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Heart disease is one of the leading killers for residents in Louisiana; however, our community can count on the resources at Terrebonne General Medical Center (TGMC) for the best cardiac care and physicians at Cardiovascular Institute of the South (CIS). “TGMC is committed to providing the most updated technology and continues to offer the best care and services to our cardiac patients,” said Phyllis Peoples, President and CEO. “With so many people in our community affected by heart disease, we have to lead the effort in this crusade to treat this disease,” she added. TGMC is in the process of improving all three cardiac catheterization suites to Toshiba Infinix Dpi Digital Catheterization Lab systems. With thistechnology, TGMC will continue to provide a multitude of benefits to those receiving care in its highly

acclaimed cardiovascular catheterization lab. Increased safety and better patient outcomes are a few of the benefits patients can expect with the improvements. According to Craig Walker, MD, interventional cardiologist at TGMC, and founder, president and medical director of CIS, this equipment not only reduces patient exposure to radiation by half, but also decreases the amount of dye used which can cause a variety of adverse effects. Additionally, studies can now be performed on a patient weighing up to 450 pounds. Most importantly, the equipment provides better image quality for diagnosis and treatment. “Enhanced imaging means we are able to ‘see’ our patient cases better,” said Dr. Walker. “The more we can see, the better decisions we can make, which results in best outcomes.” The state-of-the-art equipment offers digital flat plate technology, which is the very latest in cardiac catheterization (cath) labs. The cath lab system is less cumber- some and has a smaller footprint which allows more patient access during procedures. The system makes imaging of small details very visible. High definition flat panel detectors provide contrast and dynamic resolution allowing for easy visualization of intricate details helping to improve patient care during pro- cedures.

TGMC Takes Patients to Heart

The cardiac team at TGMC perform various procedures in the Cardiac Catheterization Laboratory and have been recognized nationally for their innovation in the field of cardiology.

Advanced Cardiac Catheterization Lab At

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Patients are the heart of what we do.Anticipating and meeting the needs of our patients across southeast Louisiana has always been at the forefront of what we do here at TGMC.

Partnering with physicians such as the heart surgeons of Cardiovascular Clinic allows us to offer the most state-of-the-art, cutting-edge technology available to treat heart disease. These outstanding physicians bring a wealth of knowledge in minimally invasive cardiothoracic and vascular surgery, previously unavailable to our local community.

Better heart care begins at Terrebonne General Medical Center.

Choose TGMC for life.

tgmc.com / 888 - 543 -TGMC (8 462)

“Imaging technology has improved vastly, not only does this equipment emit lower radiation doses, but images are processed more rapidly and efficiently to provide a quicker diagnosis,” explained Peter Fail, MD, interventional cardiologist at TGMC and CIS. “This is especially important for use in our Evalve Mitral Clip clinical research project in which we are one of 37 centers in the world who are participants.” The Toshiba technology features advanced imaging processing technology to automatically optimize imaging during demanding interventional procedures and provides uniform images. “This system facilitates excellent outcomes while reducing x-ray exposure, thereby improving patient and physician’s safety,” said Richard Abben, MD, interven-tional cardiologist at TGMC and CIS. “This concept is particularly important when applied to intricate device implantation and catheter ablation procedures,” he added. TGMC’s cath lab is equipped to provide a wide variety of services and procedures, and has been recognized by both The Wall Street Journal and the Healthcare Data Source as providing safe and effective services. TGMC was the only hospital in Louisiana and one of 32 hospitals in the United States to receive the Premier Award for Quality. Treatments performed in the Cardiac Catheterization lab include balloon and laser angioplasty, stent place-ment, corroded artery repair and the latest technolo-gies in the transmyocardial revascularization technique performed with the Eclipse Laser System. Also, treatment for peripheral arterial disease (PAD) with a concentration on limb salvage and amputation prevention techniques, Critical Limb Ischemia (CLI), and deep vein thrombosis (DVT) procedures are performed. In addition, the TGMC Cath Lab and CIS physicians

