Health in General - Fall 2017

FALL | 2017

Breast Cancer Doesn’t Discriminate Living life to the fullest in spite of cancer.

Cancer Care Close to Home Is It An Emergency?

ER vs. Urgent Care Mako: Robotic-Arm Assisted Surgery

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Milk Depot: Donating to Make a Difference

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Urgent Care | Is It An Emergency?

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Cancer Care Close to Home

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Cover Story

Breast Cancer Survivor Claire Bohn

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Mako™ Robotic-Arm Assisted Surgery

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Dr. Hamilton | How Doctors & Parents Talk

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Neuroimaging Certification Kevin R. Hargrave, M.D.

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LGH Events

NEWS & ANNOUNCEMENTS

Lafayette General Southwest Receives the 2017 Women’s Choice Award® LGSW, a campus of Lafayette General Medical Center, has been named one of America’s Best Hospitals for Emergency Care by Women’s Choice Award®, America’s trusted referral source for the best in healthcare. Emergency Room waiting times are one of the key measurements for the award.

Lafayette General Medical Center Moves into D4 Phase of Becoming a Baby-Friendly Hospital Baby-Friendly USA, Inc., announced Lafayette General Medical Center (LGMC) has achieved D4 – Designation status, in the Baby-Friendly Hospital Initiative. Becoming a Baby-Friendly Hospital is a comprehensive, detailed and thorough journey towards excellence in providing evidence-based maternity

Health In General

care with the goal of achieving optimal infant feeding

is produced by the Lafayette General Health Community Relations Department

201 Audubon Blvd.

Ste.102 Lafayette, LA 70503 (337)289-8600

LGH SYSTEM DIRECTOR OF COMMUNICATIONS

COMMUNITY RELATIONS STAFF

Daryl Cetnar

Meghan Connell Alexandra Donaldson Brent Pelloquin

outcomes and mother/baby bonding.

UHC opens Urgent Care Clinic to Accept Medicaid and SMH opens new Medicaid Clinic University Hospital & Clinics (UHC) opened a new Urgent Care Clinic to serve Medicaid patients across Acadiana. The clinic sees patients on

ON THE COVER:

a walk-in basis with no appointment

Claire Bohn

needed. Patients are seen on a “first come first serve” basis COVER PHOTO BY:

with minimal wait time. UHC Urgent Care Clinic is open

Glen Clark

Monday through Friday from 5 p.m. to 9 p.m., and Saturday through Sunday from 7 a.m. to 3 p.m.

St. Martin Hospital opened a new Medicaid Clinic located

in St. Martin Hospital Specialty Center. Appointments are available, but not necessary. The clinic currently accepts all Shopping at SMILE.AMAZON.COM, after selecting Lafayette General Foundation as your charity, ensures a donation is made directly to the Foundation, at no cost to you!

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Medicaid payers except United Healthcare. The clinic is open Monday through Friday from 7:30 a.m. to 4 p.m.

Donating to Make a Difference.

Did you know pasteurized donor human breast milk can save a baby’s life?

Research shows premature babies who

are fed human milk avoid serious medical complications. One in eight babies are born premature, yet half of the mothers of preemies are not able to provide their baby breast milk. A mother’s milk has Omega 3 fatty acids which are powerful for brain growth and development.

Last year Lafayette General Medical

Center (LGMC) opened the first milk bank depot in Southwest Louisiana. Since its opening, 24 donors have donated over 23,702 ounces of donor breast milk.

Jamie Vead, of Maurice, has donated

8,082 ounces to the milk depot at LGMC.

“I’m a big proponent of

breastfeeding,” said Jamie Vead. “I’m very fortunate to produce so much that it got to a point where my freezer was full. So, I found out about the milk depot.

LGMC had a need and I had a need, so it was a perfect fit.”

The demand for human

donor breast milk in hospital

“I was very fortunate that when my

sons were born, they were both born healthy without any complications,” said

Collection sites like LGMC are called

‘depots’ because they function as a user-friendly and safe satellite storage

Jamie. “I asked myself, ‘If I would have

facility. The milk is kept frozen before

been a mom whose child was sick or

it is shipped to MMBA for pasteurization.

did have complications, would I want

someone to step in and help my child if

a registered donor, visit

I wasn’t able to?’ It’s kind of like paying

LafayetteGeneral.com/MilkDepot

If you would like to become

it forward to help others.”

