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Dr. Megan Bale Nelson, MD

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Specializes in: Physiatry (Physical Medicine & Rehabilitation)

University of Kentucky College of Medicine

Professional interests include: stroke, lymphedema, cerebrovascular disease, and more.

220 Abraham Flexner Way
Louisville, KY 40202

(502) 588-2160

Dr. Megan Bale Nelson, MD is a physiatrist in Louisville, KY specializing in physiatry (physical medicine & rehabilitation). She graduated from University of Kentucky College of Medicine. Dr. Megan Bale Nelson, MD is affiliated with Baptist Health, UofL Health and UNIVERSITY OF LOUISVILLE PHYSICIANS INC.

Office Locations

Address:

220 Abraham Flexner Way
Louisville, KY 40202

Address:

550 South Jackson Street
Louisville, KY 40202

Address:

529 Jackson Street
Louisville, KY 40202

Address:

225 ABRAHAM FLEXNER WAY SUITE 505
Louisville, KY 40202

Address:

529 SOUTH JACKSON STREET
Louisville, KY 40202

Some issues Dr. Megan Bale Nelson, MD can help you with:

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

doctor visit	6
hospital care	337
inpatient care	337

**Gender**
Male	116
Female	108

**Ethnicity**
Non-Hispanic White	181
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	81
From 75 to 84	52
85 and over	21
Less than 65	70

Hypertension	75
High Cholesterol	63
Stroke	35
Ischemic Heart Disease	56
Depression	48
Chronic Kidney Disease	46
Asthma	8
Osteoperosis	11
Atrial Fibrilation	28
Heart Failure	47
Chronic Obstructive Pulmonary Disease	39
Diabetes	48
Dementia	20
Cancer	19

doctor visit	59
hospital care	304
inpatient care	304

**Gender**
Male	142
Female	145

**Ethnicity**
Non-Hispanic White	222
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	111
From 75 to 84	66
85 and over	15
Less than 65	95

Hypertension	75
High Cholesterol	64
Stroke	26
Ischemic Heart Disease	46
Depression	44
Chronic Kidney Disease	40
Asthma	10
Osteoperosis	9
Atrial Fibrilation	17
Heart Failure	39
Chronic Obstructive Pulmonary Disease	32
Diabetes	43
Dementia	14
Cancer	26

doctor visit	40
hospital care	345
inpatient care	345

**Gender**
Male	314
Female	288

**Ethnicity**
Non-Hispanic White	466
Black	110
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	226
From 75 to 84	136
85 and over	36
Less than 65	204

Hypertension	75
High Cholesterol	61
Stroke	32
Ischemic Heart Disease	49
Depression	47
Chronic Kidney Disease	43
Asthma	22
Osteoperosis	10
Atrial Fibrilation	15
Heart Failure	33
Chronic Obstructive Pulmonary Disease	35
Diabetes	45
Dementia	16
Cancer	27

doctor visit	131
hospital care	145
inpatient care	145

**Gender**
Male	100
Female	121

**Ethnicity**
Non-Hispanic White	162
Black	48
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	106
From 75 to 84	42
85 and over	14
Less than 65	59

Hypertension	75
High Cholesterol	65
Stroke	18
Ischemic Heart Disease	45
Depression	39
Chronic Kidney Disease	48
Asthma	29
Osteoperosis	7
Atrial Fibrilation	17
Heart Failure	30
Chronic Obstructive Pulmonary Disease	29
Diabetes	36
Dementia	12
Cancer	39

doctor visit	115
hospital care	165
inpatient care	165

**Gender**
Male	106
Female	108

**Ethnicity**
Non-Hispanic White	171
Black	32
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	101
From 75 to 84	0
85 and over	0
Less than 65	58

Hypertension	75
High Cholesterol	61
Stroke	22
Ischemic Heart Disease	44
Depression	43
Chronic Kidney Disease	51
Asthma	13
Osteoperosis	8
Atrial Fibrilation	17
Heart Failure	31
Chronic Obstructive Pulmonary Disease	24
Diabetes	40
Dementia	11
Cancer	36

doctor visit	95
hospital care	375
inpatient care	375

**Gender**
Male	139
Female	131

**Ethnicity**
Non-Hispanic White	225
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	127
From 75 to 84	63
85 and over	13
Less than 65	67

