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A message to our Community

F

or the past 115 years, the citizens of Shelby County and surrounding communities have counted on our community hospital to meet their healthcare needs. Regardless of the local hospital’s name, our citizens have benefited from excellent care provided by the physicians, nurses and staff who have been on standby 24/7 ready to serve.

In late 2019, the hospital was acquired by a newly formed organization, UofL Health. Since that time, our team has been focused on reinvigorating our hospital. From new leadership to the latest equipment and technology, to new primary and specialty care services, we are committed to making sure residents can get the care they need right here at home. We want to keep healthcare local!

In case you are not aware, here are the highlights of our work over the past year:  Re-opened our 6-bed ICU  New Pulmonologist/Intensivist Greg Pfister, M.D. has joined our team, overseeing ICU care and offering full-time pulmonology care on our campus  Shelbyville Hospital was named 1 of only 100 “Best Places to Work in Kentucky” in 2021  Valerie Briones-Pryor, M.D. was named chief medical officer  Campus improvements were made, including painting the hospital exterior, new signage, new landscaping, parking lot resurfacing, and new interior lighting  Purchased 2 new bronchoscopes and now offering EBUS (endobronchial ultrasound)  Purchased 7 new ventilators and 2 new EKG machines  Purchased and installed a new state of the art CT scanner  Sleep Center was re-accredited by the ACHC and has new medical leadership  Kevin Potts, M.D. began a new ear, nose and throat clinic on the hospital campus and now offers local surgical options for our community  Anesthesiologist and pain management physician, Harini Chenna, M.D., is now offering pain and steroid injections at the hospital  Vascular surgeon, Erik Wayne, M.D. is now seeing pa-

tients in our medical office building and is offering local vascular surgical options to our community  Purchased and installed new 3D Mammography  Upgraded 2 x-ray rooms and 2 mobile x-ray units to the latest technology with full digital capability  Purchased a new ultrasound for our emergency department to increase quality and speed of care  Upgraded our endoscopy system to the latest modern technology, including new endoscopes  Established COVID-19 testing at the hospital, and a COVID-19 vaccine clinic (*vaccines are now available in UofL Health primary care offices)  Primary care providers Anthony Weaver, M.D., Laura Martin, PA-C, and Laura Davis, PA-C joined UofL Physicians and are practicing in Shelbyville This work could not have been done without the support and dedication of our longtime local physicians and employees who come to work every day focused on making Shelbyville Hospital the best possible place to receive care.

If you or someone in your family has preventative, diagnostic or acute health care needs, I encourage you to consider giving UofL Health – Shelbyville Hospital a try. Given our connection to care through the UofL Health system, you can count us for all your medical needs.

We look forward to serving you soon!

Aaron Garofola, CEO UofL Health – Shelbyville Hospital P.S. – If you are on social media, like and follow UofL Health – Shelbyville Hospital; and if you have a story about the great care you’ve received in our local hospital, please let us know by calling 647-4000. We’d love to hear from you.

Aug. 4, 2021 • UofL Health – Shelbyville Hospital 4

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Dr. Val

Your local doctor

By CAT STRAIN

D

Sentinel-News Staff Writer cstrain@sentinelnews.com

r. Valerie Briones-Pryor, “Dr. Val,” was always going to end up in medicine.

She wasn’t pressured to be a physician, besides the fact that both her mother and father are doctors, but it seemed to be the only thing she knew.

Thanks to growing up going to her dad’s office for free snacks in return for a free filing clerk – medicine was her calling.

Raised in Louisville, with a brief stint at Xavier University in Cincinnati for her Bachelor’s, a residency for Internal Medicine at Indiana University after getting her M.D. at the University of Louisville, of course, Dr. Val boomeranged back to Kentucky.

Dr. Val became the third person in the state to receive

Dr. Valerie Briones-Pryor was the third person in the state to receive the COVID-19 vaccine.

“Working on the COVID ward, and watching people die away from home and loved ones, made me realize how important it was to get certain facilities back into the Shelby community,” she said.

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the COVID-19 vaccine. At the same time, she was in charge of the coronovirus non-ICU unit at UofL Health – Jewish Hospital in Louisville. As she received her shot, she had lost her 27th patient to the virus.

“Working on the COVID ward, and watching people die away from home and loved ones, made me realize how important it was to get certain facilities back into the Shelby community,” she said.