The milk bank depot at LGMC gives

lactating mothers a convenient drop-off location for their donation. The depot is serviced by Mother’s Milk Bank at Austin

For more information or to make a donation, call Darlene Leblanc, RN, Lactation Consultant at (337) 289-7785.

(MMBA). Nonprofit milk banks like MMBA ensure donor human breast milk is safe and available to the infants who need it most.

“When you have a three year old and

an infant, it isn’t exactly easy to tote them around plus an ice chest of milk,” said Jamie. “Darlene Leblanc, [Certified Lactation Consultant at LGMC] made dropping of my donations so simple. I called when I was 10 minutes away, and when I pulled up at the hospital and she was right there at the door waiting for me. I didn’t even have to get out of the car.”

neonatal intensive care units (NICUs) continues to rise across the country.

Meghan Allen Breast Milk Donor

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Is It An Emergency?

ER VS. URGENT CARE

It never fails that an illness or injury pops up when you least expect it. You may wake up in the middle of the night with a severe cough or stomach pain. You might fall after work and can no longer apply weight on your swollen foot. Or, your child’s fever spikes on the weekend when the pediatrician’s office is closed.

What if you become sick or injured when your doctor’s office is closed, or you can’t

Lafayette General has three Urgent Care Centers located in River Ranch, Sugar Mill Pond and Carencro.

University Hospital & Clinics recently

opened an Urgent Care Clinic at 2390 W. Congress St. to serve Medicaid patients across Acadiana.

get an appointment?

Deciding whether your illness or injury is a true emergency can be hard when you

feel sick or are in pain. The answer is not always simple, but knowing your options could save you a lot of time and money.

When you experience a sudden illness or injury going to the Emergency Room (ER)

is not always your best option. While all Lafayette General Health (LGH) Emergency Rooms are prepared for every kind of medical emergency, our urgent care clinics are a faster alternative available for non-life-threatening injuries and illnesses.

“We know medical issues don’t just pop up during normal business hours,” said

Melissa Bergeron, Lafayette General Urgent Care Center Manager. “Our clinics also have evening and weekend hours too.”

For times when your primary care physician’s office is closed, urgent care provides

easy access for medical needs that can’t wait for an appointment. Urgent care sees patients on a walk-in basis with no appointment needed, and minimal wait time.

A common misconception is the ER treats patients on a “first come first serve” basis.

WHEN TO GO TO URGENT CARE Any Cough or Cold That Does Not Get Better in several days, or a cough that gets worse and is accompanied by a fever Migraines Low-Grade Fevers Rash, especially if there is a fever Minor Broken Bones and Sprains Cuts That Might Need Stitches Minor Burns Severe or Constant Vomiting or Diarrhea Animal and Insect Bites Allergies / Sinus Headache / Stomachache Earache Pink Eye Painful Urination

However, the ER actually follows a triage system and treats patients in order of the severity of their condition. Patients facing life-threatening conditions are seen before those with non-life-threatening conditions, therefore, increasing wait time for many.

A trip to the hospital is not needed for most medical conditions. However, if you have

a common illness or minor injury, you should not wait too long to get medical treatment.

A true emergency is when you believe a severe injury or illness is life-threatening.

If you or an unborn baby could die or be permanently disabled then you need to seek emergency medical treatment in the ER or call 911 immediately.

Lafayette General Urgent Care Centers also offer immunizations, such as the flu

shot, x-rays, lab draws, annual check-ups and sport physicals on a walk-in basis.

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To learn more about urgent care services and locations, visit LafayetteGeneral.com/UrgentCare

Cancer Care Close to Home Raven Green, of Port Arthur, TX, was relaxing on her week off when she started to have trouble breathing. Less than a few days later, Raven’s journey began.

hospital everyday,” said Raven. “I didn’t

Raven began to research other cancer

really want to stay in Houston. I really

treatment facilities that could continue her

wanted to go home. They said if I found a

care if needed.

doctor that would accept me in Port Arthur

or nearby then I could go there instead.”

of Acadiana,” said Raven. “I didn’t want to

She started her treatment plan at an

prolong my treatments. I didn’t want to take

outpatient clinic in Port Arthur right away.

any chances, so I was like ‘Can we just go?’”