participate in many clinical research trials such as the Evalve Mitral Clip clinical research study. Recently, CIS hosted the largest peripheral arterial disease (PAD) medical conference and 4th largest cardiovascular conference in the nation in New Orleans. Live cases from the TGMC Cardiac Catherization Lab were performed by Dr. Walker, Dr. Fail and Dr. Abben, and broadcasted live via satellite to the conference where world-renowned physicians narrated and discussed the cases. The TGMC cardiac team has been recognized nationally for its innovation in the field of cardiology. We are working hard to bring the best care possible to the people of Southeast Louisiana. Through the efforts of this dedicated group of cardiologists, specially trained cath Lab health care professionals, critical care nurses, telemetry unit nurses and other allied health professionals, TGMC is on the forefront of advanced cardiac care. We’re working together to help our community live longer and healthier lives. In addition to interventional cardiologists Drs. Walk-er, Fail and Abben; Dr. Peter Abel, Dr. Bart Denys, Dr. Eric D. Engeron, Dr. William Ladd, Dr. James Lam, Dr. Vinod Nair, Dr. Darrell Solet, Dr. Jody Stagg and Dr. Alvin Timothy are cardiologists on the active medical staff at TGMC and CIS.

The TGMC Cardiac Catheterization Suites are equipped with Toshiba Infinix Dpi Digital Catheterization lab systems which feature advanced imaging process technology

with less radiation exposure providing better patient outcomes and increased patient safety.

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to the patient’s specific needs, goals and limitations, thus removing the confusion and anxiety that accompanies taking this important step to reclaiming one’s well-being.” Koko Fit Club offers affordable personalized training in under thirty minutes, via a multi-functional strength training machine called a Smartrainer. Each member receives a Koko key, an advanced jump drive preloaded with specific and personalized information relative to the individual, including: demographics, goals, strength level and much more. “The Smartrainer guides you through every step after you plug your key in,” said Debbie Denova-Baker, Co-owner and Manager of Koko of Houma and Thibodaux. “Via a full-color, interactive monitor that revolves and swivels around the machine, members are guided in what to do, how to do it, how much weight to use, how fast to go and how many repetitions to perform. “No more searching through a sea of endless equipment or lining up your schedule to meet the availability of an expensive personal trainer,” said Denova-

Koko FitClub, the revolutionary company that is bringing virtual personal training to Terrebonne and Lafourche Parishes, is now announcing the launch of Koko Health Tracks, strength training programs designed with specific health conditions in mind. Since the February 2010 opening of the Houma fit club, enthusiastic members have been utilizing the multiple award-winning Smartraining technology to experience massive fitness improvements with tracks that include such programs as: Weight Loss, Beach Body, Fit Mom, Sports Conditioning, Performance Golf, Muscle Power, and Strength and Flexibility, and many more. Now, with the latest development of Koko Health Tracks, members with specific health concerns can also expect guided and personalized workouts that are based on the very latest medical and exercise science research. The six, year-long, progressive strength training programs are designed by former celebrity trainer and Koko Chief Fitness Officer, Michael Wood, CSCS, as a prescription for members with specific health challenges. According to Koko FitClub Co-founder, Mary Obana, “For those struggling with health issues that have affected their functionality, the Koko Smartrainer is ideally suited to the re-introduction of exercise. The safe, progressive strength programs are individualized

Koko FitClub Introduces

Health Tracks

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concerns,” said Obana. “If we can do that, then we have achieved our goal: Empowering you to feel better everyday.” Arthritis: Progressive resistance training designed to help improve physical function, reduce soreness, stiffness and painful symptoms of arthritis. Diabetes: Lose weight, get strong and improve your quality of life with this complete strength andcardio plan for diabetics. Benefits may include improved insulin sensitivity, glucose tolerance and a lowered risk of heart disease.Men’s Health: A program designed to improve muscle size, strength, functional performance and body composition while reversing the functional declines often associated with men’s health issues.Breast Cancer: Reclaim and reshape your body with this progressive training program that builds strength while toning and conditioning your entire body, paying special attention to muscle groups of the core and upper body.Back Relief: Build a stronger back and core to help relieve and prevent back pain by strengthening the muscles involved in the body’s core stabilization.Weight Watchers: A complete training plan to help achieve your weight loss goals and support a healthy lifestyle. Combine with weekly Koko Cardio and follow your Weight Watchers food plan for ultimate results. For more information about Koko HealthTrack, inquire at the front desk of Koko FitClub, go online to KokoFitClub.com or call 985.746.4161.

