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Wellness News for Better Living from Terrebonne General Medical Center Winter 2006 The New Women’s Center LAPAROSCOPIC HYSTERECTOMY Digital Mammography VITAMINS FOR EVERY AGE Level 2 NICU TIMELINE OF WOMEN’S HEALTH

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Page 1: The New Women’s Center Care/winter2006.pdfThe region’s first comprehensive diagnostic women’s center provides test-ing such as traditional and digital mam-mography, bone densitometry

Wellness News for Better Living from Terrebonne General Medical Center Winter 2006

The NewWomen’s Centerlaparoscopic hysterectomy

Digital Mammographyv i ta m i n s f o r e v e ry a g e

Level 2 NICUt i m e l i n e o f w o m e n ’ s h e a lt h

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1 Winter 2006

Llarge, tranquil rooms with state- of-the-art amenities. Knowledgeable, compassionate and experienced staff. Amazing views of majestic oak trees. What sounds like a nice hotel is actually the new Women’s Center at Terrebonne General

Medical Center (TGMC), where health care is tailor-made for women at

every stage of life. The Women’s Center, now fully operational, is a compre-hensive health care center for women providing obstetrics and gynecological care and the

first comprehensive women’s imaging center in the region.

The center features all-new private rooms, as well as surgical suites for same day surgeries and procedures. According to Laura Poole, Director

T h e W o m e n ’ s C e n T e r a T T G m C :

“I have had lots of major surgery, and

the care at Terrebonne General was the

best care I have ever received, for what I went through, I

wouldn’t want to be anywhere else.”

A letter from the CEO

— Darlene Verret, patient at the new Women’s Center

Dear Friends,

After months of planning, pre-construc-

tion, and construction, it was with great

pride that TGMC opened the new Women’s

Center in summer of this year. This one-of-a-

kind facility dedicated to the special needs of

women is an all-new, all-encompassing, state-

of-the-art complex designed to provide com-

prehensive health care services for women of

all ages and at all stages of their lives.

The only facility of its kind in the region,

the two-story, 85,000 square foot facility cen-

tralizes all of TGMC’s women’s services under

one roof. By locating all of our gynecological,

obstetrical, and women’s diagnostic services

in one building, we can provide more conve-

nience, offer expanded programs and testing

for better diagnosis and treatment, and

establish greater continuity in the care our

patients receive.

Additionally, the new Women’s Center

offers the first Women’s Imaging and Breast

Center in the region, which features digital

mammography, stereo-tactic breast biopsy,

4-D ultrasonography, maternal fetal medi-

cine and bone densitometry. This advanced

technology gives us the capability to provide

early detection of abnormalities in their

beginning stages.

I hope you enjoy reading this special

Women’s Center edition of Take Care

Magazine and look forward to the oppor-

tunity of providing you a health care

experience unmatched in the Tri-Parish area.

Sincerely,

Phyllis Peoples

President and Chief Executive Officer

Pampering Women at Every Stage of Life

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2

of Women’s Services at TGMC, the center was developed after extensive research and site visits throughout the country at similar women’s health care facilities. “Overall, the Women’s Center is one of the most efficient, and comfortable facilities of its kind and offers patients a quiet, peace-ful environment,” Poole said.

In TouCh WITh moThers and BaBIes In the center’s obstetrics area, TGMC utilizes advanced fetal monitors and computer systems to closely monitor both mother and baby, enabling staff to always be in touch from any area of the labor and delivery unit. In the case of a high-risk pregnancy, the center’s first floor houses a maternal fetal medicine clinic, designed for high-risk mothers who require the care of a

perinatologist. Antepartel rooms in the labor and delivery unit allow staff and doctors to monitor obstet-rics patients for testing, medical complications or in instances of pre-term labor. For mothers in active labor, the center’s all-private Labor/Delivery/Recovery rooms (LDR) offer large, tranquil suites equipped with comfort-able furnishings and top-of-the-line birthing and fetal monitoring technology. Following delivery, patients recover in these rooms while being monitored by professional, caring staff certified in inpa-tient obstetrics. Patients who have had a C-section or tubal ligation also recover in an LDR with a registered nurse trained in recovering post-op surgeries. Following the recovery period, patients then move to a post-partal

“I have had lots of major surgery, and

the care at Terrebonne General was the

best care I have ever received, for what I went through, I

wouldn’t want to be anywhere else.”

