurology services
We’ve very excited about the strength of our Neurology program and all our Neurosciences services—and about the opportunities that lie ahead. We continue to bring in specialists from the top institutions as well as the best technology, and foresee strong opportunities to improve.
We want to serve Omaha—as well as our neighbors throughout Nebraska, Kansas, the Dakotas, western Iowa and northern Missouri. We want to reach out across the country and around the world to connect with patients. We can offer them the best-quality neurology care available, while conducting premier research—and while training the next generation of healthcare experts to carry on.
Thanks, US News & World Report, for the great ranking—which we plan on surpassing in short order.