Dr. A. is here for you!

Dr. Mark Abramovich has been your trusted family physician in Bardstown for more than 30 years. He is located just off KY 245 next to Buffalo Wings & Rings and the new Peddlers Mall. We have same-day appointments available and we accept walk-ins. Come see us for all your health needs. Most insurances accepted; ask us when you call. 

Diabetes care

Dr. Abramovich has been treating patients with diabetes for decades. He will discuss your options and help you manage your diabetes so you can go on living your life. 

Not feeling well?

Dr. Abramovich will take time to talk with you, provide the appropriate treatment, and get you back on your feet again.

Lyme Disease

Have you been bitten by a tick? It takes careful management from an attentive doctor to effectively treat Lyme Disease and other tick-borne illnesses. Dr. Abramovich will listen to you and help find the best treatment options.

"Your Health" blog

Health tips and insights from Bardstown's trusted family physician

Cold, flu

Dehydration: Yes, it's harmful

Sept. 7, 2018

We’re still feeling the heat even though it is September, and that means everyday activities can leave us drenched in sweat. Did you know that dehydration is one of our biggest enemies?

The scenarios that set us up for dehydration play out millions of times a day. We’re working in the yard, trying to get the landscaping just right. Or we’re walking or jogging, trying to get in a little exercise. Or maybe we’re in a hot vehicle, waiting in rush-hour traffic to get home after a long day, windows open but not getting much of a breeze.

About 70 percent of our bodies are made up of water. When we lose too much water through sweating, excessive urination, diarrhea or vomiting, for example, we can easily become dehydrated. Other causes are side effects from medications or insufficient fluid replacement during vigorous exercise.

A loss of 5 percent of fluid is considered mild dehydration, and more than 15 percent is life-threatening. Severe dehydration can cause vascular collapse (because too much fluid has been lost from the bloodstream) and mental deterioration that results in confusion, disorientation of time and place, hallucinations and sometimes seizures. If not quickly treated, these symptoms can lead to organ damage and even death.

Sweat is the body’s air conditioning system. The body tries to cool itself by shedding fluid through your skin to evaporate and cool you down. Sweat is a concentrated fluid that contains salt and important substances called electrolytes that our bodies use for proper cell function. The salt and the electrolytes lost through sweat also need to be replaced.

Sadly we don't have a "meter" on our body to alert us to the fact that we are dehydrated. But we all know the major symptoms: severe thirst and weakness. Another sign can be dark-colored urine, which is a sign the body is trying to conserve fluid.

The key to avoiding the dangers of dehydration is prevention -- by the time you are thirsty, you already dehydrated!

When working outside or in a warm building without air conditioning, have water with you and drink it often. If your clothes are saturated with sweat, you are losing water fast. If you’re indoors, a fan can help if there’s no air conditioning. If you’re outside, get to a shady area or, if possible, take a break and get to a building with air conditioning (or at least a fan).

If you are feeling “out of it” or very tired, stop what you are doing and get indoors or in a vehicle with air conditioning. Drink plenty of water and/or a sports drink like Gatorade. If you are sweating profusely, it is very important that you "catch up” on your water and electrolyte consumption since you may have lost more than you realize.

The important thing to remember about dehydration is it is deceptively dangerous. Make sure you are aware of how your body feels and respond to its needs. Planning is paramount: If you aren’t sure you will be near a water source, bring water with you. 

Copyright 2018 Mark Abramovich, M.D.

Cold, flu

Snoring and sleep apnea

Dec. 7, 2018

It is the age-old problem: loud snoring at night, and the spouse of the snorer is awake listening to the noisy breathing. In medical circles, this can be a troublesome condition called sleep apnea.

Snoring by definition is airway obstruction, even in "quiet" snorers. It occurs more if the sleeper is on his/her back.

There are many reasons for this, including relaxed muscles in the back of the throat, enlarged tonsils or adenoids, a tilted septum, maybe. Consumption of alcohol causes your muscles to relax and fall back toward the larynx, which could cause snoring. Genetics play a role and obesity can also make it harder to breathe.

What to do about it? There are many tricks and treatments such as tape-like products for holding the nose open to various mouth-opening devices designed to keep the tongue from falling backwards.

The only way to truly know if one's snoring is sleep apnea is through a simple, non-invasive test that can accurately diagnose the problem. There can be problems with the brain in coordinating breathing with proper oxygen uptake. If these problems are serious enough, the condition can lead to some things you might not think of like heart ailments, reflux and, in rare cases, death due to a lack of oxygen.

To test for sleep apnea, there are two methods: kits to use for two to three nights that generate data for a sleep specialist to look over or -- much better in my opinion -- a sleep study at a hospital (outpatient) or sleep center. In a sleep study, the patient is connected recording devices that are monitor everything happening in your body while you sleep.

After, a sleep specialist looks at the data and calls you in for a consultation. If you have sleep apnea or another condition similar to it, the "prescription" will be to use continuous positive airway pressure machine, better known as CPAP. The patient wears a mask while they sleep, and the machine forces air into the nasal passages to stimulate normal breathing.

Your sleep will be very restful with the device in place.

Copyright 2018, Mark A. Abramovich, MD