Currently, Dr. Val is the Hospi Hospitalist at UofL Health - Shelbyville Hospital. But, her first job in medicine was working back at her dad’s practice – now as an adult – with an outpatient focus.

After five years, she made the hard decision to shift to inpatient work.

While she didn’t like parting from her dad, he had rather serendipitously decided to stay at the office.

Moving to inpatient care

Dr. Valerie Briones-Pryor (seated, center) helps give COVID-19 vaccines at Centro Latino in Shelbyville.

Working with her father had been a pleasure, but she had grown frustrat frustrated with outpatient care. In an office environment you only see patients

as people.”

Inpatient care often provides more challenging symptoms and illnesses, which is her specialty.

“I love the process,” said Dr. Val.

once every 3-4 months. While that sort of long term care is important, it wasn’t giving her the satisfaction of a “fix.”

The solution to a puzzle, inpatient care.

About inpatient care Dr. Val said, “You don’t know them as patients, but

See Dr. VAL on page 22 We put your eye care

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Breathing

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By TAMMY SHAW

T Inpatient Nursing Director Kelly Nolan, RN, and Greg Pfister, M.D., Pulmonologist, discuss a patient. Pfister runs the newly reopened ICU at UofL Health – Shelbyville Hospital.

Sentinel-News Staff Writer tshaw@sentinelnews.com

he local Shelby County hospital is growing and returning to a vital part of community life since Jewish Healthcare sold the facility to University of Louisville Health in 2019.

UofL Health – Shelbyville Hospital has ramped up, most recently returning the Intensive Care Unit to its community assets with Dr. Greg Pfister heading the operation.

The ICU hit the ground running, said Pfister, since his June 14 arrival. Several patients have been in the unit per day since the space opened in June. Critical care allows local folks to get intensive care without leaving their own community for medical facilities in Louisville or Lexington.

“The hospital is capable of a higher level of care,” said Pfister. “We’re able to treat in Shelby County without transferring patients down-

See Dr. PFISTER on page 14

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UPgrades all over

Andy Bose, diagnostic imaging director, with UofL Health - Shelbyville Hospital new CT scanner.

Along with reopening the ICU, UofL Health has added equipment throughout the Shelbyville hospital

By TAMMY SHAW

Sentinel-News Staff Writer tshaw@sentinelnews.com

T

he University of Louisville took over the local hospital and brought positive change for the community.

New and upgraded X-ray and other equipment and the return of the ICU, intensive care unit, are some of the newest additions to UofL Health Shelbyville Hospital.

UofL’s purchase of the Shelbyville hospital is the main reason for upgrades. “The sale almost certainly spurred upgrades,” said James “Andy” Bose, BS, CNMT, LSSBB and director of medical imaging, cardiopulmonary and sleep services. “UofL has stimulated all of this. It’s been a huge help to all of these areas. It was a good move for UofL to extend its footprint.”

The hospital wasn’t in a good place, he said, before the takeover. “A lot of services were discontinued like

Aug. 4, 2021 • UofL Health – Shelbyville Hospital 10

ICU. That was terrible.”

ICU

The ICU was closed in 2012 due to lack of funds, meaning residents had to go to Louisville or Lexington for inpatient critical care monitoring.

However, UofL Health invested $650,000 in bringing the ICU unit back, which opened June 18 followed

by ICU patients hours later.

“Our main focus right now is the new ICU,” Bose said.

The hospital, Bose said, will focus more on cardiac care in the future.

Radiology

Updates in radiology include 3-D mammography, upgraded X-ray equipment from analog to digital, an

upgraded CT scanner, improved cardiac halters and two oxygen therapy devices are on order.

The last piece of equipment arrived in late 2020. UofL Shelbyville has updated all X-ray equipment.

UofL Shelbyville previously had 2D mammography equipment. The new technology means reduced need for follow-up visits, a quicker image return for patients, may reduce additional imaging and reduce patients from returning and scans can see subtle abnormalities that 2D cannot. “These scans are more defined, which reduces the need for a patient to come back,” Bose said.

Bose said more angles of breast tissue are imaged and this technology can see beyond dense areas, unlike the previous method.

Digital imaging

Digital X-rays image faster, are better quality, quicker for the patient and the patient gets a lower dose of radiation with this technology.

