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FALL 2012

Best Decision of Her Life LGMC

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FALL 2012 LAFAYETTE GENERAL MEDICAL CENTER

CONTENTS News & Announcements .......................................................... 2 Neuroscience Center of Excellence......................................... 3 A Century of Care ...................................................................... 4 First O-arm in Lafayette ........................................................... 5 Welcome New Physicians ......................................................... 6 America's Top 100 Hospitals .................................................... 7 Cover Story: Breast Cancer Survivor ................................... 8-9 ED/OR Expansion Project & INDesign Awards..................... 10 Hyperbaric and Wound Care Center ..................................... 11 Most Wired .............................................................................. 12 Telemedicine Clinic ................................................................. 15

(THEpulse) LGMC WINS THREE TOP HONORS IN BEST OF ACADIANA POLL Lafayette General Medical Center (LGMC) was named Best Hospital, Best Emergency Department and Best Cancer Center in the Best of Acadiana annual readership poll sponsored by The Times of Acadiana. LGMC has won first place in all three categories two years in a row, won Best Hospital seven times since 2005 and Best Emergency Department every year since 2006. This year, the hospital was also runner-up in categories for Best Place to Have a Baby and Best Walk-In Clinic/Urgent Care. The annual poll is determined through online votes from the community. Nearly 20,000 voters cast ballots in this year’s contest. "This type of feedback from the community is both an honor and a tribute to the hard work we do,” says LGMC President/CEO David L. Callecod, FACHE. “We’d like to thank the entire community for their continued support and encouragement. They are what keep us motivated to fulfill our mission to restore, maintain and improve health.”

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Publisher ODIE TERRY Editor CAROL STUBBS Account Executive DRUE KENNERSON COVER IMAGE BY DOUG DUGAS

LGMC Director of Community Relations and Development DARYL CETNAR Contributing Editors PATRICE DOUCET GUS FONTENOT CAROLYN HUVAL KIM MORSE LESLIE PRIMEAUX RAYMOND RUPERT

HEALTH IN GENERAL IS PRODUCED IN PARTNERSHIP PA WITH

551 Jefferson Street Lafayette, LA 70501 phone 337.988.4607 fax 337.983.0150 MEDIA

NEWS & ANNOUNCEMENTS

STROKE CENTER ACCOLADES The LGMC Stroke Center recently earned a Bronze Award in the American Heart Association/American Stroke Association’s “Get With the Guidelines®” program. The award represents a high level of compliance to the strict guidelines of the program. “This was a coordinated team effort led by our physicians,” says Cathy Palmer, Director of Ortho-NeuroPost Acute Services. “We’re very excited. It truly does improve patient care.” A Bronze Award recognizes a performance of 90 consecutive days with at least 85 percent compliance under seven guidelines concerning patient management, such as timely treatment, smoking cessation advice and/or other discharge criteria. Palmer is optimistic LGMC will continue its performance streak, which could earn the hospital a higher medal in future results. Silver and Gold awards are given for 12 to 24 consecutive months, respectively. "We will be persistent and strive to continue getting quality outcomes for patients in our community," she says.

(l-r) Ed Krampe, LGMC and SMH Board Member; Melazie Jacob, Hospital District Board Member; Warren Degatur, Chief of Staff and SMH Board Member; Robert Laville, Hospital Service District Board Member; David L. Callecod, FACHE, Chairman SMH Board and LGMC President/CEO; Katie Hebert, SMH CEO; Burton Dupuis, Chairman Hospital Service District Board and SMH Board Member

ST. MARTIN HOSPITAL BEGINS EXPANSION Hospital officials and Chamber of Commerce members helped break ground August 17 for St. Martin Hospital’s (SMH) new expansion. SMH, part of Lafayette General, is building


a new outpatient area with a separate entrance and registration center, as well as larger and updated laboratory and radiology departments. Katie Hebert, CEO/VP at SMH, says the Emergency Department will also be enlarged to include more patient exam rooms, a fast track area and a larger waiting room. “We will be adding about 6,000 square feet to the facility and remodeling about 5,000 square feet,” she adds. The $2 million expansion will allow for an increase in vital health care services for the community. The hospital became affiliated with Lafayette General in 2009, and since then there has been an increase in medical services, physicians practicing at the hospital and health care testing.

LGMC CHOSEN TO BROADCAST SURGICAL PROCEDURE A live television feed of surgical procedures was broadcast from Lafayette General and viewed at the largest peripheral vascular conference in the U.S. New Cardiovascular Horizons (NCVH), a multidisciplinary meeting focused on Peripheral Arterial Disease (PAD) and Critical Limb Ischemia (CLI), was held in June in New Orleans. The live case procedures were performed by Nick Cavros, M.D., Raghotham Patiola, M.D., John Patterson, M.D., and Kalyan Veerina, M.D. The conference featured 24 live and intricate interventional cases transmitted from eight different sites around the world, including from LGMC. Led by a prestigious group of physicians, the cases were used as a distinctive teaching method focusing on advanced techniques that result in safe, effective and superior outcomes for patients. "We are honored to be one of a handful of worldwide facilities selected to actually partake in this tremendous conference,” says Lafayette General President/CEO David L. Callecod, FACHE. "Our inclusion demonstrates that Lafayette General remains at the forefront of technologicallyadvanced medical care.” Callecod was one of the featured speakers at the conference, which included physicians and industry professionals from around the world.

