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A PUBLICATION OF LAFAYETTE GENERAL HEALTH

LGMC: Acadiana’s Trauma Program Mandy Turner | Proud Mom

What’s a Vampire Facial? Mako™ Robotic Knee Replacement Surgery Stroke


F E AT U R E D C O N T E N T S P R I N G | 2 0 1 7

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Vampire Facial : Facial Rejuvination

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Mako™ Robotic Knee/Hip Surgery

NEWS & ANNOUNCEMENTS

UHC Opens Newly Expanded Emergency Department University Hospital & Clinics (UHC)

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Every Second Counts | Stroke

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Cover Story

LGMC Trauma Program Mandy Turner

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Dr. Hamilton | High Anxiety

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Why Donate Blood?

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Wound Care & Hyperbaric Healing Center

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recently completed a $3.7 million Emergency Department expansion and renovation project. The expansion brings the ED from 2,450 square feet to 10,383 square feet. UHC now enjoys 20 private exam rooms and a reconfigured registration, triage and waiting area.

Lafayette General Health Celebrated World Health Day 2017 Lafayette General Health (LGH) celebrated World Health Day (WHD), April 7. The worldwide focus for WHD was

LGH Events

Depression: Let’s Talk. LGH teamed up with Lafayette City-Parish President Joel Robideaux and KATC TV3 to spread the word. Two of the best ways to confront depression are exercising

Health In General

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 Alex Labat Brent Pelloquin Leslie Primeaux

regularly (take the stairs or walk) and talking to someone you trust.

LGH to Expand its Telemedicine Offerings Lafayette General Health (LGH) has partnered with American Well to expand the health system’s telemedicine services. LGH will roll out the expanded telemedicine technology in waves. The plan is to enhance the technology

ON THE COVER:

Mandy Turner

at existing LGH telemedicine clinics, partner with additional schools and large employers, and make the technology

COVER PHOTO BY:

Glen Clark

available to individuals in the future.

St. Martin Hospital Receives Top Honors St. Martin Hospital (SMH) received top Shopping at SMILE.AMAZON.COM, after selecting Lafayette General Foundation as your charity, ensures a percentage of your purchases are donated directly to the Foundation.

honors at the 16th annual Nightingale Awards on April 1 in Baton Rouge. Named Hospital of the Year (60 Beds or Fewer), SMH joins an elite group of hospitals recognized by the Louisiana State Nurses Association and Louisiana Nurses Foundation.

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There is a new trend in facial rejuvenation called the vampire facial. While the name may be intimidating, the procedure is beneficial for many different skin types. What is a vampire facial?

“The vampire facial is a technique

using micro-needling and a patient’s own blood, which is spun down to a concentrated form called Platelet Rich Plasma (PRP),” says facial plastic surgeon, Ryan Chastant, M.D. “Since we use the patient’s own blood it’s been dubbed the vampire facial.”

The procedure utilizes a unique micro-

needling pen with nine tiny micro-

needles to create controlled micro-injuries

makes your skin smoother, brightens

to the skin while topically applying PRP.

your skin tone and makes your skin all

around clearer.

PRP is a concentration of platelets in

your blood which are crucial to wound healing. It releases growth factors into the skin to accelerate your body’s repair process. The micro-needling technique starts the skin’s natural repair process, producing collagen and elastin. The micro-channels created with the microneedling technique allows for optimal absorption of PRP enhancing its effect in the deepest layers of your skin for

When you hear the word micro-

needles you instantly think “Ouch!” However, the vampire facial starts out like any other facial. First, there is a cleansing and toning treatment. Then the aesthetician massages your face with a topical numbing ointment.

Once the ointment sets in, the

While the microneedling-pen makes

“Using your own body’s ability to

a buzzing noise, it feels similar to

heal itself is where the magic in the whole procedure is,” says Dr. Chastant.

micro-needling procedure begins.

optimum wound healing.

What does it feel like?

The vampire facial is ideal for

using a skin cleansing brush. What can you expect after?

smoothing fine lines, wrinkles, acne scars,

traumatic scars and stretch marks. It also

will have a red, flushed look with a slight

Directly after the procedure your skin

burning sensation, similar to a minor sunburn. This lasts approximately 24 hours. However, Dr. Chastant provides you with skin soothing masks and products that leave you glowing.