“You can use enhancement tools to make it sharper,” Bose said. “In standard X-ray, you get what you get.

Hospital personnel also can view images more quickly. With 2D, if the image is not good, there is a chance it has to be repeated. “This eliminates that and unnecessary wait time for patients.”

CT equipment has the newest upgrade. The

See EQUIPMENT on page 18

All the X-ray equipment at UofL Health – Shelbyville Hospital has been updated, including this new mobile digital X-ray.

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Full

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CARE

By CAT STRAIN

C Dr. Greg Pfister visits with a patient.

Sentinel-News Staff Writer cstrain@sentinelnews.com

itizens of Shelby County can rest easy because the Shelbyville outpost of the University of Louisville hospital has returned to full-service care. After being acquired by UofL in late 2019, there was only a handful of months before the Intensive Care Unit was shut down due to lack of funding.

Even before a once in a generation pandemic swept the globe.

With the recent June celebration of the ICU reopening and the addition of Dr. Gregory Pfister, pulmonologist, and Dr. Valerie Briones-Pryor, hospitalist, by June of 2021, Shelbyville hospital has opened its doors to everyone.

Chief Executive Officer of Shelbyville UofL Aaron Garofola, who has been with the hospital since 2019, is excited to offer locals

WELCOME TO OUR

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healthcare close to home. Which has been their motto since the beginning.

Alongside their updated and cutting edge technologies, a range of services at Shelbyville Hospital makes it a go-to facility for individuals and families who don’t want to travel out of town for their necessary care.

“The overall growth of specialty care that had gone from this area has been brought back,” Garofola stated happily.

Pulmonology

Headed by Dr. Pfister, Pulmonology is the study of lung ailments. With lung cancer as the leading killer in Kentucky due to tobacco farming and a high level of smokers, offering chest medicine specialists in the region is key to a healthy community.

“We’ll help you to breathe easy again,” says the UofL Shelbyville website.

In step with common treatment for asthma, cancer or tuberculosis, pulmonologists also assist with sleep issues. Irregular breathing at night could be more than a seasonal illness, but a serious sleep disorder. Sleep apnea for instance, is when someone’s breathing starts and stops during the night. Restless leg syndrome can even

UofL Health - Shelbyville Hospital provides a full range of services including: 24/7 Emergency Care Inpatient Care, all private rooms Transitional Care Unit Diagnostic Imaging, including MRI, CT, PET/CT, Nuclear Cardiology, Ultrasound, 3D Mammography & Bone Density Cardiac Rehabilitation General and Specialized Surgical Services Gastroenterology Orthopedic Care Podiatry Sleep Care be treated.

Fortunately, this hospital has the only fellowship trained interventional pulmonologist in the region.

With the goal of restoring lung quality to all Kentuckians, be on the lookout for any of the following symptoms: Cough, shortness of breath or dyspnea, wheezing, chest tightness, chest wall pain or pleurisy.

replace or supplement their patient’s pain management shots for pills.

Injectable shots, like cortisone, help relieve pain symptoms for conditions like arthritis or fibromyalgia. While certain medications or pills, like Vicodin or Oxycodone, can assist with difficult symptoms – the highly addictive nature of these opioids can lead to extenuating issues. Not to mention, the withdrawal from such meds is an uncomfortable experience.

Fortunately, the pain management program is back. From the typical headache to crippling migraines, joint

Pain management

Garofola was particularly saddened by the loss of the pain management program some years ago.

He shared that many doctors had to

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PFISTER: Pulmonologist heads new ICU Continued from page 9 town. It’s a high-quality intensive care close to home.”

Practice

Pfister is a pulmonologist who runs this newly opened ICU. “We have the ability to provide mechanical ventilation for whatever reason a patient can’t maintain their own breathing, the ability to provide ventilation artificially while treating illness, including COVID-19, we treat a wide variety of respiratory issues,” he said.

He is building a pulmonary clinic where a wide variety of respiratory issues can be treated, such as asthma and other pulmonary issues, an area of medicine lacking within the community for some time.

In addition to running the ICU, Pfister sees patients with lung ailments at UofL Physicians – Pulmonology Associates, located in the Medical Annex building behind the hospital. The practice can diagnose and treat pneumonia, asthma, COPD/emphysema, chronic cough, lung cancer, interstitial lung diseases, cystic fibrosis, pulmonary hypertension, occupational lung disease and pulmonary infections like tuberculosis.