LGMC Neuroscience Program Awarded Special Credential

CENTER OF EXCELLENCE The neuroscience program at Lafayette General Medical Center (LGMC) was awarded Center of Excellence status based on results of the most current Neuroscience Center of Excellence Survey. Only the highest achievers participating in the nationwide survey receive this prestigious designation. The award is a reflection of the accomplishments of the LGMC neuroscience program and the commitment of physicians and nurses to meet the stringent criteria to improve neuroscience services for Acadiana. Neuroscience involves diseases of the nervous system, which include trauma and injuries to the brain and spinal cord as well as diseases like muscular sclerosis, Parkinson’s, epilepsy and stroke. Neurosurgeons perform surgery involving the brain, spinal cord and peripheral nerves. Earning the Center of Excellence title designates LGMC as a “Specialty Center” as defined by the neuroscience survey firm NeuStrategy. A Stage 3 Specialty Center is described “a hospital within a hospital,” scribed as a hospita meaning it has staff and facilities dedicated only to nd facil neurology patients, as well as sspecialized programs ly Stag 3 and Stage 4 and infrastructure. Only Stage institutions can use the Center e Cen of Excellence certification. LGMC hass a neuroscience ward and neu a dedicated intensive care area, both staffed with experienced and qualified physicians and nurses. “It is our vision to build a regional health care system that always delivers excellence in care and outcomes,” says L. C LGMC President/CEO David Callecod, FACHE. “It is rewarding to see our efforts pay off with actual results— making Lafayette General a great place for people to receive care, nurses to work and physicians to practice medicine. Our administration has worked diligently to raise our standards.” The neuroscience program at LGMC advanced from Stage 2 designation in the previous survey to Stage 3 this year with a 20-point improvement. The widest margin above the national average was in administrative and leadership categories, with its largest self-improvement in facilities and governance. Brian Kirk, Vice President of Physician Practices at LGMC, explained that the hospital improved its score and achieved Center of Excellence status by enhancing its technological capabilities, purchasing state-of-the-art equipment, providing better documentation of plans and protocols, establishing new neuroscience units and programs and recruiting and employing new neurologists and neurosurgeons. The LGMC neurological staff is expertly trained to care for patients who have neurological disorders or require neurosurgery, including brain or spinal cord injuries. The hospital is fully equipped to care for victims of a cerebral vascular accident, more commonly known as a stroke, and offers seizure and headache management. The Stroke Center at LGMC, headed by medical director David Weir, M.D., includes an experienced and dedicated team of neurologists and neurosurgeons. Last year, the Center earned the designation as an Advanced Primary Stroke Center by The Joint Commission and American Heart Association/American Stroke Association. This year, it received a Bronze Award through the American Heart Association/American Stroke Association’s “Get With the Guidelines®” program for demonstrating a high level of compliance to guidelines concerning patient management.

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Hospitals are all about people, the people who work there and the people who come for treatment. Lafayette General Medical Center (LGMC) has been providing health care for over 100 years, growing from a six-bed facility in 1911 to the largest, full-service, acute care medical center in the nine-parish area of Acadiana. Eldridge Vincent, born one year later on December 18, 1912, has shared in that long history of health care at LGMC and its affiliate Abrom-Kaplan Hospital in Kaplan.

heard me. I gave him my keys and he drove me to the hospital. I still have no idea who this man is and how he got back home, but I’m very thankful he helped me.” The hospital that treated Vincent and treated his wife before her death was Abrom-Kaplan Hospital. Vincent was treated for cancer complications at the CyberKnife Center at LGMC, where Brent Mahoney, M.D. PhD, radiation oncologist, treated him with five sessions. Treatment with the CyberKnife™ system has a reduced risk

“I have survived bladder and kidney cancer, and (am) a little hard of hearing, but everything else works fine!” - Eldridge Vincent

A native of Gueydan, Vincent moved to Kaplan with his wife about 17 years ago to be near the hospital because of her health needs. After her passing, he remained in Kaplan where, at 99 years of age, he gets around with only a cane or walker. His nephew, Paul Hebert, calls once a day to check on him, but otherwise he lives an independent life. “I am very healthy for my age,” he reports in an interview for VermilionToday.com. “I have survived bladder and kidney cancer, and (am) a little hard of hearing, but everything else works fine!” Vincent has also had accidents on occasion. “I was working in my back yard and fell on the corner of the air conditioner,” he says. “I knew I had pulled my shoulder out of socket and needed to get to the hospital. Thankfully, I was able to make it to the front yard and holler for help. A man was going into the church (across from Vincent’s house), and he

