memorial
Medical Milestones
Summer 2013
h c e T High ent m t a e r T Page 10
GreenLight™ Laser Page 4
ER Fast Track Opens Page 8
Physician Spotlight Page 12
To our community quality doctors, quality care Lake Charles Memorial Hospital has come a long way since its humble beginnings in 1952. For the past six years we have strived to increase the quantity and quality of services to our patients. We want Southwest Louisiana residents to be able to have their needs met here without having to drive hours away to find it. That is the reason behind the Memorial Medical Group. The Memorial Medical Group is composed of doctors in the specialty of cardiology, ear, nose and throat, gastroenterology, family medicine, internal medicine, hematology, neurosurgery, oncology, orthopedics, obstetrics/gynecology, pain medicine, physical rehabilitation, pulmonology, surgery and urology.
“We want Southwest Louisiana residents to be able to have their needs
The doctors we recruit to Memorial come from all parts of the US. Many are trained at the same top schools the “big city” doctors are. They choose to come to Lake Charles because of the support staff that is in place at Memorial, the state-of-the-art equipment we have upgraded the hospital with and the quality of life they can have here.
met here without having to drive hours away to find it.”
Larry Graham, CEO
This group of doctors will number well over 60 by the end of the year, as we welcome another orthopaedic surgeon, obstetrician/ gynecologist and a gastroenterologist. It is the largest medical group in the area and the growth will not stop there. We are looking to add another ear, nose and throat specialist, neurosurgeon and internal medicine doctors to our group. Lake Charles is a booming community. The need for more quality health care providers is growing and our focus on recruiting the best doctors to meet that need will continue. We want nothing but the best for Southwest Louisiana.
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memorial
Medical Milestones Page 4
Innovations 4 GreenLight™ Laser
Upgrade 6 New Cath Lab Equipment
Faster ER Care
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$200,000 renovations complete
Cover Story
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High Tech Treatment
Physician Spotlight
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Page 6
Michael Lane, MD: Black Belt & Biker
Diagnosis 14 Inside the Laboratory
Coming Events 16 Education Classes and Support Groups
Workplace Wellness
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Developing a Healthier Workforce
Page 10
On the Cover Karen Winkles, a computed tomography (CT) technologist. Page 14 3
Page 12
GreenLight™ Laser Treatment
Dr. John Upshaw GreenLight™ laser treatment is a minimally invasive therapy that evaporates prostate tissue which is blocking the flow of urine from the bladder.
Innovations
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for a Problematic Prostate An enlarged prostate is a common condition as men get older. Also called benign prostatic hyperplasia (BPH) and prostatic hypertrophy, prostate gland enlargement can cause bothersome urinary symptoms. Untreated prostate gland enlargement can block the flow of urine out of the bladder and can cause bladder, urinary tract or kidney problems.
Symptoms can be a weak urine stream, stopping and starting while urinating, frequent or urgent need to urinate and an increased frequency of urination at night, just to name a few.
tissue. This leads to vaporization and removal of the tissue, leading to an open channel for passage of urine. At the same time, the laser seals blood vessels beneath the area of vaporization which results in substantially less bleeding, compared to traditional transurethral resection of prostate (TURP).
“The size of your prostate doesn’t necessarily mean your symptoms will be worse,” says Dr. John Upshaw with Urology Associates of SWLA, a part of the Memorial Medical Group. “Some men with only slightly enlarged prostates have significant symptoms. On the other hand, some men with very enlarged prostates have only minor urinary symptoms.”
“What we do with the laser is actually remove some of the prostate that is blocking urine flow, but with less risk of sexual and other side effects,” Dr. Upshaw says. “A lot of patients can be done outpatient or overnight stay.” Most men have continued prostate growth throughout life. This continued growth enlarges the prostate enough to cause urinary symptoms or to significantly block urine flow.
Only about half the men with an enlarged prostate have symptoms that become noticeable or bothersome enough for them to seek medical treatment. In some men, symptoms eventually stabilize and may even improve over time.
Prostate gland enlargement becomes a serious problem when it severely interferes with your ability to empty your bladder. If this is the case, you will probably need surgery. Complications can include: acute urinary retention, urinary tract infections, bladder stones, bladder damage and kidney damage.