“As the days went on during the week it

at Lafayette General and resumed her

so I went to the hospital,” said Raven.

treatments the Friday before Harvey made

“They did my labs and everything. Then

landfall.

they said I needed a blood transfusion

because I didn’t have any plasma.”

Raven. “There are other ways around it. I’m receiving the same treatments I was at MD

APL is a subtype of the cancer Acute

Anderson and Port Arthur and now here,

Myeloid Leukemia (AML). With APL, the

it’s still the same medicines and everything.

bone marrow produces too many cells

Really the only difference is the location.”

called promyelocytes. When too many

promyelocytes gather in the marrow, they

renowned hospitals to Acadiana, so

not enough healthy blood cells to do their

patients can be treated closer to home.

job, patients are at high risk for infection or

In addition to Lafayette, CCA provides

bleeding. me from Port Arthur to MD Anderson that I was really sick,” explained Raven.

Raven met with doctors at MD Anderson

to develop her treatment plan. “They were telling me I would have to stay there in Houston and go back and forth to the

The objective of CCA is to bring the

same cancer treatments used in world-

crowd out healthy blood cells. If there are

“It didn’t register until they transferred

“You don’t have to up and leave your

life because of the sickness,” explained

On April 28, 2017, Raven was diagnosed

with Acute Promyelocytic Leukemia (APL).

Raven brought her prescribed treatment

plan to Cancer Center of Acadiana (CCA)

started to get harder and harder to breathe,

“I was glad when I found Cancer Center

treatment centers in Abbeville, Crowley, Raven has been in remission since June,

New Iberia and Opelousas.

however she still had eight months of treatments remaining.

Then the unexpected happened in

August. Hurricane Harvey made landfall along the Texas coast as a Category 4

To learn more about Cancer Center of Acadiana, go to LafayetteGeneral.com/Cancer

hurricane. With the uncertainty of the storm

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Breast Cancer Doesn’t Discriminate Claire Bohn | Breast Cancer Survivor

Right after her 50th birthday, Claire Bohn visited her doctor for a routine mammogram when the unexpected occurred. The doctor found a small lump in her breast.

“At that time my doctor said we will check it again in six months,” said Claire.

“I never thought about it again, because that’s just not my personality. Then the phone rang seven months later and it was Bonnie, the nurse from my doctor’s office. She said we need to schedule you for an exam. I made my appointment and that’s when they found breast cancer.”

According to Susan G. Komen, one

in every eight women in the U.S. will be diagnosed with breast cancer in

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her lifetime. When Claire received her

diagnosis, she knew she needed to

mammograms, Claire went in for her

take action because her journey was

annual exam. Twenty years after

just beginning.

her first diagnosis, she was told once

again that her mammogram showed

“April 1994, I had a lumpectomy,”

A true believer in routine

said Claire. “It was so small and so early

an abnormality.

that I didn’t have to receive chemo,

which was a wonderful blessing. I had

24 hours later and said it was the same

“They did a biopsy and came back

34 radiation treatments, and that was it.

breast but a different type of breast

Bye, bye cancer!

cancer,” explained Claire. Michael

“I’m here after two cancers because mammograms saved my life.”

Claire Bohn Breast Cancer Survivor

Cain, M.D., Medical Oncologist at

Cancer Center of Acadiana (CCA)

at Lafayette General recommended

a double mastectomy.

“The call back was very hard,”

explained Claire. “When they did the

biopsy and it was cancer, I just didn’t

want to think about that. Maybe that’s denial or maybe that’s survival, I don’t

“Five, 10, 15, 20 years went by, and

know what you could call it, we’re all different.”

I sure had a good time,” explained

Claire. “I traveled, ate, danced, raised

and that of those around her as the

my children and everything. We had so

key to her survival.

much fun!”

It is many different types of diseases,

For women 50+, skipping an annual

Claire credits her positive attitude

Breast cancer isn’t just one disease.

mammogram every other year can miss

with varying molecular structures,

up to 30 percent of cancers.

behaviors and side effects, but all

“Lafayette General is such a wonderful place, I think it’s because the people really care about their patients here.” Claire Bohn

developing in one area of the body:

of breast cancer. Still today, when

on the eighth floor I got to see all of

the breast. Cancer does not

she talks about her experience, the

the fireworks across the city. You have

discriminate based on who you are,

impression that was left isn’t the fight

to look at something wonderful. You

where you live or how much money

of cancer. It’s the positive people who

have to have humor, and never give up

you have, it can happen to anyone,

she surrounded herself with and who

hope. There is always hope.”