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of post-treatment complications. The treatments are pain-free and non-invasive, so Vincent was able to return to his daily activities after each treatment. “His ongoing enjoyment of life is an inspiration to us all,” says Dr. Mahoney. Getting back to daily activities is important at any age, health experts say, and Vincent maintains an active lifestyle. “I do everything by myself,” he says. “The only thing I don’t do is cook, and that is only because I never learned to cook. I even keep up my own yard.” He enjoys mowing his grass and recently bought a new zero turn radius riding lawn mower, which he quickly discovered came with a learning curve. “I just bought one of those lawn mowers that turn sharp, and I put it in the shed. By the time I had learned how to drive it, I had hit everything I had in the shed trying to get it out,” he says with a laugh. “But, I got it!” In addition to lawn mowers, he has

a passion for new cars. “I have bought nine new cars in the last two years,” he says. “One lady told me she had bought a car like the one I just bought. She said she loved it because it had excellent gas mileage. I told her I wouldn’t know that because I still like speed!” With his 100-year birthday approaching, Vincent is feeling good and enjoying life. “I tried to give away some birthdays,” he says with a laugh, “but nobody wanted them!”

 Squirts of hand sanitizer Lafayette General uses in a year.


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afayette General Medical Center (LGMC) is implementing cutting-edge technology to improve surgical outcomes for patients. The hospital is proud to introduce the O-arm® Surgical Imaging System, a complete multi-dimensional surgical imaging scan that provides clear, real-time images during surgery. The LGMC O-arm Imaging System is the first of its kind in Lafayette, giving surgeons an innovative, technologically advanced tool to aid in making critical decisions during surgery.

The Medtronic Imaging System is typically used for spine and trauma-related surgeries. Rebecca Benoit, LGMC Chief Nursing Officer, says the O-arm will be used at LGMC for spine, head and neck surgery and pelvic trauma. The state-of-the-art equipment provides high quality, two and three dimensional images, giving surgeons a better, more optimized view of the body during surgery and elevating surgical precision to a new level. For the patient, it uses lower doses of radiation, often results in less invasive surgery and smaller incisions and can decrease the time in surgery and under anesthesia. "The addition of the O-arm Imaging System further strengthens Lafayette General Medical Center as a leader in technology,” says LGMC President/ CEO David L. Callecod, FACHE. “Our state-of-the-art equipment attracts top physicians and results in better outcomes for patients. LGMC will continue to be a health care leader and innovator in our community."

in making critical decisions concerning placement of screws and alignment of joints, which can minimize pain and recovery time, resulting in a higher quality of patient care and outcomes. In the operating room, the O-arm forms a ring around the patient’s body. The equipment is moveable, and the ring can be opened and closed so the patient does not have to be moved. The ring rotates to take 2-D fluoroscopy (real time moving x-rays) and 3-D images of the body. It is capable of making a 360-degree scan, taking images in seconds resulting in less exposure to radiation for the patient and staff. The O-arm includes a navigational component, like a GPS system, that allows the surgeon to track and guide instruments through the body in real time. The navigation system converts the 3-D image on the O-arm into a computerized image, which is projected onto the monitor. The surgeon can then watch the progress to see and determine the effect on soft tissue and adjacent areas to minimize damage. This type of navigation is vital when working in areas such as the spinal cord where accurate instrument placement is critical.

HOW IT WORKS The technology gives surgeons “a better way to see” with clear, multi-dimensional images, large field of view and a live image of anatomy during surgery. This can aid HEALTH IN GENERAL FALL 2012

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MEET THE PHYSICIANS

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afayette General Medical Center (LGMC) is pleased to welcome five new physicians to the staff. Serving patients in a variety of fields, these physicians help LGMC provide for the health care needs of Acadiana. JASON DUREL, M.D. Ear, Nose & Throat, Head & Neck Surgery Dr. Durel recently joined the practice of Bradley J. Chastant, M.D., FACS, Jeffrey Joseph, M.D., FACS and Jennifer Daigle Hanby, M.D., at Acadian Ear, Nose, Throat & Facial Plastic Surgery Center. He earned his medical degree from Louisiana State University Medical School in New Orleans and is a member of the American Medical Association and American Academy of Otolaryngology. To make an appointment, call (337) 237-2621.

ADAM KENNEDY, M.D. Orthopedic Surgery Dr. Kennedy joined the practice of Angela Mayeux-Hebert, M.D., Orthopedic Surgeon. A native of Lafayette, he earned his medical degree from LSU School of Medicine in New Orleans and completed his residency at Campbell Clinic in Memphis, TN. Dr. Kennedy is a member of the American Academy of Orthopedic Surgeons and Lafayette Parish Medical Society. He welcomes new patients in orthopedics and sports medicine. To make an appointment, call (337) 235-1600.

CANDICE SNYDER, M.D. Maternal-Fetal Medicine Dr. Snyder joined the practice of Paul Dibbs, M.D., at Maternal-Fetal Medicine of Acadiana. She graduated from Louisiana State University School of Medicine in Shreveport in 2005 and has completed a fellowship in MaternalFetal Medicine, a sub-specialty in obstetrics and gynecology that deals with high risk pregnancies. To make an appointment, call (337) 593-9099.