Koko FitClub Introduces

Health Tracks

Baker, whose own background ironically includes being a Hollywood trainer. “The Smartrainer counts reps for you, gives you performance scores, whistles at you when you’re taking too long between sets and even sends you emails when you don’t show up for a while. It offers programming from the top minds in the fitness industry at a level of precision and accuracy impos-sible to emulate by any human, no matter how skilled or educated.” And, if a member’s doctor has advised against performing certain exercises, the Smartrainer will even pull the exercise out of their program if the member elects to skip it more than twice. Koko combines the thirty-minute strength training sessions with fifteen-minute cardio routines designed to deliver all the benefits of traditional cardio programs that take twice the time. Guided by the voice of Michael Wood, members are guided, encouraged and motivated every step of the way through their workouts. “I feel stronger, healthier and more energetic,” said Lisa Maloz, Houma Koko member. Others agree. “I don’t know what I ever did before Koko,” said Charlotte Leblanc, an excited Koko member and Thibodaux resident. “This is by far the best thing I have ever done for my mind and body!” Denova-Baker and her husband, Paul Baker, co-own Koko FitClub/Houma together and have plans to open their second FitClub of five in Thibodaux in August of this year. The pair is excited about the announcement of the new health tracks, because existing members have already expressed such positive results and feed-back regarding health and wellness. “Koko has restored my energy and spirit!” said Koko member, Angie Pellegrin. “For the first time ever, I feel empowered by working out—not intimidated. Plus, all my clothes fit better!” “I’ve had high blood pressure for at least 15 years,” said member Ed Bentz about his experience with Koko FitClub, “but, since March 1st, 2010, my blood pressure has been normal without medication! Not only do I feel and look better, but I’ll save money on not needing the medication.” Though Koko FitClub does not encourage members to take the treatment of their health conditions into their own hands without the consent of their medical provid-ers, the company is excited to be able to offer medical professionals and patients a viable solution to many of the concerns that surround the start of an exercise program. “Through Koko HealthTracks, we want to help our members bridge the gap between a doctor’s recommendation ‘to exercise’ and the actual implemen-tation of a fitness plan to proactively deal with health

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The most common diagnosis that we treat at Adaptive Prosthetics and Orthotics is foot drop. Foot drop is really a symptom and is secondary to a number of other diagnoses including stroke, multiple sclerosis, cerebral palsy, ALS, spinal cord injury, traumatic brain injury, and peripheral nerve injury. The peripheral nerve injury can be as innocent as crossing one’s legs for long periods of time. Not treating foot drop can result in a poor gait at best and at worst further injury by falls. Foot drop is typically treated with some type of Ankle Foot Orthosis (AFO) or commonly called a brace. Most people have the picture of a brace in their mind of metal bars attached to a shoe similar to the brace seen in the movie Forest Gump. There seems to be a stigma with wearing metal braces that probably started with the polio epidemic. The stigma of a metal brace keeps many people from seeking proper treatment. Although the double upright metal AFO still has its clinical application, there are many more options in AFO design today. The Orthotic industry has been using thermoplastics for many years to fabricate AFO’s. Plastics offer a more intimate fit than metal braces, give the orthotist more control over alignment of the lower limb, and allow for wearing different shoes. Plastics are also very modifiable when there is a problem with fit. Carbon graphite AFO’s are very popular today because they are light, strong, and fit into shoes very easily. Most carbon AFO’s are not easily modified but newer composites are coming onto the market that can be modified. Sometimes AFO designs are reinvent-ed like the Arizona AFO that combines the thermoplas-tic with a leather ankle gauntlet. The latest treatment for foot drop and by far the most revolutionary, is the WalkAide device. The WalkAide is not actually a brace but a new therapy classified as a Myo-Orthotics. The WalkAide uses functional electrical

stimulation (FES) to correctfoot drop. FES is defined as a method of applying low level electrical current directly to the motor nerves of the body to restore function. The WalkAide uses two electrodes attached to the surface of the skin to stimulate the peroneal nerve subsequently activating the tibialis anterior muscle that is responsible for lifting the foot. The WalkAide has many advantages over conventional bracing and other FES systems. The WalkAide uniquely uses a tilt sensor in the device to sense different phases of gait. Therefore, nothing is placed in the shoe as with bracing or other FES systems. The benefits of the WalkAide are greater sensory feedback, increased strength and endurance, maintained range of motion, reduced muscle atrophy, reduced tone and more. In order to be fit for a WalkAide or any other brace, a prescription from a medical doctor is needed. At Adaptive we have a demo unit that can be fit and programmed to the user before purchasing at no charge. Not all foot drop patients are candidates for the WalkAide. Only upper motor neuron and high spinal cord injury diagnoses benefit from the WalkAide because an intact nerve is needed for the device to work properly. For more information on the WalkAide please visit the website www.walkaide.com.

