Issue 163 - Internal & External Systems

Special Section
General Surgery, Lifestyle Medicine, Endocrinology, Colorectal Surgery, and more!

Welcome to the Internal & External Systems Issue of MD-Update!

THE PHRASE “YOU ARE WHAT YOU EAT” is most commonly associated with Victor Lindlahr, an American nutritionist who popularized it through his 1940s books and radio shows. Its origins, however, trace back to earlier thinkers. In 1825 French gastronome Jean Anthelme Brillat-Savarin wrote “Tell me what you eat and I will tell you what you are.”

Mark Twain said, “The only way to keep your health is to eat what you don’t want, drink what you don’t like, and do what you’d rather not.”

Food and exercise and health have been associated for some time, it appears. In this issue of MD-Update, we meet some Kentuckiana doctors and an APRN who deal with the consequences of what we eat and do, or don’t do.

It’s Official: Food Is Medicine

In rare bipartisanship action, the 2026 Kentucky General Assembly passed a JOINT RESOLUTION declaring Kentucky a “Food Is Medicine” state and directing state agencies to advance “Food is Medicine” initiatives. The resolution recognizes “the critical role of nutrition in preventing and managing chronic diseases and to promote the use of local food products in health care systems.”

If you believe that food is medicine, you may be interested in what Kentucky organic farmers are doing to grow and provide clean and healthy food to Kentucky schools, grocery stores, restaurants, and farmer’s markets. Mac Stone, our friend and resident organic farm guru, writes a column about OAK, the Organic Association of Kentucky. Mac is a great storyteller. Give it a read on page 12.

Doctors in Action

In our cover story, Dr. Elizabeth Bruendermann, and Special Section colorectal and general surgeons Sam Walling, MD, and Rebecca Douglass, DO, talk about their patients who need bariatric or abdominal surgery, often the result of an unhealthy diet or lifestyle choices. I want to thank both UofL Health and Baptist Health for allowing us to photograph Drs. Bruenderman and Walling at work in the OR, taking you, our readers, inside the room where it happens.

Curing diabetes with islet cell transplantation is happening at Norton Healthcare’s Wendy Novak Diabetes Institute and “laying the foundation for future therapies that could expand treatment options for people with type 1 diabetes,” says Kyle Bothers, MD. Read more about the work of Dr. Brothers and Dr. Bala on page 24.

Danesh Mazloomdoost, MD, medical director of Wellward Regenerative Medicine has worked with platelet-rich plasma (PRP) for years and seen positive results when it’s done correctly, he says. See what he means by that on page 28.

Whitney Jones, MD, founder of the Colorectal Cancer Prevention Project, William Evans, MD, and Laura Buchanan, MD, give us an update on colon screening statewide and the CCPP. Kentucky is leading the way, thanks to the CCPP and to Dr. Jones, a bold and tireless advocate.

Match Day Smiles

We have four pages of smiling 4th-year medical students on Match Day. The smiles are so joyful. Perhaps some of our physician readers remember their Match Day. I hope the photos on pages 36–39 bring back some fond memories.

The 2026 MD-Update editorial calendar is on the preceding page. When you see your specialty and you have a story to tell, contact me. If your specialty isn’t included, that’s another reason to reach out to me. I’m looking forward to hearing from you.

Until next time, all the best,


Gil Dunn
Editor/Publisher MD-Update

Friendly nurse supporting an elderly lady

When Life Gives You Grandchildren

Daphne Spalding, BSN, RN, of the Kentucky Department for Public Health explains how routine clinical moments — like a patient expecting their first grandchild — are prime opportunities to close gaps in adult vaccination coverage.

The Mighty Oak

Mac Stone celebrates the 15th year of the Organic Association of Kentucky (OAK) and its growing role in connecting organic farmers, expanding farm-to-table programs, and building community wellness across the Commonwealth.

Tipping the Scales in Their Favor

Elizabeth Bruenderman, MD, medical director of the Advanced Bariatric Surgery and Weight Loss Center at UofL Health, is the only female bariatric surgeon in Louisville — and she’s changing how patients and physicians think about obesity as a chronic disease.

The Call to Come Home

Kentucky native Rebecca Douglass, DO, jumped at the chance to return home to provide surgical care at Saint Joseph Health — bringing advanced robotic surgery and a patient-centered approach to Central Kentucky.

Lifestyle Medicine Comes to ARH

Allie Davidson, APRN, is bringing Lifestyle Medicine to Appalachian Regional Healthcare in Hazard — the first hospital system in Kentucky to offer Lifestyle Medicine as a dedicated service line — addressing chronic disease through the six pillars of evidence-based lifestyle change.

Will Kentucky Find the Cure for Diabetes?

New research at Norton Healthcare’s Wendy Novak Diabetes Institute — led by isletologist Balamurugan N. Appakalai, PhD, and pediatrician Kyle Brothers, MD — seeks to win the war on type 1 diabetes through islet cell transplantation.