ADAM FOREMAN, M.D. Neurology Dr. Foreman joined the practice of David Weir, M.D., Aaron Friedman, M.D., and Damon Patterson M.D., of Southwest Neuroscience Center. A native of Crowley, he graduated from LSU School of Medicine in New Orleans and completed an Internal Medicine internship and Neurology residency at the University of Tennessee in Memphis in 2011. He then completed a fellowship in Sleep Medicine at Baylor College of Medicine in Houston. He is board certified in Neurology by the American Board of Psychiatry and Neurology. To make an appointment, call (337) 704-0220.

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RACHEED “JOE” GHANAMI, M.D. Vascular & Endovascular Surgery Dr. Racheed Joe Ghanami has joined the practice of Christopher LaGraize, M.D. at Acadiana Vascular Center. A graduate of the University of Louisiana at Monroe and LSU School of Medicine in New Orleans, Dr. Ghanami completed his training in Arkansas and North Carolina. Dr. Ghanami enjoys seeing patients with a variety of vascular problems and is trained in both open and endovascular procedures. He is currently accepting new patients. To make an appointment, call (337) 289-9700.


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afayette General Medical Center (LGMC) is proud to be named one of America’s Top 100 Hospitals for Patient Experience by WomenCertified®. The honor puts LGMC with top-ranking hospitals across the country demonstrating extraordinary service in meeting the needs of women and their families. The Women’s Choice Award is based on strict criteria that consider female patient satisfaction and what women say they want from a hospital including quality physician communications, responsiveness of nurses and support staff, cleanliness and trusted referrals from other women. Key factors adding to LGMC’s credibility with women involved Intensive Care Units. LGMC has Lafayette’s only adult ICU staffed with full-time Intensivists (physicians who specialize in the care of critically ill patients) and offers the only adult and newborn ICU under one roof. In the event of complications in childbirth, this assures mother and baby will not be separated. “Lafayette General Medical Center is both humbled and honored to be named as one of America’s Top 100 Hospitals for Patient Experience. This prestigious national recognition by WomenCertified validates our passionate commitment to provide extraordinary care to those we serve. This recognition reaffirms to our patients, our physicians and our

employees our enduring mission to restore, maintain and improve health,” says LGMC President/CEO David L. Callecod, FACHE. Hospitals recognized by WomenCertified show support for the particular health care needs of women, as well as concern for empowering women as they seek information in making the best medical decisions for themselves and

their families. Qualification for the highly selective annual list is based on an in-depth proprietary scoring process. The scoring incorporates a national, standardized survey of patients' perspectives of hospital care reported by the U.S. Department of Health and Human Services (Hospital Consumer Assessment of Healthcare Providers and Systems) and an analysis that weighs criteria identified as the most important

to women for patient satisfaction. Additionally, the scoring incorporates WomenCertified’s in-depth research on customer satisfaction among women, including a joint study on customer satisfaction by gender conducted with the Wharton School of the University of Pennsylvania. The 100 best scores in four categories based on hospital size determine the award winners. “Lafayette General Medical Center’s selection by WomenCertified as one of America’s Best 100 a Hospitals for Patient Experience differentiates it from other choices in the area,” explains Delia Passi, CEO and founder of WomenCertified, and fformer publisher of Working Woman and a Working Mother magazines. “Women have many choices when it comes to health care, and they set the standard for customer service. Women’s Choice Award recipients have demonstrated extraordinary service in meeting the needs of women and their families and represent the smart choice for women.” WomenCertified is a trusted referral source for top businesses and brands identified as meeting the needs and preferences of women. America’s Best Top 100 Hospitals recognizes institutions that support the global mission to set higher health care standards by appreciating the unique needs and preferences of female patients. HEALTH IN GENERAL FALL 2012

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COVER STORY LAFAYETTE GENERAL MEDICAL CENTER

HEALTH IN GENERAL

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isa Roy lives a full life. She’s 34 years old with two children under five and works full time. Two years ago, her life involved her work at a law firm, caring for children and fun times with family and friends. All that changed when she was diagnosed with breast cancer. At that point, she had to learn to balance cancer treatment with family and work. She has courageously moved forward with her life with the help of family, friends and Cancer Center of Acadiana (CCA) at Lafayette General. This is her inspiring story. After the birth of her second child, Lisa discovered a lump in her breast. “I found a lump in June 2010 and went to my gynecologist to see about it,” she recalls. In the past, Lisa had noticed hormone-related lumps. This one was more noticeable, but she was not concerned. Her doctor scheduled a mammogram and ultrasound, which showed nothing unusual, and then advised her to come back in a year, unless there were changes before then. In February 2011, she went in for her routine annual exam. The lump in her right breast was more sensitive, and it had doubled in size. This time, the mammogram showed calcification. After receiving the results from an ultrasound and biopsy, she remembers the doctor telling her, “I’m not going to beat around the bush; you have cancer.” From the time she discovered the lump through the first doctor visits, Lisa says it never occurred to her she would have cancer. “I was never scared,” she says. “I didn’t have any family history of breast cancer, so it was a shock.” With two pre-school children, her main concern was for them. And that remained her primary focus as she