Current Orthotic Treatments For Foot Drop

By: Bobby Leaber, CPOAdaptive Prosthetics & Orthotics, LLC

Dynamic Walk Matrix Max

Arizona AFO

WalkAide

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Matrix Max

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Life partner.There’s nothing quite like having

someone who’s always there for you

through the ups and downs of your

life. The same is true in health care.

Offering the Tri-Parish Region’s

most comprehensive services,

TGMC is there every step of the

way, with the latest in diagnostic

technology, world-renowned heart

care, outstanding cancer care, an

exceptional orthopedics program,

nationally recognized rehabilitation

facilities and more.

Choose TGMC for life.

tgmc.com / 888-543-TGMC (8462)

TERR_10568_8.5x11_couple.indd 1 6/25/10 2:18:57 PM

Life partner.There’s nothing quite like having

someone who’s always there for you

through the ups and downs of your

life. The same is true in health care.

Offering the Tri-Parish Region’s

most comprehensive services,

TGMC is there every step of the

way, with the latest in diagnostic

technology, world-renowned heart

care, outstanding cancer care, an

exceptional orthopedics program,

nationally recognized rehabilitation

facilities and more.

Choose TGMC for life.

tgmc.com / 888-543-TGMC (8462)

TERR_10568_8.5x11_couple.indd 1 6/25/10 2:18:57 PM

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Since 1996, Physicians Medical Center has provided the Tri-Parish area with an alternative to the traditional hospital experience. Located on Corporate Drive in Houma, the 7 acre campus is immediately adjacent to Tunnel Boulevard, the ever-expanding retail corridor of the Tri-Parish area. Physicians Medical Center is a Medi-Care certified, state licensed acute care hospital. The hospital has 5 operating rooms, one cysto suite, one endoscopy suite, a lithotripter, 30 in-patient rooms, a comprehensive

Breast Cancer Center and a Radiation Oncology Center. Physicians Medical Center has performed over 50,000 surgical procedures. The hospital employs over 120 local residents, including 50 nurses. Over 100 local physicians are credentialed to practice at the hospital.

Surgical SpecialtiesAnesthesiology/Pain Management

Oral SurgeryGeneral Surgery

GynecologyOphthalmology

Podiatry Urology

OrthopedicsOtolaryngology (ENT)

Plastic SurgeryMinimally Invasive Neuro Surgery

ServicesX-Ray

CT ScanNuclear Medicine

Ultrasound

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Screening MammographyDiagnostic MammographyStereotactic Breast Biopsy

Bone DensityRadiation Oncology

ChemotherapyMedical Oncology

Come Stay With Us Our 20 new patient rooms have exceeded all expecta-tions. Amenities include all private accommodations, wireless internet, daily newspapers, flat screen televisions, computer/work desks and chairs and between meal snacks/drinks. With the class and style of our new patient rooms, you may forget that you are at a hospital.

Bariatrics (Weight Loss Surgery) Obesity is the state’s costliest preventable health disease. According to the Centers for Disease Control and Prevention, obesity mortality rates will soon surpass that of smoking. Physicians Medical Center provides comprehensive care and support for life-long weight control. Physicians Medical Center has become well known for its multi-disciplinary approach to weight management before, during and after surgery.

Breast Cancer Center

Breast cancer affects 1 out of every 8 women. Whenproperly diagnosed it’s very treatable. Since we know

that we are saving women’s lives, we have dedicated an entire facility to them. The Breast Cancer Center is an 11,000 square foot facility located immediately adjacent to the hospital. With its spa-like atmosphere, the Breast Cancer Center offers a full scope of women’s services including bone density testing, digital mam-mography, breast ultrasound and stereotactic breast biopsy. For those undergoing treatment, the Center also has its own chemotherapy treatment rooms. Breast and Plastic surgeons will soon operate in the center’s state-of-the-art operating suite.

Radiology Oncology Center There’s more. Cancers of all types, not just breast cancer, are common in South Louisiana. Patients are routinely referred for radiation treatment. If radiation treatment is prescribed, our multi-disciplinary team of health care professionals and board-certified radiation oncologists offer a full scope of treatment options utilizing the most advanced treatment technologies available. Now, patients can receive state-of-the-art treatment close to home. Physicians Medical Center offers the Trilogy system; the first in a new generation of cancer care systems. Trilogy is a versatile system optimized for multiple forms of treatment. Trilogy is quick, precise and typically offers no side effects. Utilizing Trilogy, stereotactic radio surgery offers surgical removal of tumors without cutting.