“There are several effective treatments for prostate gland enlargement, including medications, lifestyle changes and surgery,” Dr. Upshaw says. “Prostate enlargement varies in severity among men and tends to gradually worsen over time.”
“Most men with an enlarged prostate don’t develop these complications,” Dr. Upshaw says. “However, acute urinary retention and kidney damage in particular can be serious health threats when they do occur.”
There are new and improved treatments such as GreenLight™ Laser Therapy that are used by Dr. Upshaw. The laser treatment is a minimally invasive therapy that evaporates prostate tissue which is blocking the flow of urine from the bladder.
You can reach Dr. Upshaw by contacting Urology Associates of SWLA at 337.494.4656.
It uses a unique high power laser energy, which is selectively absorbed by blood within the prostate
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Cardiac Cath Lab Enhances Clinical Picture
Lake Charles Memorial’s cardiac cath lab enhanced its cardiac services in June by adding the new GE Optima CL323i x-ray system designed specifically for interventional cardiology procedures.
Dr. Christopher Thompson
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Lake Charles Memorial’s cardiac cath lab enhanced its cardiac services in June by adding the new GE Optima CL323i x-ray system designed specifically for interventional cardiology procedures. The Optima uses x-ray technology to capture real-time moving images inside a person’s arteries and heart. A mobile table allows doctors and technicians to move the patient to be able to view all parts of the body and detect and treat any heart problems. Dr. Christopher Thompson, medical director of cardiology services at Memorial, was the first to use the new Optima.
a patient’s history. The four mobile display screens let the cardiologists compare past and present patient data to determine the best course of treatment. “It makes it easier for the doctor to make a decision on how to treat a patient because he gets better information,” says Lanell Landry, cardiac cath lab supervisor. “He gets a better clinical picture of the patient’s situation and can treat the patient more effectively.” The Optima is very versatile by accommodating patients of all sizes. The system performs procedures to treat conditions in the arteries of both the heart (coronary arteries) and legs (peripheral arteries).
“It gives us the safest and most doctor/patient friendly cath lab,” Dr. Thompson says. “I can see their heart very well. When we are putting wires and balloons in people’s hearts you have to be able to see their arteries very well. This gives us the best imaging on the market.”
“The efficiency of the machine allows us to work quickly and more accurately,” Dr. Thompson says. “Added safety features are in place, which benefits the patient and medical staff, one being less exposure to radiation.”
The imaging capabilities allow for better measurements on a patient’s current heart function and easy access to
The plan is to equip all of Memorial’s cardiac cath lab rooms with the GE Optima in the near future.
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EMERGENCY CARE ER FAST TRACK OPENS Memorial’s $200,000 renovation to its emergency room is complete. The upgrades added four new patient bays tailored specifically to deal with non-life threatening injuries and illnesses. Cuts and broken bones are common in the ER, along with people suffering from colds and flu like symptoms. It is not uncommon to see 100+ patients a day.
The renovations and increased staff to Memorial’s ER have cut down on waiting time. Patients who fall under the minor injuries and illness category are seen within minutes after they hit the ER doors.
Non life-threatening patients in the ER wait longer because the more serious patients can take top priority. The new fast-track system gets those patients treated and on their way quicker by routing them through the urgent care track.
The new construction has added a brand new triage room, along with a new family room. Patient registration now happens at the bedside using the hospital’s workstations on wheels.
“It has revolutionized how we treat the patients who do not require critical care,” says Nancy Coffey, a registered nurse and nursing director of Memorial’s emergency room. “We hired people to specifically run our fast track so patients don’t have to wait.”
“It works similar to an urgent care,” Coffey says. “But should you come in for a minor health issue and it turns out to be more serious, you have a staff of specialists in the next room ready to care for you whatever the case may be.”
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Cardiologist Makes History
Dr. J. King White
History was made on the morning of Wednesday, March 13. Dr. J. King White, a cardiologist with the Heart & Vascular Center, a part of the Memorial Medical Group, became the first doctor in Louisiana to implant the first drug coated peripheral artery stent. The Zilver PTX Drug-Eluting Peripheral Stent (Zilver PTX Stent) is the first drug-eluting stent approved by the U.S. Food and Drug Administration (FDA) to re-open the femoropopliteal artery in the thigh, when narrowed or blocked as a result of peripheral artery disease (PAD). The stent is coated on its outer surface with the drug paclitaxel, a drug that helps prevent recurrent narrowing of arteries (restenosis).