Terrebonne General medical Center

Pampering Women at Every Stage of Life

Page 4: The New Women’s Center Care/winter2006.pdfThe region’s first comprehensive diagnostic women’s center provides test-ing such as traditional and digital mam-mography, bone densitometry

3 Winter 2006

room for the remainder of their hospi-tal stay. This 20-bed unit offers large, private rooms in close proximity to the nursery. From the moment they deliver their baby, patients may choose to have their baby “room in.” When not in the room with their mother, babies can be seen by family members through the nursery window any time, day or night.

The BaBy’s arrIval TGMC’s team of experienced maternal-child nurses begin taking care of your new baby upon delivery. As skilled neonatal care providers, the Women’s Center has a Level 2 Neonatal Intensive Care Unit (NICU), specializing in caring for babies born prematurely or those requiring focused care resulting from complications during the newborn period. For mothers choosing to breast-feed their babies, TGMC offers the opportunity to meet with a Lactation Consultant specially trained in working with breastfeeding mothers and infants during pregnancy and following delivery. While under the care of the center’s skilled maternal-child team, patients and their family will receive individualized attention. The staff will conduct a needs assessment for the mother and recommend various programs to help ensure a healthy transition as a family takes their new baby home.

JusT for Women In the gynecological unit of the Women’s Center, TGMC physicians per-form a variety of both inpatient and out-patient procedures including four types of hysterectomies - abdominal, vaginal, laparoscopic assisted vaginal and total laparoscopic. With 14 private rooms, five of which have courtyard access, patients can have same day surgeries and recover in the same unit.

In addition, the center offers gynecological diagnostic laparoscopy, a tool used to diagnose many gynecological disorders such as endometriosis, uterine fibroids and other structural abnormalities like ovarian cysts and adhesions (scar tissue). Another specialized service available is the loop electrosurgical excision procedure (LEEP), in which physicians remove part of the cervix in the event a woman has had an abnormal Pap smear. The region’s first comprehensive diagnostic women’s center provides test-ing such as traditional and digital mam-mography, bone densitometry and 4-D ultrasounds. Stereotactic needle biop-sies may also be done here, to deter-mine if a breast lesion is cancerous. All surgeries done at the Women’s Center are performed on the second floor. Five operating rooms are dedi-cated for women’s procedures, and private elevators allow patients to go directly into their surgery area, creat-ing more privacy for both obstetrics and gynecology procedures. “The atmosphere is just incred-ible,” Poole said. “Women are the focus. From both an emotional and psychological standpoint, the Women’s Center shows that we are sensitive to women’s needs – whether it’s obstetrics or gynecology.” The new Women’s Center at TGMC offers the latest technology backed by the most experienced staff of doctors and nurses in the region. Whether a woman is being guided through her pregnancy, a diagnostic procedure or surgery, the Women’s Center provides a comprehensive approach to women’s health care, for every stage of a woman’s life. For more information on the Women’s Center, call 985-873-4616 or log on to www.tgmc.com.

See page 6 for a listing

of the OB/GYN physicians

on active staff at TGMC.

Women are the focus. From both

an emotional and psychological

standpoint, the Women’s Center shows that we

are sensitive to women’s needs – whether it’s obstetrics or

gynecology.

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4Terrebonne General medical Center

Beginning months before deliv-ery, Terrebonne General Medical Center (TGMC) offers classes and information to help mothers on their way to the big day – arrival of the new baby. Classes are designed to meet the physical, mental and emotional needs of the entire fam-ily and stress the importance of

proper prenatal care. The Bright Beginnings program helps patients and their families

prepare for delivery and post-partal recovery through a vari-ety of classes. A team of certi-fied childbirth educators pro-vide the latest information in a professional and caring environment. In order to

cover the basic expenses to host these educational classes,

a small fee is required at the beginning of the session. Prepared Childbirth

Classes are a series of courses designed to educate the first-time parents and also serves as an excellent