Visit Us As a consumer, patients have the right to their choice of health care providers. This includes hospitals. Whether your physician orders tests, suggests surgery orhospitalization, Physicians Medical Center serves the residents of the Tri-Parish area. From x-rays to total knee/hip replacement, we offer the highest quality of patient care in a comfortable environment. For more information, call, come by or visit us on the web at www.physicianshouma.com.

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Advanced Eye Institute is proud to distribute Obagi Medical Products at our newly added medical spa. We strive to help our patients in improving their quality of life, whether that’s improving their vision or keeping their skin healthy and looking it’s best. Obagi Medical Products, Inc., headquartered in Long Beach, Califor-nia, is a specialty pharmaceutical company in which systems are designed to prevent and improve the most common and visible skin disorders in adult skin. Over the years, your skin has been exposed to a number of environmental stressors, which cause damage that can reach the deepest layers of your skin. Photodamage, caused by the sun’s harmful rays, is the main cause of the fine lines, wrinkles and age spots that you may already see or you will eventually see on your face. As the #1 prescription-strength, physician-dispensed skin care system, the Nu-Derm System can actually transform your skin at the cellular level. By addressing the signs of photodamage and restoring the healthy function of your skin cells, this system is clinically proven to result in younger- and healthier-looking skin. The Nu-Derm System penetrates below the surface of your skin to transform skin cell functions at the cellular level and correct the damage from within. The company continues to maintain its position as a leader in skin health by having launched several successful new systems of products, including the Obagi-C® Rx System which is the first prescription-strength Vitamin C and hydroquinone system. Obagi-C Rx System promotes skin rejuvenation from the inside out using a formulation of prescription-strength 4% hydroquinone, which reduces the appearance of hyperpigmentation and age spots, combined with 10% L-ascorbic acid (Vitamin C)—the only topical antioxidant proven to stimulate collagen synthesis and protect your skin by minimizing future skin cell damage. Obagi-C Rx System is an ideal skin care system if you have minimal fine lines, minimal unevenness of skin tone, mild hyper-pigmentation and minimal age spots, intolerance to, or are not ready for, more aggressive anti-aging regimens, dry, normal, oily, or even sensitive skin. Obagi developed a line of Professional Vitamin C Serums because your skin deserves all the protection you can give it from daily exposure to the sun’s damaging rays and environmental conditions that cause premature aging. Visible signs of aging, those fine lines

and wrinkles, are caused by tiny molecules known as ‘free radicals.’ Free radicals dramatically multiply with exposure to sun, air pollution and other environmental assaults, ravaging skin cells and breaking down collagen that gives skin its youthful resilience. Vitamin C neutralizes free radicals to prevent skin cell damage. Professional strength Vitamin C can give your skin the superior protection it needs. The ELASTIderm® family of products are one of a kind treatments developed to restore skin elasticity and collagen production, and reduce fine lines and wrinkles around the eyes and décolletage. ELASTIderm eye cream uses a revolutionary bi-mineral complex called Copper Zinc Malonate. It works to help restore the elasticity around your eyes and reduce the appearance of visible fine lines and wrinkles. The skin on your décolletage is particularly vulnerable to these visible signs of aging, since it tends to be thinner, less moistur-ized, and often overlooked in the sun protection regi-men. For that reason, Obagi developed an Elastiderm Décolletage system to address the neck and chest area of the body. CLENZIderm M.D.™ Acne Therapeutic Systems treat and prevent acne at it’s root. Available in two distinct systems, for normal to oily skin or normal to dry skin, these simple, 3-step, physician-dispensed acne therapies from Obagi Medical are clinically proven to better penetrate the follicles for effective P. acnes bacteria reduction and rapid lesion reduction. Other BPO-based treatments are formulated with insoluble micro or macro-crystals which can remain on the surface of the skin. CLENZIderm M.D. Systems are the only prescription-strength acne therapies that contain a solubilized form of 5% BPO designed to penetrate deep into the follicle, where acne starts and clear it fast.

A one of a kind eye treatment that helps

restore the elasticity of the skin and

reduce visible fine lines and wrinkles.

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