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went through multiple tests, listened to medical advice and determined the best treatment plan. She had an MRI, which also revealed a suspicious spot in her other breast. A biopsy revealed it was not cancerous, but it was a concern. “At that point, I decided to have both breasts removed,” she says. She consulted with physicians and considered the years of monthly follow-up involved if she only had the lump removed, and decided her time was worth more than that. “They’re just breasts,” she says. “I have two small kids and I have a busy life.” Following surgery, Lisa searched for an oncologist for chemo and radiation treatment. “As many doctors as I was seeing, I knew I needed someone to reassure me that everything’s okay,” she says. “I would have to see an oncologist for a year, so I wanted to be comfortable with the doctor. You’re trusting them with your life.” After talking with several doctors, she decided on treatment through Deborah Johnson, M.D. at CCA. “She’s so wonderful,” Roy says. “The Cancer Center is wonderful, too. I had never been to a treatment center before and didn’t know what to expect. I had chemotherapy treatment in the same building as Dr. Johnson’s office. If I had a question during treatment, a nurse could get an answer from the doctor because she was right there.”

CANCER CENTER OF ACADIANA When Lisa first began going to Cancer Center of Acadiana at Lafayette General, she was assigned to Patient Navigator Earlene Ally, RN, also a breast cancer survivor. A Patient Navigator is a position unique to CCA, providing patients with a liaison to help with resources and to process the emotions that go along with


a cancer diagnosis. Ally helped Lisa work through scheduling treatments and even arranging childcare and transportation, if that was needed, and she kept up with Lisa’s appointments on her calendar. “When Lisa would come in for chemotherapy, I would go to the treatment room and check on her,” says Ally. If Lisa had questions or concerns, Ally was there to help her get through it. “From the first appointment I had, everyone was just wonderful,” Roy says. “Everyone is bright and cheerful, and they greet you with a smile. The nurses there are excellent. I know them by first name, and they know me by name.” When Dr. Johnson first met with Lisa, she took time to explain the cancer and treatment and answer Lisa’s questions. “We start off slowly with patients as we inform them about treatment, and we help guide them through that process and make decisions,” explains Dr. Johnson. “We teach each patient about their cancer and treatment, and we will go over it and over it until they understand and feel comfortable.” Dr. Johnson says that in young women, because of the structure of the breasts, it is difficult to detect cancer through a mammogram. For that reason, mammograms are not recommended as a routine test for women under 40 years of age. It is not uncommon for young women to have cysts in their breasts that are usually related to hormonal changes. “These cysts come and go so, unfortunately, it’s harder to diagnose cancer in a younger person,” says Dr. Johnson. A breast profile study revealed that Lisa also had the HER2/neu protein that stimulates the growth of cancer cells. She decided to have a modified radical mastectomy on her right breast, which included removing lymph nodes under her arm, and a simple mastectomy on her left breast where there had been a suspicious area. In follow-up treatment, Dr. Johnson prescribed specific drugs and a targeted therapy to block the growth of cancer cells. “Because of the characteristic of my tumor, progesterone positive, estrogen positive and HER2 positive, it’s fast growing and aggressive,” says Lisa.

Cancer Center of Acadiana's experienced Oncology team In providing Lisa the ongoing support she would need throughout a year of treatment, Dr. Johnson connected her with other patients her age. “They formed a bond and connected with other breast cancer survivors,” says Dr. Johnson. “It’s tough going through chemo, but they help each other through it.” Lisa is also a member of the Pink Ribbon Divas, a support group of the Breast Center of Acadiana.

“I would have to see an oncologist for a year, so I wanted to be comfortable with the doctor. You’re trusting them with your life.” - Lisa Roy Lisa had chemotherapy treatments at Cancer Center of Acadiana in Lafayette. Now she goes every three weeks for a maintenance infusion. The infusion center at CCA is designed with patient comfort in mind. There are TVs, books and magazines available, and it is staffed with compassionate, experienced nurses and technicians. It’s light and airy and, most importantly for Lisa, it is close to family, friends and work so she doesn’t have to spend valuable time and energy traveling out of town for treatment.

Lisa and a friend, also a patient at CCA, text encouragement to each other during treatment and support each other through the ups and downs associated with the disease. “We even had chemo treatments together and went through the process together, and that was awesome,” says Roy. When Lisa was advised by nurses that she would soon lose her hair, it was a difficult time. “I was also tired, and I had no energy,” she says. She had always worn her hair long, so she was facing a dramatic loss. It was also hard for her little boy, who was affected by the changes she was going through. “I had to be strong for him,” she says. To help her through, her friend at CCA scheduled a “shaving heads” party at her house. Lisa’s little boy was there to help shave her head, and several of her friends shaved their heads in support. Now, Lisa’s hair is growing back, and there are no signs of cancer. She credits her excellent treatment at CCA, as well as the compassion and support from Dr. Johnson and her staff. She appreciates the support she received from her employer and co-workers who allowed her time off for treatment. Lisa knows she would not have done as well without the ongoing support of her family and friends. When she first began treatments, she moved back in with her parents, who cared for her while her children stayed with their father. “They all kept me going,” she says. “I’m lucky to have two kids because they keep me going. I would not have gotten through this without my family.”