review of the labor process

for even the most experienced parents. The Hands-on Parenting/Teen Childbirth Education class is designed to educate the teenage mother and her support person(s) for the delivery and care of her baby. A Sibling Class helps chil-dren ages 2-10 who are becoming big brothers or sisters and covers topics such as jealousy, delivery, hospital care and newborn care. Breastfeeding classes prepare the expectant family choosing to breastfeed, or to help those families uncertain of their feeding choice in the decision-making pro-cess. The Mommy and Me Support Group is ongoing and provides new moms the opportunity to interact with other new mothers and ask questions on various newborn topics. Infant Massage Classes help promote parent/infant bonding and the importance of touch in a child’s development. Classes are offered regularly. To register, call 1-888-543-TGMC. To schedule a tour of The Women’s Center or to ask questions regard-ing programs, please call the Childbirth Education department at (985) 858-7173.

a b r i g h t b e g i n n i n g

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5 Winter 2006

Taking care of all generations

OB/GYNs on active staff at TGMC

bring to the Women’s Center comprehensive health care

for women of all ages

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6Terrebonne General Medical Center

Christine Albrecht, M.D. Steven Alevizon, M.D. Charon E. Gentile, M.D.

Howard W. Russell, M.D.Jeffrey Larisey, M.D. E. Marie Mendenhall, M.D.

Women’s oB/GYn HealtH and Wellness Center

Edison Foret, M.D.

Erin Pennison, M.D. Channing K Sanders, M.D.

John Floyd, M.D.

Women’s HealtH speCialists

Richard Clement, Jr., M.D.

Robert Cazayoux, Jr., M.D. Robert Cazayoux, Sr., M.D.

Houma oB/GYn CliniC

Joel Comeaux, M.D. James Donnell, M.D.

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7 Winter 2006

Total Laparoscopic Hysterectomy

Mmore than one in four women in the United States will have a hys-terectomy by the time they reach their 60th birthday, new options are available now, making the procedure less invasive and offering a faster recovery time. Total Laparoscopic Hysterectomy (TLH) is quickly becoming the most popular way to perform the second most common surgical procedure in the country. According to Dr. Robert V. Cazayoux, Jr., his practice performs 90 to 95 percent of hysterectomies in that fashion. When compared to the three other

types of hysterectomies – abdominal, vaginal and laparoscopic-assisted vaginal – Dr. Cazayoux, Jr. explained that the risks are not different, but the benefits for the patient are greater. Many of the reasons for having a hysterectomy, such as fibroids, ovarian cysts, endometriosis, abdominal bleeding and pelvic pain, are all treatable with TLH. “The best thing about this pro-cedure is that it allows us to include so many more patients,” said Dr. Richard J. Clement, Jr. “In the past, most patients with prior C-sections or

enlarged uteri were excluded from a laparoscopic or vaginal hysterectomy. We had to resort to performing an abdominal hysterectomy. Now, with the latest laparoscopic technology on the market today, we are able to do our most difficult hysterectomies using the TLH technique. It’s to the point now that almost none of the patients in our prac-tice have abdominal hysterectomies.” The term ‘total hysterectomy’ refers to the surgical removal of the uterus and cervix, whereas ‘oophorectomy’ refers to the removal of the ovaries. “With a TLH

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8Terrebonne General Medical Center

of the surgery. A magnified view of the patient’s entire abdominal cavity is pro-jected onto a state-of-the-art flat screen television. “Because of this technology, we now have a much better visualization of the entire surgical field as opposed to what we could see during traditional open surgery,” added Dr. Cazayoux, Jr. Due to the fact that the TLH is less invasive than other hysterectomies, there is also a quicker recovery time. “The TLH patients are left with only three minimal incisions, which significantly reduces the amount of post operative pain experienced,” explained Dr. Clement, Jr. Patients can, on occasion, return home on the same day as the surgery; or, at most, have an overnight stay and go home the next morning. The hospital stay is signifi-cantly shorter than the three-to-four-day stay associated with a traditional hyster-ectomy. Another added benefit is that the patients are typically able to return to work between one and two weeks following a TLH. While the decision to have a hys-terectomy is a difficult one, TLH offers benefits that make the procedure less