Those who received the Zilver PTX Stent had way fewer reblockages at yearly evaluations of one, two and three years. Data on the fourth year evaluations has not yet been published. Dr. White is currently completing his five year follow-ups with patients that participated in trial. “This new stent is going to revolutionize the way we treat peripheral artery disease,” Dr. White says. “The previously available non-coated stents for use in the leg re-blocked up to 60 percent of the time. This stent has shown to reduce that significantly. This means fewer repeat procedures, lower healthcare costs to our patents and an improved quality of life.”
“It’s the same type of drug used on our coronary artery stents. It prevents the growth of cells and tissue,” Dr. White says. “When you put a stent in a heart artery or leg artery it causes some injury because you are stretching the artery. This sets up some scar tissue that can grow through the stent and actually cause restenosis. The drug on this particular stent prevents that.”
The FDA approved the Zilver PTX Stent use in November of 2012.
Dr. White was the principal investigator during a clinical trial for the Zilver PTX Stent. Half of the 440 patients that participated in the trial were chosen at random to receive the Zilver PTX Stent, while the other half received a non-coated stent.
You can reach the Heart & Vascular Center by calling 337.494.3278 9
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Cover Story
Diagnostic Imaging: A Cut Above
Magnetic Resonance Imaging (MRI)
“Lake Charles Memorial is the only local hospital that offers the latest radiology technology to patients all under one roof. Having every piece of diagnostic equipment in the same building not only cuts down on wait time for patients, but takes out unnecessary risks during emergencies when time is against you.“
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Scott Daigle, Director of Radiology at Memorial 10
Interventional Radiology utilizes minimally-
Lake Charles Memorial’s Diagnostic Radiology offers the most advanced complete diagnostic department in Southwest Louisiana.
invasive image-guided procedures to diagnose and treat diseases using the least invasive techniques currently available in order to minimize risk and improve health outcomes.
“Memorial is the only local hospital that offers the latest radiology technology to patients all under one roof,” says Scott Daigle, director of radiology at Memorial. “Having every piece of diagnostic equipment in the same building not only cuts down on wait time for patients, but takes out unnecessary risks during emergencies when time can work against you.”
Digital Mammogram uses special x-ray images
to detect abnormal growths or changes in the breast tissue. In a digital mammogram, x-rays are still used but they are turned into electronic signals that convert into a computerized image for greater manipulation of that image.
The radiology department is composed of nine different areas that offer the entire realm of digital diagnostics.
Digital X-Ray uses digital sensors instead of traditional photographic film. Unlike a conventional x-ray, as soon as an exposure is made, within two seconds an image is created.
Fluoroscopy is an x-ray that captures real time
moving images. It is mainly used for different types of surgeries and procedures. It is an x-ray movie that enables medical personnel to view skeletal, urinary, respiratory and reproductive systems.
Ultrasound is used not only to see the growth
of a fetus, but to visualize muscles, tendons, and many internal organs with real time images. Using high-frequency sound waves that reflect off body structures, a computer receives the waves and creates a picture.
Nuclear Medicine gives the ability to image the
extent of a disease in the body using small amounts of radioactive tracers, rather than relying on physical changes in tissue. In some diseases, nuclear medicine can identify functional medical problems of the organs, tissue and bones at an earlier stage better than some other diagnostic tests.
“All of our diagnostic equipment has moved into the digital age,” Daigle says. “This not only gives us faster diagnosis and treatment options, but sharper images. It makes for a better diagnosis and minimizes risk during procedures.”
Stereotactic Biopsy uses 3-D imaging to pinpoint an abnormality in the breast. A biopsy is taken with millimeter accuracy. A tiny needle removes breast tissue guided by special mammography technology.
Magnetic Resonance Imaging (MRI) helps visualize soft tissues of the body in detail, such as the brain, heart and other muscles. Using a magnetic field, it pulses radio waves to make pictures of organs and structures in the body. Computed Tomography (CT scan) combines a
series of x-ray views taken from many different angles and computer processing to create cross-sectional images of the bones and soft tissues. Nuclear Medicine
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Physician Spotlight
Why do we do what we do for a
Michael Lane, MD
living? That is a question many
Physiatrist, Martial Artist & Motorcycle Enthusiast
doctors are asked on a consistent basis. For Dr. Michael Lane, the drive to attend medical school was a personal one.