Pfister previously provided inpatient pulmonology care in Florida, where he served in several leadership roles, including Section Chief of Pulmonary Medicine and as a pulmonary consultant for several healthcare organizations.

A graduate of The College of William & Mary and

Pulmonologist Dr. Greg Pfister

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PFISTER: Continuing growth is key for the future Virginia Commonwealth University School of Medicine, Pfister completed an internal medicine residency and pulmonary fellowship at the University of Louisville.

Returning closer to home, Pfister’s family lives in Louisville, turned out to be a draw for the future.

“I wanted to be closer to them,” he said.

Growth for the future

Pfister plans to build a screening program for lung cancer, similar to mammograms for breast cancer or colonoscopies to detect colon cancer. “I’m hoping to do more and more to catch nodules early enough to provide curative treatment,” he said.

The pulmonary physician hopes to soon offer pulmonary rehab, exercise done under the supervision of a respiratory therapist and physicians. “That’s shown tremendous benefit to people with long-term illness,” he said.

He explained that people with respiratory illness get into a cycle.

They are short of breath when they exercise, meaning they get less and less active, lose muscle tone and cardiac fitness, then it takes less activity to get short of breath.

“They get into a trap where they go to do something as simple as walking to the mailbox,” he said. “We’re starting to apply rehab to get patients the opportunity to

exercise under controlled conditions while monitoring blood pressure and heart rate to help regain muscle strength and fitness to function in day to day lives again.”

More to come

The hospital is building services at the moment. “The goal is to be able to provide the same services as larger institutions,” he said “It’s a work in progress. We are excited to provide care, building the goal to be able to provide whatever that presently ill person would need.”

New services are being planned and considered, including working with UofL Health in downtown Louisville to expand specialty services, such as kidney services. “When patients get critically ill, they often need to go temporarily on dialysis,” he said.

A new vascular surgeon has been hired and an ENT group will practice in Shelbyville.

The local community will benefit from these changes, and residents are reacting positively to the changes UofL is making at the hospital.

“It’s obvious that the staff is competent, passionate and caring,” Pfister said. “We have had many favorable reviews.”

Thank You to UofL Health – Shelbyville for over 115 years of providing exceptional healthcare right here at home

David B. Eaton, Mayor City Council Members:

Frank Page, Mayor Pro Tem, Mike Zoeller, D. Shane Suttor Pam Carter, Troy Ethington, Tom Hardesty Aug. 4, 2021 • UofL Health – Shelbyville Hospital 15

UofL Health –Shelbyville physicians Primary care Leticia Allen, M.D. 60 Mack Walters Road Shelbyville, KY 40065 502-633-4622 Anna Barrickman, APRN 515 Hospital Drive Suite 1 Shelbyville, KY 40065 502-633-3525 Laura Davis, PA-C 60 Mack Walters Road Shelbyville, KY 40065 502-633-4622 Kenny Gardner, M.D. 150 Fairview Court Eminence, KY 40019 502-845-5672 Georgia Harrod, PA-C 150 Fairview Court Eminence, KY 40019 502-845-5672 David Jones, M.D.

150 Fairview Court Eminence, KY 40019 502-845-5672 David Maddox, M.D. 150 Fairview Court Eminence, KY 40019 502-845-5672

502-633-3525 James Smith, M.D. 515 Hospital Drive Suite 1 Shelbyville, KY 40065 502-633-3525

Laura Martin, PA-C 60 Mack Walters Road Shelbyville, KY 40065 502-633-4622

David Wallace, M.D. 515 Hospital Drive Suite 1 Shelbyville, KY 40065 502-633-3525

Brook Massey, M.D. 60 Mack Walters Road Shelbyville, KY 40065 502-633-4622

Anthony Weaver, MD 60 Mack Walters Road Shelbyville, KY 40065 502-633-4622

Amy Morehead, APRN 515 Hospital Drive Suite 1 Shelbyville, KY 40065 502-633-3525 Ed Sames, M.D. 515 Hospital Drive Suite 1 Shelbyville, KY 40065

Specialists

720 Hospital Drive Suite 100 Shelbyville, KY 40065 502-583-3687 Harini Chenna Interventional Pain Management 530 South Jackson Louisville, KY 40202 502-647-7708 Andrew Duffee, M.D. Orthopedics & Sports Medicine 130 Stonecrest Road Suite 106 Shelbyville, KY 40065 502-647-7708