even twice.

took care of her.

remain active, and keep her life as

“Lafayette General is such a

wonderful place, I think it’s because

“It takes a whole hospital to get you

Along Claire’s journey she tried to

well,” said Claire. “It takes everybody

normal as possible in her situation.

the people really care about their

from the doctors to the sweet lady who

patients here.”

changes your sheets. Even the happy

she explained. “I think it helps towards

“I try to do yoga four times a week,”

To help patients, CCA provides a

person who comes in with the mop,

surviving. When I finish the class I

patient navigator who meets with the

dancing and showing me some kind

feel like, ‘Hey I did it, and I’m ok, and

patient as they first arrive. They provide

of a jig.”

this was fun.’ Some of the aerobics

crisis counseling for patients and

classes got tougher over time, but

their families, and referrals to needed

point to find something good and

with yoga you feel relaxed, at peace

services, from emotional to financial

positive in everything along her

and happiness.”

support.

journey.

is October, but mammograms are

It’s been three and a half years since

Claire is free from her second round

Claire explained that she made a

“I was in the hospital on New Year’s

Eve,” explained Claire. “From my room

Breast Cancer Awareness month

performed all year long.

“Have your mammogram,” says

Claire. “Please don’t let anybody tell you, ‘It puts radiation in your body!’

One

IN EVERY

Eight

women in the U.S. will be diagnosed with breast cancer in her lifetime.

I’m here after two cancers because mammograms saved my life.”

To learn more about services offered through Cancer Center of Acadiana, visit LafayetteGeneral.com/Cancer

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Choose the Surgery Doctors Choose for Themselves.

According to the Centers for Disease Control, 332,000 Americans need Hip Replacement Surgery annually. Sometimes doctors are amongst those in need of surgery.

Steve Rees, M.D., was experiencing

increased problems in his hip for more a long time. He developed a limp and began losing range of motion. Simple everyday tasks such as putting on a sock were becoming increasingly difficult.

“The worst thing was trying to sleep

at night,” says Dr. Rees. “About every 20 minutes I was changing positions. My wife went so far as to take our king-sized bed and turn it into two twin mattresses so she wouldn’t feel me flopping around like a fish all night.”

As a physical medicine and

rehabilitation specialist, Dr. Rees works

to see a trend,” says Rees. “The therapists

potential for impingement, wear

were seeing a trend too. Patients who

and dislocation. It also allows for more

had the Mako robotic-arm assisted

accurate leg length restoration, within

surgery seemed to recover much quicker,

3mm reducing the potential for discomfort

and seemed to have less pain from the

and walking complications.

beginning.”

on the same day as my surgery, the

Dr. Rees underwent a right total hip

replacement on May 30, 2017. “When it was time for me to decide how I was going

mobility through therapy. He’s worked with many patients in the Lafayette area who’ve undergone various different types of orthopedic surgeries.

“In my experience in seeing how the

patients were responding, I was starting

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“At about two o’clock in the afternoon

physical therapist came in,” says Rees.

“I got up and walked with a walker about

to have my hip replaced, it was a fairly

400ft without anybody giving me any

easy decision. I decided to go with Mako

assistance at all. I ended up leaving the

robotic-arm assisted surgery,” says Dr. Rees.

next morning.”

Mako eliminates much of the guesswork

For many patients, joint pain becomes

involved with manual knee and hip

part of their life and they don’t always

replacement. The results are more accurate,

realize how much discomfort they are

maximizing the opportunity for patient

actually experiencing.

satisfaction, and may increase the lifespan

of the implant.

the pain I had been dealing with for about

seven years was gone,” says Dr. Rees.

Mako hip replacement enables the

pelvic cup alignment to be within five

“The moment I woke up from surgery,

“I can sleep again. I can get into a position

degrees of the center of rotation and within

and go to sleep and I will wake up much

2mm of the surgical plan. This reduces the

more refreshed than before.”

very closely with patients after surgery to help them regain their strength and

Steve Rees, M.D. Mako Patient

“Patients who had the Mako robotic-arm assisted surgery seemed to recover much quicker, and seemed to have less pain from the beginning.”