“My interest in medicine actually started with an injury to my mother when I was younger. She nearly lost her arm,” Dr. Lane says. “When I got to medical school I had a friend who was already in the residency for physical rehabilitation. He invited me to where he was doing his training and I did some rotations with him.” The rest is history. He became a physiatrist, a doctor that is a nerve, muscle, and bone expert in treating injuries or illnesses that affect how you move. Dr. Lane treats disabilities resulting from disease or injury, from sore shoulders to spinal cord injuries. The focus is on the development of a comprehensive program for putting the pieces of a person’s life back together after injury or disease. Dr. Lane joined Orthopaedic Specialists, a part of the Memorial Medical Group, in 2010. Originally from Brooklyn, New York, he learned to fend for himself and developed an interest in martial arts. “Brooklyn was a place where back in the day it was a different time. Things had to be settled,” Dr. Lane recalls. “New York, Brooklyn in particular, was a hot bed for martial arts in the early ‘70s. He grew up wanting to be like Bruce Lee. After all, Kung Fu movies were big in those times. Dr. Lane took an interest in judo and karate. He dabbled in the arts at a younger age, but it was not until 2001 that the intense training began. 12
His oldest son took an interest and Dr. Lane decided he needed to pick back up where he left off. Today, both he and his son are black belts in the art of Shotokan Karate. Dr. Lane holds a 2nd degree black belt.
“I love it. It’s just the open air,” Dr. Lane says, describing his weekend rides. “It’s a different perspective when you are riding someplace scenic versus sitting in a car.” Still, during the week, his focus turns to those whose lives he works to change for the better.
“Black belt means that you have learned enough to now really be a student. Black belt by no means, means you are the end all be all authority,” he is quick to point out.
“The beauty of what I do is you get to see an end result,” Dr. Lane says. “More often than not, in my field, I see people go from a lower state to a higher state of well being. Bed bound to walking. It’s nice to see that. It’s a different perspective. To watch someone go from disability to mobility, that’s extremely rewarding.”
It is a release and passion he enjoys. His other hobby sits in his garage in the form of a Triumph Rocket III motorcycle. Dr. Lane began riding at age 15, working as a courier during the summer in New York.
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Mapping the Illness
Waiting for a test result, pinpointing what is causing an illness can be stressful for the patient.
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Lake Charles Memorial’s state-of-the-art laboratory takes much of the anguish out of the wait time. Tests that use to take days to perform, now takes hours. “Years ago 80 percent of the tests that were run in our laboratory were done manually,” says Mary Kay Stoma, laboratory director at Memorial. “Today, 90 percent of tests done here are automated.” The quick turnaround can be life saving for patients. Knowing the specifics of an infection, allows doctors to prescribe the best medications, especially in an era where some bacteria have become resistant to certain antibiotics. When samples are taken from patients in their hospital rooms, technology allows for barcodes and labels to be printed immediately and attached to the samples. This minimizes the risk of any mix up when the samples are tested. 14
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Memorial has been at the forefront of laboratory science for half a century in both technology and training. In 1963, the School of Medical technology was formed. The Clinical Laboratory Science program is housed in the Pathology Department of Memorial. College seniors or those students with a degree in chemistry, microbiology or biology complete a one-year internship instructing them in clinical laboratory science. The program includes didactic as well as clinical instruction in all of the major lab areas. Graduates become medical technologists, handling most of the testing that happens in laboratory. “We are constantly looking at new tests,” Stoma says. “You don’t want to get behind, but you don’t want to jump ahead too soon either. You want the new test to prove itself and want to make sure there is a need for the test to make a difference in patient care.” Memorial’s laboratory is divided into five different areas: chemistry, hematology, microbiology, blood bank and histology. The entire department staffs 80 people. The laboratory operates 24 hours a day, seven days a week. In 2012, 1.8 million tests were conducted. CHEMISTRY The chemistry section performs many different tests, including commonly ordered tests such as glucose, cholesterol, liver and kidney function. HEMATOLOGY The hematology section analyzes your complete blood count (CBC), clotting factors (coagulation) and other tests. The complete blood count aids in diagnosing anemia, infections, leukemia and other conditions. BLOOD BANK The blood bank handles more transfusions for patients than any other in Southwest Louisiana. Emergency room and cancer patients are served most by this unit. The blood bank maintains an inventory of red blood cells, platelets and fresh frozen plasma. MICROBIOLOGY The microbiology section performs cultures on different types of specimens. Cultures are performed to determine if the patient has an infection, to identify the bacteria and prescribe the appropriate antibiotic. HISTOLOGY The histology section processes tissue samples for the pathologist to make a diagnosis. “We process the samples overnight in an instrument that encases them in a block of wax. The block is then cut into very thin strips and those are stained,” says Dr. Greg Bowling, medical director of Lake Charles Memorial Pathology. “A pathologist, like myself, will then look at those samples under a microscope to determine if they are cancerous. The technology we have today allows us to be very specific on the cancer diagnosis, which makes a difference in the treatment patients receive.” New tests are popping up at every turn. Molecular testing is seen as the wave of the future. Test results that once took days to get, are now down to hours, will one day take only minutes.