Valerie Briones-Pryor, M.D. Chief Medical Officer/ Hospitalist 727 Hospital Drive Shelbyville, KY 40065 502-647-4000

Jonathan Goldstein, M.D. Gastroenterology 720 Hospital Drive Suite 100 Shelbyville, KY 40065 502-895-8970

Jeffrey Bumpous, M.D. Otolaryngology (ENT)

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EQUIPMENT: New machines increase care options Continued from page 11 upgraded CT scans are faster and the quality increased with a “much lower” dose of radiation.

“We started training this week,” Bose said.

“What’s nice about the scanner is that it is the exact same one that UofL Health in downtown Louisville has, a Level 1 trauma center.”

Cardiac halters

Bose is getting good feedback from cardiac patients. The hospital brought in new, smaller cardiac halter monitors that are more water resistant and can be used for an extended period. The old halters were larger and only functioned for 24-48 hours. The new halters last up to 14 days. “We get immediate notification, especially if there is a critical finding.

“The old ones are bulkier and patients don’t like those quite as much,” Bose said.

More to come

Retta Wilson, mammography technologist, with the new 3D mammogram. The state-of-the-art machine is one of newest tools to be added at UofL Health – Shelbyville Hospital.

More capability may come in the future, like cardiac calcium scoring, profusion images for stroke patients to pinpoint salvageable brain tissue. “We haven’t had that here before,” Bose said.

A C-arm may come later for vascular surgery. “We do not have that capability to perform those surgeries for

those cases now,” he said. That equipment may arrive soon.

An upgraded MRI may be in the hospital’s future.

Two oxygen therapy devices were ordered. “It delivers

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EQUIPMENT: More options lets patients stay home more effective oxygen to the patient,” he said. Personnel trained on the apparatus recently and they went into service a couple weeks ago. In the works, but not finalized is pediatric cardiology, and EMGs may make the group soon.

Community

The community is responding well to the changes. “I’m hearing from the community that they are pleased with the direction of the hospital based on how it was for a while before UofL took over,” Bose said.

“A woman walked by me and in a random comment said, ‘I just love this hospital.’ I’m not used to hearing that. It’s nice to hear.

A view inside the new CT scanner at UofL Health – Shelbyville.

Our patient satisfaction is on the rise.”

Bose has been at the hospital for 7 The hospital has added several new pieces of equipment allowmonths. “It’s exciting to be here and be part ing patients to stay in Shelbyville for care. of this community. It’s not just staff, the patients and the community are wonderful these improvements. here.”

Bose came to Shelbyville from UofL Health Louisville, Bose hails from Bardstown. “I’m used to a smaller where his tenure lasted 17 years. “I started in nuclear medcommunity. It feels like home. I’m glad Shelbyville is on icine after I graduated in 1997. I loved it there, I learned track, it’s what the community deserves. The hospital was a lot, but I wanted to come back to a community-based not where it needed to be for a while. It’s a very good thing hospital and Shelbyville is gaining a good reputation in the for the community.” community. It checked all the boxes. ” Bose said it’s an exciting time to be at the hospital. “ICU just opened and we have an increase in volume for respiraGet the word out Bose wants to get the word out to the community about tory therapy.”

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SERVICE: More services means patients stay here Continued from page 13 pain, head or spinal injuries, stroke, or any other pain inducing condition can be cared for at UofL Shelbyville.

Vascular surgery

As a state with a high level of smokers, Vascular Surgery is a necessary service. The study of the vascular system is all about the circulatory system. The disorders of which can include arterial aneurysms, vascular malformations and tumors, vascular disease of intestines and kidneys (visceral disorders), venous and lymphatic disorders.

Spider veins and limb swelling can be addressed with vascular surgery as well.

“It’s all about the extremities: hands, arms, legs and feet,” said Garofola.

Ear, nose and throat

UofL Health – Shelbyville Hospital CEO Aaron Garofola (center) and staff pose with the hospital’s Best Places to Work award.

“From tubes to tonsils,” said Garofola, “we can take care of it.”

ENT, as it’s colloquially called, cares for the traditional earaches and tonsillitis. In more drastic cases, ENT phy-

sicians can provide treatment for the heads and necks of both children and adults.