In less than a week later, your skin feels

smoother and has an enhanced glow. It is recommended you have three to four treatments to receive optimum results.

To learn more about Dr. Chastant and the vampire facial procedure visit LafayetteGeneral.com/Vampire. To book a consultation, call (337) 234-6193.

Vampire facial results after one treatment.

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Mako Robotic Knee Replacement Surgery ™

Are you experiencing joint pain that limits your daily activities such as standing, bending, kneeling or walking? Your joints control almost all movement throughout the body. However, over time, or after an injury, your joints may become diseased and the pain can greatly limit your daily

“The robot does not do the operation,” says orthopedic

surgeon Scott Yerger, M.D. “What the robot allows is rigid control of the saw or the reamer in preparing the bone for the various types of operation. The robot allows me not to color outside of the lines.”

The Mako system assists the surgeon as he removes the

diseased bone and cartilage. It also allows the surgeon to make any necessary adjustments during surgery as needed. This procedure allows for a more accurate placement of the knee implant.

activities. Each patient is unique, and can

“The robot does not do the operation. The robot allows me to not color outside of the lines.”

experience joint pain for different reasons. Common causes for knee pain are Osteoarthritis (OA) and Rheumatoid Arthritis (RA). According to the Arthritis Foundation, approximately 27 million Americans suffer from OA.

Lafayette General Medical Center is the only facility

Scott Yerger, M.D.

in Acadiana to offer Mako robotic-arm assisted surgery (Makoplasty) for total knee replacements. A total knee replacement is a surgical procedure where a damaged joint is replaced with an implant, creating an artificial joint. The knee implant is designed to operate and move like your healthy joint did before.

Makoplasty offers a personalized plan specifically designed

for your knee in order to provide you with optimal joint pain relief. The process begins with a CT scan of your knee, which

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

Mako robotic-arm assisted surgical patients,” says Dr. Yerger. “A faster recovery means a more rapid return to the joint feeling like the patient’s joint. Which, results in a faster return to their activities and daily living, their lifestyle, their work and the fun things they like to do.”

is used to create a 3D model.

The model helps your orthopedic surgeon develop a

personalized pre-operative plan distinguishing boundaries between healthy versus diseased bone and cartilage in your knee. On the day of your surgery, your orthopedic surgeon will use the Mako system to help prepare the bone for the knee implant.

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If you are interested in learning more about Mako roboticarm assisted total knee replacement surgery, visit LafayetteGeneral.com/Mako. To schedule a consultation at Acadiana Orthopedic Center, call (337) 706-1300.


EVERY SECOND COUNTS

A cancer diagnosis. Heart disease. A heart attack and a broken hip. Just one of these events could be life changing for anyone. But, over the past five years, Barbara Byrd has dealt with all of them. If that was not enough, November 9th she suffered a stroke.

It was a Wednesday morning just

by a blood clot (ischemic). Barbara was

considered severe. Barbara’s original

having an ischemic stroke.

NIHSS score was 13.

tissue Plasminogen Activator (tPA)

is a medication that dissolves blood clots

Barbara stayed in the ICU for 24 hours

and recovered in the stroke unit for four

and improves blood flow to the part

days. Upon discharge at LGMC her re-

of the brain deprived of blood. tPA

assessed NIHSS score was 3.

treatment for ischemic strokes must

However, Barbara’s recovery was

take place within the first four hours of

not over. She continued her care at

initial symptoms. Quick recognition

Lafayette General Southwest (LGSW)

and hospital treatment are extremely

for 10 days of physical therapy. The unit

important.

at LGSW achieved The Joint Commission’s

Disease Specific Certification as a Stroke

Barbara arrived at Lafayette General

like any other. Barbara made her coffee

Medical Center (LGMC) at 8:57 a.m., with

Rehab Unit, providing the highest

and went to check her blood pressure.

right side paralysis and difficulty speaking.