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A new six-level parking garage with approximately 340 parking spaces will also house the Central Plant for the expansion. Features of the ED/ OR expansion and renovation include a new trauma elevator with direct access to the medical flight helipad located above the 10th floor, as well as to the Emergency Department and the Marie O. Lukaszeski, interior physicians and staff members in new surgical wing. The direct access designer with Interior Design Solutions, getting input, even constructing a will help provide quicker response is serving as project manager. She has mock surgery room to demonstrate to medical emergencies. With this been an integral part of addition, LGMC will the design of the entire be the only hospital in hospital renovation, Acadiana with a direct including the $21 access elevator from the million construction helipad to surgery and of the Pavilion for the ED. On the second Women and Children floor, the new surgical at Lafayette General wing will increase space completed in 2008. for surgery from the The architecture and current 25,000 square interior design of the feet to approximately Pavilion was honored 45,000 square feet. with INDesign Awards “This new surgical Interior Designer Marie Olivier Lukaszeski has teamed up from The Independent. suite is a platform for Beazley Moliere, architect, as project manager with architects Washer Hill Lipscomb all surgical services, Cabaniss for the newest expansion project at LGMC. This will won a Gold award including neurosurgery, be Lukaszeski’s third project at LGMC since 2009, all of which in the Architectureorthopedics, received INDesign Awards from The Independent magazine. Commercial category, cardiovascular, and Lukaszeski won a Gold for Interior the average size and equipment urology and general surgery,” Design-Commercial. In addition, placement in surgery rooms.” says Lukaszeski. The new surgical the Pavilion won Design Excellence The interior design for the ED/OR platform will have 14 full-service at the International Interior Design expansion will continue the same operating rooms. “The ED is really Association awards competition and attractive aesthetic and color palate being designed out of a necessity the NICU expansion and renovation of warm neutrals that was used in the to gain efficiencies for the staff and (entered as a separate project for the tower renovation completed in 2011. to accommodate a growing patient awards competition) was awarded However, this project is more clinical, population visiting the ED on a daily Honorable Mention. focusing on high-traffic service areas basis,” she says. LGMC has one of As manager for the current in the hospital. One of the challenges the five busiest ED's in Louisiana. The project, Lukaszeski is the liaison of designing for a hospital setting Emergency Department renovation between the architect, administrators, is incorporating materials that are will add two new trauma rooms and staff and physicians, working closely attractive, yet can withstand the increase capacity from 31 beds to 45. with all involved to make sure the rigors of 24/7 use. Lukaszeski is using Completion of the extensive design is to specification. “We involved specialty products for flooring, privacy renovation and expansion is projected staff from every department in the curtains, wall protection, etc., many at 24 months, with an investment of hospital for input in how the design of which are inherently antimicrobial. $51.5 million. The new structure will can impact and improve process and “Most clinical areas will have seamless face South College Road and Coolidge function,” she says. ”We have worked flooring that is very easily maintained,” Street, updating the appearance of the very closely with several leaders, she says. West Tower of the hospital.

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onstruction is underway at Lafayette General Medical Center (LGMC). This next phase of expansion and renovation includes the Emergency Department (ED), the addition of a new surgical platform and construction of a parking garage at LGMC. The addition will change the architecture of the building, enhance the look and create optimal space and function for better medical care in Acadiana.

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7TSXPMKLXSR,IEPMRK ;SYRH'EVIERH,]TIVFEVMG3\]KIR8LIVET] Oxygen is something we breathe in and out every day of our lives. At Lafayette General Medical Center (LGMC) the healing advantages of pure oxygen under high pressure are being used to treat a number of wounds and diseases. In the expanded and renovated Hyperbaric and Wound Care Center at LGMC, Hyperbaric Oxygen Therapy (HBOT) is making a healing difference for many patients. HBOT is helpful for patients with chronic, non-healing wounds, which may be due to complications from diabetes, amputation or deep soft tissue damage from radiation therapy. Patients who come to the Wound Care Center with wounds that won’t heal may also have a history of disease that hinders the process. “When you are really sick,” says Matthew Holden, M.D., Medical Director of Hyperbarics, “it’s much harder for wounds to heal.” Hyperbaric oxygen therapy involves breathing 100 percent oxygen under increased atmospheric pressure. The treatment takes place in a sealed 32-inch monoplace chamber where patients can rest comfortably on stretchers. Patients watch TV, rest or even sleep while breathing healing oxygen. Each treatment lasts about two hours from start to finish, and approximately 15 to 30 treatments are required. “When we treat patients with HBOT,” explains Dr. Holden, “we can get the tissue oxygen level up above what they can get by breathing oxygen. The extra pressure in the chamber causes the oxygen to saturate the tissues everywhere in the body, from internal organs to skin, from bone to muscle, and that promotes healing through increased blood flow.” HBOT activates leukocytes, or white blood cells that kill bacteria. HBOT recruits fibroblasts into tissues with inadequate oxygen utilization to produce collagen and grow new

Matthew Holden, M.D., and Leslie Greco, M.D., observe a patient in one of the two hyperbaric chambers in the Hyperbaric and Wound Care Center at LGMC.