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Calendar of Events are offering women struggling with cancer - the diagnosis,
Support Groups
treatment and concerns about their appearance - a chance to Look Good...Feel Better. For more information, call
COPING WITH CANCER For those cancer patients who are newly diagnosed, undergoing treatment, or who have completed treatment. For more
(337) 433-5817. Fourth Monday of every other month July 22 and September 23
information, call Memorial’s Chaplain, Rev. David DeWitt at (337) 494-2023.
Shearman Conference Room
Third Tuesday of each month • Chaplain’s Office Noon – light refreshments served
Noon - 2:00pm SARCOIDOSIS SUPPORT GROUP
DESIGNER GENES A support group by and for the parents of children with genetic disorders. Located at Memorial Hospital for Women, 1900 W.
A group for people in our area dealing with this incurable disease, to come together to share their stories, health tips and support. For more information, call Sabrina Sonnier at (337) 8425939.
Gauthier Road. For more information, call the group’s founders, Ashleigh Hornsby (337) 853-7657 or Jessi James (337) 563-1178. Second Saturday of each month Memorial for Women • Noon
First Tuesday of each month Shearman Conference Room 6pm - 7pm
DIABETES SUPPORT GROUP
LA LECHE LEAGUE A breastfeeding group, La Leche League offers a series of
Don’t underestimate the importance of education and peer support when living with diabetes. Located at Memorial’s
meetings consisting of four classes that are helpful for pregnant moms and moms who are already nursing. Meetings are free and
Diabetes Education Office, 1801 Oak Park Boulevard. For more information, call Memorial’s Diabetes Education at (337) 494-
open to mothers and babies. First Thursday of each month
6425. First Tuesday of each month Diabetes Education Office • 10am – 11am
Memorial for Women Education Room 2 10am – 11:30am
SISTERS SURVIVING A breast cancer support group for African-American women, but open to any woman regardless of race. For more information, call (337) 433-5817. Third Tuesday of each month MOB II Conference Room • 6pm
blood drive COMMUNITY BLOOD DRIVE Approximately half of the nation’s blood supply is collected at blood drives. Memorial partners with United Blood Services to provide for our patients. Join us for the next Community Blood Drive, which will be held in the parking lot across Oak Park Boulevard from Memorial’s main entrance. For more information, call (337) 235-5433. Fourth Monday of each month 2pm – 6pm
LOOK GOOD, FEEL BETTER Looking good can often be an important step toward feeling good - especially for women who are fighting the cancer battle. With that in mind, Memorial and the American Cancer Society
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Summer 2013 Prenatal and Family Education Classes Registration is required for all classes. For more information or to register, call 480-7243. All classes are held in the education rooms at Memorial for Women, 1900 W. Gauthier Road. Tours are available after all prenatal classes and at 1:30pm on the first Thursday of each month. PREPARED CHILDBIRTH CLASS 4-WEEK SERIES
family. Older siblings ages 2-10 are asked to attend with one or
This class is highly recommended for its hands-on, and often fun, approach to dealing with labor, delivery and recovery. Birth
both parents. The children will have hands-on practice with dolls to learn how to interact with a new baby. Parents will receive
preparation is discussed regarding natural delivery, birth with an
informative guidelines and everyone will tour the mother/baby
epidural and cesarean birth. Bring your pillows, your questions and don’t forget to breathe. Recommended during the last three
unit. July 29, September 9 and October 15
months of pregnancy. Tuesdays, July 9, 16, 23, 30
6pm – 7pm • $10/Family
Tuesdays, September 3, 10, 17, 24 Tuesdays, November 4, 11, 18, 25 6:30pm – 8:30pm • $35/Couple
BABY CARE CLASS The Baby Care Class reviews newborn characteristics, general baby care, early parenting issues and community resources. Recommended during the last 3 months of pregnancy. Mondays. July 8, August 19 and September 23