quality care for stroke recovery. Once

However, as soon she put on her blood

She underwent a CT scan at 9:14 a.m.,

she left LGSW, her re-assessed NIHSS

pressure cuff, she knew something was

and received tPA at 10:05 a.m. At 10:57

score was down to 1.

wrong. There weren’t any sharp pains, but

a.m., Neurologist Damon Patterson, M.D.,

Barbara could not move the right side of

removed the clot.

calling 9-1-1, the quick action of the ER, and

“Immediate recognition of her stroke,

her body. Immediately, she grabbed her

“They told me as soon as Dr. Patterson

Dr. Patterson made this miracle possible,”

phone and called her son, Richard.

removed the clot she started to speak right

said Samantha Cormier, RN, LGMC stroke

then and there,” said Richard. “And I could

Coordinator. Barbara is still independent

and had heard of “F.A.S.T.”. Without

raise both of my arms,” Barbara added.

and can manage daily life on her own. With her positive attitude, after everything

Richard knew the symptoms of stroke

hesitation, he called 9-1-1 from his office,

and the ambulance went straight to his

assessed and scored according to the

she has been through, it’s hard not to be

mother. “If I didn’t have my phone next

National Institutes of Health Stroke Scale

inspired by her.

to me, I don’t think I’d be here right now.”

(NIHSS). A NIHSS score of 0 represents

Barbara said.

no stroke symptoms, 1-4 a minor stroke,

5-15 a moderate stroke, 16-20 a moderate

A stroke occurs when a vessel in the

brain ruptures (hemorrhagic) or is blocked

Every stroke patient at LGMC’s ER is

Spot a stroke F.A.S.T. Call 9-1-1 immediately. Learn more at LafayetteGeneral.com/Stroke

to severe stroke and 21 or greater is

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LGMC: Acadiana’s Trauma Program Lafayette General Medical Center (LGMC) has the busiest emergency department in Acadiana. While many patients choose LGMC for its high standards of excellence and patient satisfaction, the severity of some injuries mean there’s no other choice. As a Level II Trauma Program, LGMC is the region’s preferred destination for

“It’s that phone call that every parent

dreads,” says Mandy Turner, whose daughter Grace suffered a life-threatening injury while driving a go-kart.

“She suffered a blow to the back of her

head that just completely shattered her skull. It damaged every single lobe of her brain.”

Grace was rushed to LGMC, where

staff were already preparing for her arrival. Once the hospital determines a patient is in need of critical care based on the reports they receive through EMS, “Code Trauma” is announced. This alerts

WHAT DO THE DIFFERENT TRAUMA LEVELS MEAN?

Code Trauma Level 1 This indicates a patient who is known to have sustained a significant and potentially life-threatening traumatic injury, such as: severe airway/ breathing/circulation events, penetrating injury/wound to the head, neck, torso or extremity proximal to elbow/ knee, traumatic paralysis, open and/or depressed skull fracture, two or more proximal long bone fractures, amputation or crush injury proximal to the wrist/ankle.

trauma patients. These high-risk patients

hospital staff to the critical nature of the

are brought in (often times flown in) from

patient before arrival. Grace’s injury was

Code Trauma Level 2

across the state because of LGMC’s

designated as a “Code Trauma Level 1”.

This indicates a patient who is

resources and staff, which are equipped

to handle major emergencies. Grace

LGMC are able to respond quickly and

based on their mechanism of injury, such

appropriately.

as: falls of greater than 20 feet (10 feet

Turner was one of those patients.

With this protocol in place, staff at

at-risk for a significant traumatic injury

for children), high-risk crash with ejection or death in same passenger compartment,

“Having the Neurosurgeon and the specialists at Lafayette General treat her and recognize what she needed from the first minute she entered the hospital… that saved her life.” Mandy Turner

auto vs. pedestrian/cyclist, explosion, severe burns, blunt abdominal injury, stable patient with penetrating injury not in Level 1 criteria, transfers meeting Level 1 criteria that were stabilized at the transferring facility.

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By providing in-services, lectures and

educational safety programs, trauma staff hope preventative measures keep some patients out of the Emergency Department. The “Matter of Balance” course provides safety tips to older adults in an effort to prevent slips and falls.