capillaries. This leads to improved blood circulation in the tissue and oxygenation in a way that cannot be accomplished with topical oxygen or oxygen administered by mask. HBOT reduces edema and inflammation, supports cellular resuscitation and promotes healing of injured tissue. “We get some great results,” says Marcus Onezine, hyperbaric tech for six years. “In patients who take treatments as prescribed and follow the medical protocol, we see a great rate of wound healing.” As a trained technician, Onezine monitors the two HBOT chambers at all times. Patients are fully visible and can see clearly while in the chambers, which are comfortable and spacious enough to allow for freedom in movement. Treatments take place Monday through Friday. The HBOT chambers at the Wound Care and Hyperbaric Center at LGMC meet or exceed all federal, state, local and hospital guidelines. All patients are evaluated by a specially trained hyperbaric physician before treatments are prescribed, and all treatment sessions are attended by physicians, nurses and technicians trained in hyperbaric medicine. Great healing potential with minimal side effects makes HBOT an excellent additional medical treatment for many patients who need extra help with the healing process. The expanded and renovated Wound Care and Hyperbaric Center at LGMC has six treatment rooms and two HBOT chambers. The Center opened in 1995 as a one-room clinic. “We were quickly able to fill all the new rooms,” Dr. Holden says. “The expansion offers more privacy and comfort for the patient, and they get to interact with some of the best nurses and hyperbaric technicians that I’ve ever worked with. It’s a friendly, compassionate and caring team.” Dr. Holden is board certified in hyperbaric medicine through the American College of Hyperbaric Medicine and is board eligible in emergency medicine. HEALTH IN GENERAL FALL 2012

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0+1'6IGSKRM^IHJSV8IGLRSPSKMGEP%HZERGIW afayette General Medical Center (LGMC) is on the cutting edge of medical technology. The hospital was recognized as one of the nation’s Most Wired in a 2012 survey released in the July issue of Hospitals and Health Networks magazine. Opelousas General Health System (OGHS), an affiliate of LGMC, was also singled out in the Small and Rural Hospital division. LGMC and OGHS were the only two Louisiana hospitals to receive this prestigious honor.

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“Our hospital has always been a pioneer in bringing the most advanced technology to Acadiana,” says President/ CEO David L. Callecod, FACHE. “We will continue to pave the way by incorporating the newest, safest and most effective health care strategies available.” Callecod praised his hospital staff and those at OGHS for helping implement and adapt to the latest technology. “It takes a total team effort to smoothly transition into new technology. I applaud Opelousas General President/CEO Gary Keller and Vice President of information Technology/CIO Jared Lormand for their dedication to enhancing technology in Acadiana. They are a valuable partner to the LGMC family.” LGMC has a long history of technological firsts in Acadiana. Just this year, the hospital was first to offer a jobsite telemedicine clinic, achieve Stage 6 status in electronic record keeping and was among a handful of hospitals from around the world selected to broadcast live surgical procedures to the largest peripheral vascular conference in the U.S. Hospitals recognized as Most Wired are adopting and using health information technology to improve performance, protect patient data and optimize patient flow and communications. In November 2011, LGMC and OGHS were the first in the state to pilot the Louisiana Health Information Exchange (LaHIE). LaHIE is the mechanism that provides for the secure exchange of health information

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through electronic health records, and improves patient safety, quality of care and health outcomes. “Our focus will be to build an EHR

[electronic health records] foundation for care delivery that extends out to our community, to integrate our primary care, homecare and school clinics and provide employers with tools such as telemedicine solutions to provide real-time clinical information and care delivery,” says Edwina Mallery RHIA, AVP of Information Systems at LGMC. “Our patients are at the center of all of our systems, and therefore allow us to utilize information technology to improve their health, reduce their costs and continue enhancing our quality of care. Getting this type of recognition is reward for our staff and illustrates a

commitment to our mission to restore, maintain and improve health.” LGMC met each of the key findings from the survey in Hospitals and Health Networks magazine. As a Most Wired hospital, LGMC employs intrusion detection systems to protect patient privacy and security of patient data, uses automated patient flow systems, uses performance improvement scorecards to help reduce inefficiencies and checks drug interactions and drug allergies when medications are ordered as a major step in reducing medication errors. “As shown by the survey results, hospitals continue to demonstrate how information technology not only can be used to improve patient care and safety, but it is also a means to improve efficiency,” says Rich Umbdenstock, President/ CEO of the American Hospital Association. The 2012 Most Wired survey is conducted in cooperation with McKesson Corporation, the College of Health Care Information Management Executives (CHIME) and the American Hospital Association (AHA). Founded in 1898, the AHA is the national organization that represents and serves hospitals, health care systems and their patients and communities. McKesson Corporation is a health care services and information technology company currently ranked 14th on the FORTUNE 500. CHIME is an executive organization dedicated to serving chief information officers and other senior health care information technology leaders.


Jeannie Kreamer

Mammograms are like painting. When I paint I focus on the image I’m creating; during a mammogram, I focus on ‘anything’ in sight! A few minutes of uneasiness don’t stop me from doing something that could save my life. Besides, at the Breast Center, where I go, it’s an atmosphere free of anxiety. I arrive to covered, convenient valet parking, and I’m treated first-class by professional women who are very friendly and knowledgeable about breast health. Women today are so fortunate to have digital mammography available, like that at the Breast Center.