How Doctors, and Parents,Talk

Many doctors, including me, go

“harumph” when parents bring their

“In my clinical practice, I’ve seen a shorter

recovery time for Mako robotic-arm assisted surgical patients,” says Scott Yerger, M.D. “ A faster recovery means a more rapid return

However, doctors are often pressed

for time, particularly in ERs, and feel they

child to the Emergency Room (ER) with

can’t take lots of time to listen. Here’s the

non-emergencies, like rashes or insect

data – a patient or parent, given about

bites. Non-emergencies are what doctors’

90-120 seconds, will tell the doctor most

offices are for. However, often when I

everything they need to know to make

talk to the parents, they relay a hidden

the correct diagnosis. Not a real time

fear that they feel couldn’t wait for their

sink! However, data also shows that most

doctor. “My father-in-law had flesh-eating

doctors interrupt the patient’s story after

bacteria and almost died,” they’ll say.

about 15 seconds, start asking yes-or-no

“Does my child have it too?”

questions, and shut down the patient’s

to the joint feeling like the patient’s joint.

Which, results in a faster return to their

communication between doctors and

activities and daily living, their lifestyle, their

parents. When doctors go into exam

ER doctors, that may not listen to a

work and the fun things they like to do.”

rooms with bad attitudes, glance at the

patient’s whole story. Since they have

With conventional hip replacement

This illustrates the importance of good

narrative.

Specialists are another group besides

rash, grumble about parents wasting their

patients referred to them from other

surgery, patients can experience significant

time, and zip out, they don’t get a chance

doctors, some feel the patient’s story has

restrictions in range of motion for six to nine

to hear why the family is there and allay

already been told, is in the record and

months following surgery. A major concern

their fears.

doesn’t need repeating. However, the

is the possibility of displacement.

best specialists take their own histories

“Dr. Yerger told me that while I was in

Doctors make about 85% of diagnoses

by the history of the patient’s illness

from the beginning. Who knows what

surgery he moved my hip around in all

alone. This is also why communication

new clue the patient will reveal in the

different directions and that it is stable,”

is important – doctors need to be good

retelling, that may make the diagnosis

says Rees. “I can tell you, I can even feel the

listeners to make accurate and helpful

the referring doctor missed?

stability. It is much more stable than it was

diagnoses. Taking histories is a special

prior to surgery. One month after surgery my

skill doctors learn in medical school,

range of motion is already improved. I’m able

polish in residency, and hone throughout

to do much more than I was doing before.”

their careers. I’m sure I take better

histories now than I did, say, 10 years ago.

Lafayette General is the only hospital

Please visit ParentsDontFret.net to read the rest of this article.

in Acadiana offering Mako surgery. With more experience than anyone in the region, Acadiana Orthopedic Center is your choice.

If you are living with joint pain and discomfort, then the answer may be Mako robotic-arm assisted surgery.

Visit LafayetteGeneral.com/Mako, for more information. To schedule a consultation at Acadiana Orthopedic Center, call (337) 706-1300.

Scott Hamilton, M.D. , is a board-certified pediatrician by the American Board of Pediatricians and medical advisor in Lafayette General Medical Center’s dedicated pediatric treatment area within the Emergency Department. Dr. Hamilton is a Pediatric Advanced Life Support course instructor. His blog is available at ParentsDontFret.net and through a link at LafayetteGeneral.com, where it is accessible to parents anytime, anywhere there is an Internet connection. ParentsDontFret.net

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Local Neurologist One of Few In Louisiana With Certification Kevin R. Hargrave, M.D., Medical Director of Neuroscience Center of Acadiana at Lafayette General and Co-Medical Director of Sleep Center of Acadiana at Lafayette General, recently received the United Council of Neurologic Subspecialties (UCNS) Neuroimaging Certification.

Neuroimaging is a subspecialty of

disorders, including sleep apnea, restless

neurology, which involves interpreting

leg syndrome, insomnia, narcolepsy, and

CT and MRI scans of brain and spine.

other sleep conditions.

“One of the parts of my job I enjoy the

The Sleep Center offers clinical

most is having the opportunity to look

evaluation, testing and treatment in one

at my patients images and be able to

convenient location. The center has six

comfortably validate their imaging reports,”

beds for comprehensive sleep studies,

said Dr. Hargrave. “We are fortunate in

EEG’s, Multiple Sleep Latency Tests

Acadiana to have many great radiologists,

(MSLT) and Maintenance of Wakefulness

but occasionally clinician review adds

Tests (MWT).

additional insight to a patient’s imaging

interpretation and changes medical

at Lafayette General is the only

management.”

comprehensive sleep medicine facility

The Sleep Center of Acadiana

Dr. Hargrave passed the exam,

demonstrating expertise in brain and spine

“One of the parts of my job I enjoy the most is having the opportunity to look at my patients images and be able to comfortably validate their imaging reports”

and neurovascular imaging modalities.