“Having the Neurosurgeon and the

Even so, the high volume of trauma

“Sudden Impact” educates new drivers on

trauma specialists at Lafayette General

patients means Lafayette General is

the dangers of impaired and

treat her and recognize what she needed

taking steps to increase their capabilities

distracted driving. Because, dangerous driving does

from the first minute she entered the

to better serve the community. LGMC is

hospital…that saved her life,” says Mandy.

working towards becoming an American

not just put the driver at risk.

Today, Grace has fully recovered from

College of Surgeons (ACS) Verified

They’re taking measures to

her injuries. “She is just like any other

Adult Level II Trauma Center. Hospitals

ensure you are not the next

teenager. She enjoys visiting with her

volunteer to have the ACS review and

“Code Trauma.”

friends. She returned to a normal life, a life that we never thought she

“Today, she is just like any other teenager. She enjoys visiting with her friends. She returned to a normal life, a life we never thought that she would have.”

would have.”

Grace is an example of the hundreds

of patients who receive care in the Emergency Department at LGMC on a daily basis.

From September 2015 to October 2016,

LGMC had 1,521 trauma activations, that is an average of 4.2 trauma “activations”

“verify” the resources available to them at

per day, or one every 5 hours, 46 minutes

the trauma center. There are five “levels”

and 30 seconds.

of verification and as a Level II Center

LGMC will be recognized for:

Although LGMC is designated as

an Adult Trauma Program, children are brought here because of the vast medical knowledge and life-saving resources available. However, sometimes children are stabilized, then transferred to other facilities for further treatment.

Level II

Being able to initiate definitive care for

all injured patients. Also includes some

elements of a Level I trauma center,

such as 24 hour in-house coverage,

referral resources and meets the

minimum requirement of the annual

volume of severely injured patients.

And while LGMC does maintain a high

Grace Turner

I M P O R TA N T S A F E T Y T I P S

Do not text and drive.

Always wear a helmet on a bicycle, go-cart or ATV.

If you are interested in learning more about LGMC’s Trauma Program, visit LafayetteGeneral.com

volume, the trauma program works with communities across the state in an effort to lower those numbers.

CT scan of traumatic brain injury.

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triggered by anxiety. Sometimes it’s hard to tell the difference between a panic attack and medical emergencies like asthma. Both kids have trouble breathing.

My son’s transcript showed he had

Both complain about chest pain and

kids and adults are better at handling

tightness. And, whether their shortness of

failed Business Law, a bad start for a kid

anxiety than others. Many kids have

considering applying to law school for…

manifestations of anxiety that look like

business law. After emailing his professor

illness. That’s when we see them in the

to ask the particulars, he stumbled

Emergency Room. Sometimes the signs

through the day in a haze of misery.

are subtle – headaches, stomach aches,

When he found himself enjoying

fatigue. Sometimes they have more

something – a joke or nice weather, the

concerning symptoms, like chest pain or

happiness was quickly extinguished

fainting. And occasionally we see true

by the thought, “I’ve failed.” How was

panic attacks.

breath is due to airway narrowing or panic, either kid looks anxious! Occasionally it can be tough for even doctors to tell panic attacks and asthma apart, despite stethoscopes and oxygen monitoring.

interview?

Many don’t recognize when they’re having anxiety. Knowing if you’re anxious, and why, is a big step in coping with it.

Later that afternoon his professor

replied – it was just a mistake. My son’s final exam grade had not been entered into the system yet, which triggered the fail mark. My son breathed an enormous

sigh of relief. But, it took some time to

shake the feeling of dread that haunted

him for half the day. Anxiety can be sticky.

about getting grades good enough to

Many teens, and elementary school

When I was in high school, I worried

kids too, are plagued by anxiety.

be a doctor, I failed a French test. The

There’s school – worry about grades,

big red “F” on the paper burned into my

fear of bullying or tense relations with

brain at first period. But it wasn’t until fifth

teachers. Home can make a kid anxious

period that I became shaky, broke out in

too – divorce, yelling or sometimes abuse.

sweat and was led sobbing to the nurse.