In a total laparoscopic hysterectomy, patients are left with only three minimal incisions, which significantly reduces the amount of post operative pain experienced.

n Less invasive than traditional

open surgery

nLess post-operative pain

nShorter hospital stay

nPatients are able to return to work

within two weeks of TLH

paT i e n T b e n e f i T s

Total Laparoscopic Hysterectomycomplicated and problematic for the patient. For Dr. Cazayoux, Jr. it is the first option to explore. “Why wouldn’t I recommend a Total Laparoscopic Hysterectomy? The recovery time is much faster…, the pain is significantly less…, and the patient requires significantly less pain medication.” For more information on TLH or names of OB/GYN physicians on staff at TGMC, call 985-873-4616, or log on to www.tgmc.com.

Robert Cazayoux, Sr., M.D., Robert Cazayoux, Jr., M.D. and Richard J. Clement, Jr., M.D. are in practice together at Women’s Health Specialists and are on active staff at TGMC. See page 6 for a listing of the OB/GYN physicians on active staff at TGMC.

procedure, we are able to perform a total hysterectomy alone, or a total hysterec-tomy in combination with oophorectomy, depending on the individual patient’s needs,” said Dr. Clement, Jr. In a TLH procedure, the laparoscope is inserted through a half-inch incision in the patient’s belly button. Then, two smaller incisions are made on each side of the patient’s lower abdomen for surgical instruments to be exchanged to perform the entire procedure. The laparoscope gives the physician greater visual access to the uterus, ovaries, cervix and fallopian tubes. The technology of this procedure is what sets it apart from the other versions

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9 Winter 2006

every parent hopes for the perfect pregnancy, a perfect deliv-ery and a perfect baby, but this isn’t always the case. Not every baby goes full term, and every birth is unique. To ensure that every baby born at TGMC receives the high level of care it needs, the Women’s Center at TGMC offers an advanced Level 2 Neonatal Intensive Care Unit (NICU).

The besT in The region Statistically, one baby out of every 10 will require some kind of assis-tance, and that’s where the NICU comes in, according to Dr. Bedford Nieves, Director of TGMC’s NICU. “We have the only Level 2 NICU in the Tri-Parish area that provides ventilator support for pre-term infants and neonatology coverage,” said Laura Poole, director of Women’s Services at TGMC.

The NICU at TGMC is specially equipped and staffed by a full-time neonatologist and board-certified pediatrician (Dr. Nieves), along with specially-trained nurse practitioners and a core group of nurses with years of experience in neonatal care. “Not all Level 2 NICUs have a neonatologist on a daily basis,” said

Dr. Nieves. “We have the equipment we need to care for these babies, and we can consult with a cardiologist or a pediatric gastroenterologist, too.” The eight-bed unit provides advanced, highly-specialized care for babies born prematurely (generally 30 weeks or greater) or those requiring focused care resulting from complica-tions during the newborn period. Among specialized features are ventilators tailored for neonates; blood gas analysis to measure oxygen in a baby’s blood; overhead infant warming systems; low-lighting that is condu-cive to pre-term infants; phototherapy lights for jaundice and double wall isolettes. These isolettes reduce the amount of water loss a baby experi-ences and also decrease the amount of noise in the unit, both of which help the baby to thrive and grow. TGMC will also soon start using continuous brain monitoring in babies at risk for seizures, a first in the Tri-Parish area.

According to Poole, TGMC’s NICU is the best Level 2 in the area and is comparable to high-tech units in Baton Rouge and New Orleans.

helping babies Thrive All of the thought, planning, work and love that went into designing the new NICU at TGMC was done with only one thing in mind. “Our goal is get our babies to where they normally would have been at the time of deliv-ery,” Poole said. And the unit has an excellent record. “We have a 100 percent survival rate for babies born at 34 weeks or older when there is no congenital anomaly,” said Dr. Nieves. He also noted that he often consults with specialists about babies that have specialized needs. “If we can’t find the answer right away, we find some-one who can,” he said. The length of stay for a pre-term baby depends on how premature it was at the time of birth. If a baby is born at 32 weeks, it would likely stay in the NICU for a month. The NICU at the Women’s Center at TGMC can accommodate as many as 200 babies over the course of a year. Nieves calls the NICU “one of the most modern I have ever seen.” Poole and the nurses who work in the NICU take an obvious pride in the state-of-the-art facility. “I love it,” Poole said. “We have a great team here that is dedicated to these babies.” For more information about the new NICU at the Women’s Center at TGMC, call 985-873-4616 or log on to www.tgmc.com.