A team of surgeons are on call to remove tumors and cysts if need be. As the epicenter of at least three senses, vocal polyps or tinnitus (ear ringing) should not be taken

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502-437-3008 Aug. 4, 2021 • UofL Health – Shelbyville Hospital 20

SERVICE: Goal is keeping care in Shelbyville lightly. Most allergy symptoms are centered in this area. A simple blood or skin prick test can be done to see if watery eyes and runny nose are just a spring irritation or the visible signs of something more.

Care close to home

The team at University of Louisville – Shelbyville Hospital has seen at least a 200 percent rise in patients since their ICU reopening.

While they are a smaller 70-bed hospital, their med-surg (medical surgery) and outpatient wards can see as many as 50 patients a day.

Shelby County’s local hospital has around 25 primary care physicians and specialists.

A handful of them, supported by a legion of nursing staff, can be found on the floor at all times.

Whether seeking treatment for seasonal allergies or looking for answers to more serious symptoms, UofL Shelbyville can take care of you. Not to mention their tertiary larger facilities that patients can be referred to if necessary.

“Our hope is that families don’t have to travel out of town to visit their loved ones,” said Garofola, “We want our patients to be near home, even if it’s just to be able to let the dog out.”

Nurses wait in the newly reopened ICU at UofL Health – Shelbyville Hospital.

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Dr. VAL: Keeping the focus on community care Continued from page 7 “It’s like the show ‘House,’ how he gets his team to think – to put it all together for the right diagnoses.

That’s how I think. It’s organized and detailed.”

With her family’s blessing, Dr. Val could turn her mind to the organized puzzling she loves so much at the hospital. But being a doctor isn’t about having all the answers, it also means you know when to call in your colleagues. As she says, that’s real community care and it’s what Shelby County deserves.

In the 2000s Dr. Val was moonlight moonlighting at Mary and Elizabeth hospital while in school. Then she began working at UoL Jewish hospital and began picking up shifts in Shelbyville.

Here – Dr. Val immediately fell in love, crediting it to the pride she felt the community and staff had in their establishment.

Fortuitously in 2009, the CEO of Mary & Elizabeth was looking to take their hospitalist program in a new direction – so he asked Dr. Val. This

was the first but not the last time that she would be wearing the dual hats of administration and patient care. Ten years later, when UofL acquired the Shelbyville hospital in November of 2019, a seasoned Dr. Val leapt at the chance to bring her hospitalist specialty to a community she was itching to work with.

Community care

“I love how the community really gets behind the hospital,” said Dr. Val. She was saddened when the deci decision was made to close the Intensive Care Unit in the mid-2010s, sharing that no physician ever wants to turn away a patient. Especially if a doctor has developed a relationship with them, it’s difficult to transfer someone when they’re most vulnerable. But a doctor never wants to put someone at risk, even if that means referring them to another facility farther away.

“To say, ‘We can’t take care of you because you’re too sick’ is heartbreak heartbreaking,” said Dr. Val, “Especially to a different environment. It’s scary.”

With the 2019 commitment from

UoL to bring “care closer to home,” Shelbyville hospital finally had the funds to bring critical services back. Most specifically the ICU and Pulmonology, since lung diseases and cardiac conditions are a big killer in the Bluegrass State. Dr. Val’s biggest wish for Shelby County is to get the hospital back to that place where the commu community can be proud of it. As a local, she has a lifeline to the community where she can establish dialogue between the medical establishment and the public.

“What we [Shelbyville Hospital] offer is because it’s what the communi community said they wanted,” said Dr. Val. She’s humble, crediting the CEO Aaron Garofola and Vice Presi President/ Chief Nursing Officer Shari Kretzschmer alongside the many others who keep the facility running.

“They’re really in touch with what the community needs,” she said.

UofL - Shelbyville Hospital care goes beyond their walls. They offer Men’s Health Fair and blood drives, and reach out to minority communities to ensure their needs are being met.

Dr. Valerie Briones-Pryor will be there every step of the way.

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HENRY COUNTY • SHELBY COUNTY • SPENCER COUNTY • TRIMBLE COUNTY

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HANDS (Free One on One Support for Families) • Educating for Healthy Maternity and Babies First Years • Education and Resources on Creating a Safe and Healthy Home • Education on Life During and After Pregnancy

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