Many kids have concerns about their

She called my parents to admonish them

neighborhood – they have to live with the

about putting too much pressure on me.

threat of crime and violence. Finally, kids

My mom replied, “It’s not us! The stupid

see the news too, and worry about the

doctor thing is all his idea!”

world.

and thus parents bring them to the

We are born with the tendency to

Anxiety can make kids short of breath,

be anxious. Even though anxiety is a

ER. Some are just hyperventilating, but

motivator cultivated by evolution, some

kids with asthma can have true attacks

How do we manage anxiety?

Kids handle anxiety differently. Some aren’t bothered by stress, those

he going to explain this in a law school

proverbial ducks letting worries roll off their backs like water. But some need help. Counseling can help kids tell the difference between true medical problems like headaches and stomachaches, and those symptoms being triggered by worry. Many don’t recognize when they’re having anxiety. Knowing if you’re anxious, and why, is a big step in coping with it.

Counselors can also help kids identify

management strategies. For some, exercise helps “burn off” anxiety. For others it’s prayer, meditation, yoga or other relaxation techniques. A few kids need medication, to temporarily get them through rough patches as they learn to cope.

If you think your child is anxious, talk to

them about their feelings, and maybe see their doctor to explore it more. You want to do that before worry becomes panic attacks, and needing to come see me.

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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Why Donate Blood?

According to the American Red Cross,

On January 10, Angel Siner was

“In the 18 years of battling this disease,

every two seconds someone in the United

hospitalized at LGMC due to chronic sickle

this was the first time her blood count was

States is in need of blood. Unfortunately,

cell disease. She has been battling the

so low that she had to receive two pints of

there is no way to tell when an emergency

disease for 18 years.

blood immediately, in the emergency

or trauma will occur. This is why it is

room,” said Angie Siner, Angel’s mother.

extremely important for hospitals to always

distort into a sickle shape. The cells die

have a sufficient blood supply on hand.

early, which leaves a shortage of healthy

two days after being admitted to the hospital

With sickle cell disease, red blood cells

“Typically, we are able to wait one or

As the region’s trauma program,

red blood cells, and can block blood flow

before receiving two to three transfusions.”

Lafayette General Medical Center (LGMC)

causing severe pain.

Fortunately, Angel’s blood type was on

the shelf at LGMC. “It was overwhelming to

Angie and Angel Siner

“When you donate blood, you give children, like my daughter Angel, a normal and full life. Thank you for finding the hero in you and donating blood.

hear the nurse say ‘Her blood is here!’ At that moment, I knew my child’s pain would be at ease soon,” said Angie.

The next afternoon, Angel started

walking, no more pain, crying and suffering, all because of the blood transfusions she received.

Presently, there is a critical blood

supply shortage and hospitals are in need of your help to save lives. When you donate blood, it is separated into four components, Red Blood Cells, Plasma, Platelets and

transfuses an average of 35-45 units of

This time, the attack affected Angel’s

Cryoprecipitate (Cryo). These four

blood per day. It takes 45 people to donate

legs, disabling her ability to walk. Angel

components can help save up to three lives.

in order to get 45 units of blood, meaning

also developed acute chest syndrome

LGMC needs at least 16,425 donations

(ACS) and was placed on oxygen. ACS

children, like my daughter Angel, a normal

annually. The blood may be used for a

causes the blood in the upper part of the

and full life,” said Angie. “Thank you for

patient who has cancer, sickle cell anemia,

chest and the heart to sickle. Often times,

finding the hero in you and donating blood.”

routine surgery or a trauma.

patients who develop ACS do not survive.

“When you donate blood, you give

For more information on donating blood refer to the back cover.

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Advanced Wound Care

The Wound Care and Hyperbaric Healing Center at Lafayette

They provide basic and advanced wound care according

General Medical Center (LGMC), with MedCentris’ physician-driven

to what is needed for a chronic wound to heal. Basic wound

comprehensive wound management program, provides patients

care principles include moisture and infection control, edema

with a premier destination for the treatment of non-healing wounds.

management and offloading or application of high and low tech

wound care products.