He now holds the distinction of being the only neurologist in Acadiana, and one of six in the entire state, to be a UCNS neuroimaging diplomate. To obtain

Kevin R. Hargrave, M.D.

certification, a multistep process and substantial amount of preparation, in addition to support letters from colleagues is required. He has greater than 15 years of

Dr. Hargrave is board certified by

in Lafayette with two neurologists board

private practice experience in neurology

the American Board of Psychiatry and

certified in sleep medicine. If you are

and sleep medicine.

Neurology and by the American Board of

snoring, or have trouble sleeping, and

Sleep Medicine and now is proud to hold

would like to make an appointment, call (337) 289-8282.

“We are very proud of all the

neurologists at Neuroscience Center

this certificate in neuroimaging.

of Acadiana,” said Al Patin, Chief

Administrative Officer for Lafayette

M.D., are co-directors of the Sleep Center

General Medical Doctors. “Dr. Hargrave’s

of Acadiana at Lafayette General. Both

accomplishment is no small feat and is

physicians have years of experience in

a great honor for any physician.”

Dr. Hargrave and Adam Foreman,

helping teenage and adult patients with a vast range of neurological and sleep

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For more information on Dr. Hargrave and Sleep Center of Acadiana visit LafayetteGeneral.com/SleepMedicine.

EVENTS

The James M. Cox Foundation announced a $250,000 grant to Lafayette General Foundation (LGF) that will be used to further expand telemedicine in St. Martin Parish public schools. Through Project Health, Education and Technology (HEAT), a partnership between Lafayette General Health, St. Martin Parish Schools and Cox Communications, as many as 8,000 students in the parish will have access to healthcare by harnessing the technologies of telecommunications, high-definition cameras and viewing monitors, enterprise health records and cloud-based software.

University Hospital & Clinics hosted a White Coat Ceremony welcoming three new fellows! Two of the fellows will begin UHC’s new Sports Medicine Fellowship program, working with the orthopedic and family medicine clinics, and the third fellow will join the geriatric medicine program. The fellows working in orthopedics will be working with the Ragin’ Cajuns athletic department and its student-athletes.

On August 11th, four LGMC Emergency Department and Trauma nurses received the 2017 Emergency Nurses Association Award! The awards were presented by The Louisiana Council of the Emergency Nurses Association and are given to the best emergency and trauma nurses in the state. Awards are based upon excellence in practice, leadership and education through provided service.

The Foundation received a grant from Project LAUNCH. This is the third year in a row LGF was awarded this grant. The grant goes toward the pediatric clinic at University Hospital & Clinics and provides counseling services for his pediatric patients.

LGF and the LSUE Foundation announced the Lafayette General Medical Center Endowed Professorships on August 1. LGF raised funds for a new scholarship through its Heart of Nursing event. This gift has the potential to create a $20,000 scholarship endowment for LSU Eunice students. Selected as the 2017-18 LGMC Endowed Professors are Maria Papillion, Instructor of Nursing and Kerri Trumps, Clinical Coordinator in Diagnostic Medical Sonography.

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Your Health Your Health RISK FACTORS

DETECTING HEART DISEASE

SYMPTOMS

Smoking Family History of

Heart Disease

Obesity

Chest Pain or Uncomfortable Pressure

(lasting more than a few minutes and/or stopping and starting)

Pain in the Upper Back, Shoulders, Arms, Neck or Jaw

High Cholesterol

Throat Discomfort

Indigestion or Heartburn

High Blood Pressure

Cold Sweat/Dizziness

Nausea and Vomiting

Diabetes

Shortness of Breath

Extreme Fatigue

Inactivity

A lack of symptoms does not mean an absence of problems, which is why checking with a cardiologist is so important.

To make an appointment with a cardiologist

Call (337) 289-8429.

-PR H ENAOLN TH I NO FGIETN, ECROAML M |U NFIATLYL- O2W 0 1N7E D H E A L T H S Y S T E M 12 A