Bedford Nieves, M.D., is a board-certified

neonatologist who serves as Director of

the NICU at TGMC. Richard Brooke, M.D.,

is also a board-certified neonatologist and

pediatrician on active staff at TGMC.

TGMC’s NICU s p e c i a l c a r e f o r s p e c i a l b a b i e s

n Full-time neonatologist and board-

certified pediatrician on staffn Specially-trained nurse practitioners

on staffn Ventilators tailored for neonatesn Blood gas analysisn Overhead infant warming systemsn Low lighting conducive to pre-term

infantsn Phototherapy lights for jaundicen Double wall isolettes n Continuous brain monitoring in babies

at risk for seizures

TgMc’s level 2 nicu:

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10Terrebonne General Medical Center

Digital Mammographymore than 200,000 women will be diagnosed with breast cancer in the United States this year, making it the most commonly diagnosed cancer among women. Early detection of any breast abnormalities can greatly reduce your risk of getting the cancer. That’s why for women over the age of 40, Dr. Anne Walker, a radiologist at TGMC, recommends breast self-exams, clinical breast exams and annual mam-mograms. For over 35 years, radiologists have relied on screen-film mammog-raphy. This is the mammogram most women are familiar with. X-rays pro-duce an image of each breast directly onto film, which radiologists examine for abnormalities. Thanks to technological advance-ments, full-field digital mammography is now available in several regions across the United States. TGMC also features this state-of-the-art mammography technology.

Unlike film mammography, digital mam-mography takes an electronic image of the breast and stores it directly in a computer, allowing the recorded data to be enhanced, magnified or manipulated for further evaluation. The electronic image can then be printed on film, if need be. According to Dr. Walker, “A digital mammogram is faster, more comfortable for the patient and provides much better image quality for better early detection.” Digital mammography also allows improvement in image stor-age and transmission because images can be stored and sent electronically. Digital mammography also features lower doses of radiation than traditional film mammography. While the amounts of radiation women are exposed to with film mammography are small, less radi-ation is always a benefit to our health.

This advanced digital technology also identifies abnormalities within the breasts more clearly than traditional film mammography. For more information about mammography services at the Women’s Imaging and Breast Center at TGMC, call 985-873-4616, or log on to www.tgmc.com.

David Fakier, M.D., Ted Price, M.D., Robert Quinilty, M.D., John Steigner, M.D., Jerry R. Thomas, M.D., and Anne Walker, M.D., are

radiologists at TGMC.

S p e C i a l C a r e f o r S p e C i a l B a B i e S

n Improved contrast between dense and

non-dense breast tissue

n Faster image acquisition (less than

a minute)

n Shorter exam time (approximately half

that of film-based mammography)

n Easier image storage

n Physician manipulation of breast images

for more accurate detection of breast cancer

n Ability to correct under- or over-exposure

of films without having to repeat

mammograms

n Transmittal of images over phone lines or

a network for remote consultation with

other physicians

S o M e B e n e f i T S o f d i G i Ta l M a M M o G r a p h y:

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11 Winter 2006

a large and enthusiastic crowd turned out for TGMC’s First Annual Ladies Night Out, a fund-raiser gala to benefit women undergoing treatment for cancer. The event was held on October 5 in the patio area at the new Women’s Center at TGMC, and the décor and theme definitely had attendees in the mood to “think pink.” Upon arrival, guests traded in their shoes for comfortable slippers, put on a fun pink boa and entered a magical area done up in pink, includ-ing pink champagne, pink lemonade and even a pink chocolate fountain! Accompanied by live music, guests enjoyed heavy hors d’oeuvres and bid on silent auction items that included everything from costume jewelry to elegant accessories, items from local retailers, and gifts and services for women, from dinners to salon sessions, gym memberships and much more. Mistress of ceremonies for the night was cancer survivor Monica Rousse, and guest speakers included Debbie Petrie, a breast cancer survi-vor; Dr. Robert Gamble, an oncologist; and Dr. Charon E. Gentile, an obste-trician/gynecologist. “The evening was about raising awareness, wellness and prevention and, most importantly, a night where ladies could come together to learn from the experiences of others in a fun and relaxed environment,” said Phyllis Peoples, President and Chief Executive Officer. Proceeds from the event will go toward purchasing special apparel and other TLC com-fort products for women undergoing treatment. In addition, all attendees received a “goody bag,” filled with gifts and educational material about breast cancer and treatment options. Ladies Night Out was such a big success, that plans are underway to make this an annual event.