LGMC treats thousands of patients with wounds often related

to diabetes, chronic renal failure, peripheral artery disease, chronic

One of the most successful advanced healing methods

insufficiency and varicose veins. However, people without these

is hyperbaric oxygen therapy. Hyperbaric oxygen therapy is

comorbidities can also develop non-healing wounds and may

breathing 100 percent oxygen under increased atmospheric

need assistance as well. The Wound Care and Hyperbaric Healing

pressure to treat basic diseases and the processes that cause them.

Center is usually the last resort of treatment in most cases.

“I wish I had come to LGMC’s clinic sooner,” said Bruce.

Bruce Matthieu developed a wound on his foot due to diabetes

“The outcome would have been quicker. After numerous treatments,

and other vascular issues. He began treatment at LGMC with

the team has treated me with compassion, professionalism and

MedCentrics physician, Rochelle Duplechin, M.D. His experience is

loving care.”

a testament to Lafayette General’s mission To Restore, Maintain and

Bruce’s determination aided in his recovery as well. He attended

Improve Health.

each appointment with a smile and tried his best as he worked with

The wound care team provides state-of-the-art diagnostic

the team to improve his progress with every treatment.

approaches to determine the reason wounds are not healing.

“The staff treated me like family, they were kind and

compassionate and I felt like they cared about me as a person

not a number,” said Bruce.

Bruce Matthieu receives treatment

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Lafayette General Health offers two locations to choose from in Acadiana – The Wound Care and Hyperbaric Healing Center at LGMC, or The Center for Wound Care and Hyperbaric Medicine at Acadia General Hospital (AGH) in Crowley. To make an appointment at LGMC, call (337) 289-7198. To make an appointment at AGH, call (337) 788-2014. To learn more about Hyperbarics and Wound Care services provided by LGH, visit LafayetteGeneral.com/WoundCare.


EVENTS

Future NFL Hall of Famer Peyton Manning stopped by Lafayette General Medical Center (LGMC) before presenting at the Daily Advertiser’s Sports Awards banquet on May 10. The Louisiana native toured a number of departments at LGMC and visited our patients.

March 18 was Lafayette General Day at Lamson Park. Head Softball Coach Michael Lotief utilized facilities across LGH, but joining forces with ATOS Medical, UHC became Coach Mike’s Health Team. The staff worked with him almost every day for nearly one year. Coach Mike’s Health Team threw out the first pitch at Saturday’s games, as well as provided educational materials for the services offered by UHC and ATOS Medical.

April 24, Lafayette General’s volunteers received award pins for hours and years served at Lafayette General Health’s annual volunteer appreciation luncheon. Monica Guidry, Volunteer and Student Services Manager, presented an honorary check to Patrick Gandy, CEO of Lafayette General Medical Center who received it on behalf of David Callecod, FACHE,President of Lafayette General Health (LGH). Volunteers throughout LGH donated close to 30,000 hours of service to patients, visitors and staff.

On May 9, former stroke patients who are members of Lafayette General’s Acadiana Stroke Support Group celebrated their recovery by painting pictures in conjunction with Painting With a Twist.

Family, friends and public officials welcomed Deanna Blanchard, M.D., at her new office in Henderson. The open house allowed the public to meet Dr. Blanchard and tour her new office, which serves Henderson, lower St. Landry Parish and northern St. Martin Parish. Dr. Blanchard is a Grosse Tête native and received her Bachelor of Science degree at University of Louisiana at Lafayette. Dr. Blanchard treats adult patients ages 18 and older. Her office is located next door to Crawfish Town USA, so you can’t miss it!

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Give the Gift of Life Every two seconds, someone in the United States is in need of blood. LGMC transfuses 35-45 units of blood a day. Donate blood and give the gift of life. To schedule your appointment, just call (337) 235-LIFE (5433) or visit BloodHero.com and enter the sponsor code – LGMC

Call (337) 235-5433 BloodHero.com

-PR OG WN H ENAOLN TH I NO FGIETN, ECROAML M |U NSI PTRY I- N 2 0E 1D7 H E A L T H S Y S T E M 12 A

Health in General  
Health in General  

Spring 2017 Issue of Health in General. A publication of Lafayette General Health.

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