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
Vampire Facial : Facial Rejuvination
Mako™ Robotic Knee/Hip Surgery
NEWS & ANNOUNCEMENTS
UHC Opens Newly Expanded Emergency Department University Hospital & Clinics (UHC)
Every Second Counts | Stroke
LGMC Trauma Program Mandy Turner
Dr. Hamilton | High Anxiety
Why Donate Blood?
Wound Care & Hyperbaric Healing Center
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
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
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:
at existing LGH telemedicine clinics, partner with additional schools and large employers, and make the technology
COVER PHOTO BY:
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.
H E A LT H I N G E N E R A L
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
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.
H E A LT H I N G E N E R A L
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.
H E A LT H I N G E N E R A L
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
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
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
H E A LT H I N G E N E R A L
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
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.
H E A LT H I N G E N E R A L
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
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.”
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.
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
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.
H E A LT H I N G E N E R A L
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
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.
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!”
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
H E A LT H I N G E N E R A L
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.
H E A LT H I N G E N E R A L
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
a testament to Lafayette General’s mission To Restore, Maintain and
Bruce’s determination aided in his recovery as well. He attended
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
1 0 H E A LT H I N G E N E R A L
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.
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!
H E A LT H I N G E N E R A L 1 1
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 â€“ 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
Published on Jun 5, 2017