ONE DAY PREPARED CHILDBIRTH CLASS Learn comfort, relaxation, positioning, breathing, and massage techniques for increasing the comfort level and enhancing the
6:30pm – 8:30pm • $10/Couple
birth experience during this condensed version of the Prepared Childbirth Series. Recommended for the last 3 months of
INFANT AND CHILD CPR CLASS FOR FAMILY AND FRIENDS Learn and practice rescue for choking and CPR for infants. This is NOT a certifying or credentialing course, but is recommended
pregnancy. Saturday, August 24 and October 19
for expectant parents, new parents and support persons. July 15, August 20 and October 1
9am – 4:15pm • $35/Couple
6:15pm – 8:30pm • $10/Person
BREASTFEEDING CLASS Learn positioning, latch-on, early feedings and the importance of assessing baby’s intake during the Breastfeeding Class. Recommended during the last 3 months of pregnancy. Thursdays, July 11, August 22, September 12, October 7 and November 7 6:30pm – 8:45pm • $10/Couple
SAFE SITTER The best sitter is a safe sitter! The Safe Sitter® Class is designed for boys and girls ages 11 to 13. Sitters learn safety tips, how to recognize a medical emergency, what the appropriate action should be during an emergency, such as when a child or infant is
SIBLING CLASS This class is recommended during the last three months of pregnancy. Preparing siblings for the arrival of a new baby can be as confusing as it is joyous. This class focuses on the unity of the
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choking, and how to have fun with children. Wednesday, July 10 $35/Sitter
PHYSICIAN REFERRAL • 1-800-494-LCMH (5264)
Workplace Wellness
Developing a Healthier Workforce
Jessica Carlson Duhon (facing camera), Memorial Employer Health and Wellness Manager, lays out a program for Carboline. The success of any company is a reflection of the health and well-being of its most vital resources, the employees. It is no secret that healthy employees are happier and more productive.
This program includes education with worksite activities and challenges, printed material, health risk assessments, health screenings and health coaching.
With much of healthcare costs being preventable, Lake Charles Memorial Health System wants to deliver wellness initiatives not only to its own employees, but for those in various local industries and businesses.
Partnering with Memorial’s Employer Health and Wellness Program is the solution to engaging employees while getting them moving, motivated and proactive in disease prevention and management.
The Wellness Program can develop outcomes-based strategies that will give local employers access to services designed to minimize employee health risks, increase productivity and morale, and potentially reduce healthcare costs.
For more information contact Jessica Carlson Duhon at 337.494.2992 or at jcarlson@lcmh.com
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Letters
David Douglas & Amber My first daughter that I have so long prayed for finally came. She was delivered by Dr. Gisele McKinney and was born with Meconium Aspiration Syndrome. I was so apprehensive about this, but the staff and Dr. McKinney, as well as her in-house pediatrician in N.I.C.U. and the staff eased my apprehensions and ignorant fears. I am so thankful for all of them and I wish that there was some kind of a way that I could do for all of them what they have done for me. I am from Texas and this hospital is the greatest. My daughter, Amber R. Douglas is in great hands and I am very comforted by the professionalism, care, love and support of this staff. I feel that they treat my beloved as if she is one of their very own! Thank you so much! David Douglas
1701 Oak Park Blvd. Lake Charles, LA 70601
Memorial Medical Milestones Kathy DeRouen Senior Vice President of Marketing Matt Felder Communications Manager This is a publication from Lake Charles Memorial Hospital. The information in this newsletter is intended to inform patients and potential patients about subjects pertinent to their care not as medical education. © 2013 Printed in U.S.A.
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