Hypertension	75
High Cholesterol	65
Stroke	21
Ischemic Heart Disease	40
Depression	45
Chronic Kidney Disease	54
Asthma	7
Osteoperosis	6
Atrial Fibrilation	19
Heart Failure	30
Chronic Obstructive Pulmonary Disease	32
Diabetes	37
Dementia	24
Cancer	35

doctor visit	58
hospital care	391
inpatient care	391

**Gender**
Male	157
Female	141

**Ethnicity**
Non-Hispanic White	249
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	124
From 75 to 84	72
85 and over	20
Less than 65	82

Hypertension	75
High Cholesterol	70
Stroke	36
Ischemic Heart Disease	45
Depression	47
Chronic Kidney Disease	56
Asthma	10
Osteoperosis	11
Atrial Fibrilation	21
Heart Failure	32
Chronic Obstructive Pulmonary Disease	30
Diabetes	41
Dementia	21
Cancer	26

doctor visit	21
hospital care	501
inpatient care	501

**Gender**
Male	159
Female	137

**Ethnicity**
Non-Hispanic White	245
Black	40
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	130
From 75 to 84	76
85 and over	28
Less than 65	62

Hypertension	75
High Cholesterol	73
Stroke	41
Ischemic Heart Disease	51
Depression	45
Chronic Kidney Disease	58
Asthma	9
Osteoperosis	13
Atrial Fibrilation	26
Heart Failure	38
Chronic Obstructive Pulmonary Disease	31
Diabetes	41
Dementia	20
Cancer	24

doctor visit	102
hospital care	741
inpatient care	741

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Megan Bale Nelson, MD for Medicare patients.

The highest averages for the top procedures that Dr. Megan Bale Nelson, MD treated as a physiatrist in Louisville, KY were hospital care and inpatient care.

doctor visit	73
hospital care	367
inpatient care	367

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Megan Bale Nelson, MD.

**Gender**
Male	123
Female	117

**Ethnicity**
Black / African American	23
Asian / Pacific Islander	0
Non-Hispanic White	192
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	50
85 and over	14
Less than 65	69
65 to 74	100

Average of Total of Conditions of Medicare patients treated by Dr. Megan Bale Nelson, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Megan Bale Nelson, MD treated were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	60
High Cholesterol	52
Stroke	23
Ischemic Heart Disease	37
Depression	35
Chronic Kidney Disease	39
Asthma	10
Osteoporosis	7
Heart Failure	28
Chronic Obstructive Pulmonary Disease	25
Diabetes	33
Atrial Fibrillation	16
Cancer	23
Dementia	13

Education & Training

Dr. Megan Bale Nelson, MD graduated from University of Kentucky College of Medicine. She has a state license in Kentucky.

Medical School: University of Kentucky College of Medicine

Licensed In: Kentucky

Affiliations & Hospitals

Dr. Megan Bale Nelson, MD is associated with these hospitals and organizations:

Baptist Health

UofL Health

UNIVERSITY OF LOUISVILLE PHYSICIANS INC

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Megan Bale Nelson, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Novocure Inc.	$598 Oncology $448	Optune $149
Jazz Pharmaceuticals Inc.	$258 Prialt $144	VYXEOS $114
Tactile Systems Technology Inc	$231 ENTRE $231
Merz North America, Inc.	$152 Xeomin $152
Lilly USA, LLC	$150 VERZENIO $50	$99
Other	$1,057 LYNPARZA $104	DYSPORT $96	Gliadel $56	JAKAFI $42	BOTOX $42	Other $717

**Types of Payments**
Food and Beverage	$2,169
Education	$150
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$126

Biography

Dr. Megan Nelson practices physiatry (physical medicine & rehabilitation). Her areas of expertise include the following: peripheral neuropathy, back pain, and stroke. Dr. Nelson is professionally affiliated with UofL Health and Baptist Health. Her practice in Louisville, KY is open to new patients as reported by Doctor.com. She studied medicine at the University of Kentucky College of Medicine.

Select Year:

Dr. Megan Bale Nelson, MD

Office Locations

Some issues Dr. Megan Bale Nelson, MD can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Megan Bale Nelson, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Megan Bale Nelson, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Megan Bale Nelson, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Megan Bale Nelson, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Megan Bale Nelson, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Megan Bale Nelson, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Megan Bale Nelson, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Megan Bale Nelson, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Megan Bale Nelson, MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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