TGMC Paints the Town PINK

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12Terrebonne General Medical Center

TGMC Paints the Town PINK F i r s T A n n u A l “ l A d i e s n i G h T O u T ” A s u C C e s s

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13

we all know that early detection is the key to reducing illness and death. And for women, this is especially true. When women utilize pre-ventive services for the early detection of disease and receive the proper treatment, the results can be dramatic. Unfortunately, studies show that women don’t take advantage of available health care services, often putting themselves last on the list when it comes to checkups, health screenings and proper health and wellness maintenance. The first step to better health is knowledge about the steps you can take to improve your health. The National Women’s Health Information Center, part of the U.S. Department of Health and Human Services, recommends the following

screenings and immunizations for women at average risk

for disease. Follow these simple guidelines to improve your health and make your life as healthy as possible.

Take charge of your healthScreening Tests Ages 18-39 Ages 40-49 Ages 50-64 Ages 65+

General Health Yearly Yearly Yearly Yearly

Pap Test 1-3years Every1-3 Every1-3 Every1-3 After3 yrs yrs yrs normaltests unlesshigh risk

Thyroid Test Startat Every5 Every5 Every5 35then yrs yrs yrs every 5yrs

STDs/Chlamydia Ifathigh Ifathigh Ifathigh Ifathigh risk risk risk risk

Breast Self-Exam Monthly Monthly Monthly Monthly

Mammography Baseline Every2 Yearly Yearly between yrs ages35-40 Bone Density Discuss Discuss Discuss with with with Physician Physician Physician Cholesterol/ Startingat Every5yrs Every5yrs Every5yrsLipids age20, thenevery 5years Blood Sugar Startingat Every3yrs Every3yrs age45then every3yrs

Colorectal Yearlyfecal Yearlyfecal Yearlyfecal occult,blood occult,blood bloodtesting testing testing Colonoscopy Colonoscopy every10yrs every10yrs beginningat age50

Eye Exam Geteyes Every2-4yrs Every2-5yrs Every2-5yrs checked ifthereis aproblemHearing Tests Starting Every10yrs Discusswith Discusswith atage18 physician physician thenevery 10yrs

Skin Health Monthly Monthly Monthly Monthly self-exam. self-exam. self-exam. self-exam. Byadoctor Byadoctor Byadoctor Byadoctor every3yrs everyyear everyyear everyyear

startingat age20.

Oral HealthDental Exam 1-2times 1-2times 1-2times 1-2times peryear peryear peryear peryear

Tetanus Shot Every10yrs Every10yrs Every10yrs Every10yrs

Influenza Shot Discusswith Discusswith Discusswith Yearly physician physician physician

Pneumococcal Shot 1timeonly

Hepatitis Shots A,B,C Ifatrisk Ifatrisk Ifatrisk Ifatrisk

Exercise Aerobic& Aerobic& Aerobic& Aerobic& strength strength strength strength training training training training

Folic Acid 400mcg/day 400mcg/day 400mcg/day 400mcg/day

Calcium 1000mg/day 1000mg/day 1000mg/day 1000mg/day

Winter2006

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BRIGHT BEGINNINGS

Mommy & MeMonthlyA group designed to offer mother-to-mother support in a fun and positive environment.Bring babies!

ESP[ Especially for Special Parents ]Monthly Parenting series for parents of children ages 5-17 years of age in association with Steps to Success.

Parenting Tips for DadsQuarterly Class A great program just for dads who want to gain more knowledge in the responsibilities and demands of parenting.