Breast Center LafayetteGeneral.com (337) 289-8222 HEALTH IN GENERAL FALL 2012

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Clowns from the Ringling Bros. and Barnum & Bailey Circus brought smiles to children in the LGMC pediatrics unit July 19. The clowns were in town for a show at the Cajundome.

Spirits were high at Cancer Center of Acadiana for a celebration of National Cancer Survivors Day on June 8. Jacee Badeaux, former American Idol contestant, made an appearance and sang for those attending.

UL Lafayette music professor Dr. Jeffrey L. George played jazz and contemporary guitar music for patients undergoing treatment at Cancer Center of Acadiana on May 31. Music has been scientifically shown to help relax and reduce stress for medical patients.

Employees of LGMC donated a van full of supplies to Lafayette Community Health Care Clinic as part of United Way’s Day of Action June 22. The supplies included kitchen, office and paper supplies, along with coloring books and crayons and $460 in cash.

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LGMC Neonatal Intensive Care Unit (NICU) hosted their annual reunion party for parents and babies at Sugar Mill Pond in Youngsville on May 19. More than 60 families attended the event to reunite with NICU staff and enjoy a day of great food and fun events.


From his office, Joseph Orgeron, M.D., appears on the computer screen in a remote clinic at Stuller, Inc.’s headquarters.

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sing technology developed for astronauts, Lafayette General Medical Center (LGMC) is putting medical advances into practice in Acadiana. Telemedicine is the next generation of health care, a 21st -century house call that uses virtual tools, two-way audio and HD video conferencing to link patients in remote locations to physicians in their office. Lafayette General implemented this cutting edge technology in May at Stuller, Inc., giving employees unprecedented access to primary care physicians and medical resources. Andre Perron, M.D., and Joseph Orgeron, M.D., Lafayette General Medical Doctors, along with several LGMC employees worked with FiberCorps, a non-profit organization committed to digital economic development in Lafayette, to set up the clinic at Stuller as a pilot program for telemedicine in Lafayette. “Our mission is to restore, maintain and improve health,” says LGMC President/CEO David L. Callecod, FACHE. “Partnering with Stuller, one of the biggest employers in the area, provides us with an opportunity to do just that.” Through telemedicine, all 1,400 of Stuller’s employees have daily access to a physician and the resources of the LGMC network without having to

leave their office building. Lafayette General provides a clinical staff member on site at Stuller to facilitate exams and serve as a communication liaison between the patient and Dr. Orgeron, who monitors information from his Ambassador Caffery medical office. The clinic uses virtual tools that include a Bluetooth stethoscope and digital otoscope to transmit accurate and real time readings to Dr. Orgeron. Stuller employees who may require additional medical services are routed to either of the Family Health Plazas (Sugar Mill Pond in Youngsville or River Ranch in Lafayette), one of LGMC’s affiliated specialists or to LGMC's Emergency Department, depending on the severity of the injury or illness. “Fiber-powered technologies like videoconferencing offer so much potential to revolutionize our community,” says Geoff Daily, FiberCorps Executive Director. “We’re

excited to help Stuller and LGMC implement this project, which benefits so many.” Telemedicine was originally created by NASA to help serve the astronauts, but it’s now gone global. Most recently, the University of Miami set up a 240-bed tent hospital near Port-au-Prince, Haiti following the earthquake in 2010. Doctors stateside, through digital technology, were able to help provide medical care. Through a shared vision, Stuller and LGMC began the pilot program to provide convenience for employees and significant savings in health care costs. Telemedicine visits are reimbursed at half of in-person visits. “Stuller is its people, and I want to make sure our associates have the best possible opportunity for wellness,” says Stuller founder Matt Stuller. “This clinic and our new wellness initiative create a positive work environment promoting personal well-being and growth.” The telemedicine clinic is just one of many wellness projects Stuller has implemented this year. Others include increased health education, the hiring of a wellness-focused intern and a variety of exercise programs. HEALTH IN GENERAL FALL 2012

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The Lafayette General Foundation seeks to enhance Lafayette General Medical Center's mission to restore, maintain and improve health. With the need for charitable care on the rise, and payment reimbursement steadily declining, the Foundation will raise funds and awareness for initiatives that benefit Lafayette General Medical Center. LGMC is recognized by federal and state tax laws as a 501c(3) not-for-profit corporation. Although the hospital generates money by billing for its health care services, it does not pay out any revenue to shareholders, as for-profits do. All Foundation revenue is reinvested into the organization for new equipment, facilities and technology to better care for the people we serve. Additionally, the Foundation will work to attract the support of corporations, foundations and individuals so that it may seek innovative health care solutions that will reduce costs and increase operational efficiency and productivity, while continuing to provide excellence in health care throughout Acadiana. To take part in this committed effort to improve the quality of care, you may contribute by calling (337) 289-8950.

1211 Coolidge St., Suite 204 â&#x20AC;˘ Lafayette, Louisiana 70503 HEALTH IN GENERAL FALL 2012

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