HEALTH & WELLNESS

Diabetes ScreeningMonthly – By appointmentScreening includes checks for blood pressure and irregular heartbeat; tests for cholesterol and glucose; and references for those who test high. Cost: $10 per person. Must be over 18.

Kidney OptionsMonthlyAn educational class for persons facing dialysis or possible transplant.

SHIPPMonthlyFREE health insurance information for Medicare recipients.

SUPPORT GROUPS

Resolve Through SharingQuarterlyFor families who have lost a child before or immediately after birth.

Bosom BuddiesMonthlyA support group for breast cancer survivors.

Look Good, Feel BetterEvery other monthMakeovers for cancer patients by a licensed cosmetologist.

CHADDMonthlyA support group for families of children & adults with Attention Deficit Disorder.

Diabetes Support GroupQuarterlyClass that provides support/help with daily coping skills and educational information for diabetic patients and their families.

Alzheimer’s Caregivers Support GroupMonthly Educational support group for caregivers.

Multiple Sclerosis Support GroupMonthlyInformation and resource group for MS patients. This support group also teaches coping skills relating to the symptoms of MS.

Calendar D E C E M B E R

J a n u a r y

FEBRUARY

14Terrebonne General Medical Center

For information on class times and/or dates, please call The OutReach Center at 985-876-7577.

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Terrebonne General Medical Center8166 Main StreetHouma, Louisiana 70360

P R E S O R T E D

S T A N D A R D

U . S . P O S T A G E

P A I D

PERMIT NO. 435

M O B I L E , A L

DoubleTAkES

Take Care is a publication of Terrebonne General Medical Center. President and CEO Phyllis Peoples Editor Ann Malbrough

This newsletter is produced as a community service to the residents of Southeast Louisiana. Entire publication ©Terrebonne General Medical Center 2006. All rights reserved.

For information: Marketing & Planning Department, Terrebonne General Medical Center, PO Box 6037, Houma, LA 70361-6037; call us at 985-873-4616; or visit us on the Web at www.tgmc.com.

Multi-VitaminsA good multi-vitamin should con-tain just the right balance of vita-mins, minerals, amino acids, herbal extracts, antioxidants, bioflavonoids, enzymes and neuronutrients. Look for a multi-vitamin that is made “just for women.” These specialized formulas are not the same as you would find in a man’s formula.

What vitamins should you look for?Vitamin A – For smooth skin, good eyesight and healthy cell membranes.Vitamin B Complex – To support heart health, as well as skin and hair.Vitamin C – (with bioflavinoids) Famous as anti-oxidents and for the promotion of collagen for healthy skin.Vitamin D – Important to bones and joints and may help slow the development of osteoarthritis.Vitamin E – Offers support for heart function, cells, nerves, muscles, joints, skin and hair.

Vitamin K – Important for bone health and aids in blood clotting. (anyone taking an anti-coagulant medication, such as Coumadin, should consult their physician.)

Why minerals?Calcium – Builds and maintains bone strength.Magnesium – Combats stress, assists in bone growth and helps to regulate body temperature.Phosphorus – Assists in the use of carbohydrates, fats, proteins for energy. Stimulates heart and muscle contraction and prevents tooth decay.Potassium – Aids in the conversion of glucose to glycogen, nourishes muscles, aids the kidneys.Sodium – Helps retain fluids that counteract dehydration.Iron – Helps form hemoglobin which carries oxygen to the body tissues.Zinc – Aids in healing, boosts the immune system and protects against pollution.

Amino acidsAmino acids are often referred to as building blocks. There are 22 amino acids that produce every single essential protein for the equilibrium of the human body.

Beneficial herbsThere are certain plants that are helpful in balancing female hor-mones, both pre-menopausal and post-menopausal. They include sage, black cohosh and wild yam.

Food for thought… Finally, look for neuronutrients in your multi-vitamin. They help with cognitive function and brain power!

B E T T E r L I v I n G T H r O u G H H E A L T H y A D v I C E

There is no substitute for a doctor’s care and prescribed medicines, but vitamins, minerals, herbals and other women’s health supplements can be helpful in many women’s health issues.