A Newsletter for Our Clients and Friends

Bayou Medical Management, PPO, LLC Summer 2009 Back to Normal: Surgery Improves Outcomes for Spine Patients People with the spine disease called degenerative Prior to completion of the study, SPORT looked at the three spondylolisthesis experience substantially greater relief from most common back conditions leading to surgery: herniated pain when they chose surgical treatment compared to those disc, spinal stenosis and spinal stenosis with degenerative who do not have surgery, according to a study published in the spondylolisthesis. issue of The Journal of Bone and Joint Surgery To be included in the study, all patients (JBJS, June 2009). had to meet certain criteria; “There are thousands of surgeries - nerve pain in the legs completed each year to address degenerative - spinal stenosis revealed on cross-sectional spine conditions, yet, there has never been a imaging large-scale trial to give us evidence that the - degenerative spondylolisthesis evident in surgeries really work, as compared to non- radiograph imaging operative approaches,” said study author James - symptoms lasting for at least 12 weeks Weinstein, DO, MS, Third Century Professor - physician confirmation that the patient was and Chair of the departments of orthopaedics a surgical candidate. at Dartmouth Medical School and Dartmouth- “Our results indicate that in these patients, Hitchcock Medical Center. there was a clear advantage for surgery,” said Dr. Weinstein and his colleagues collected Dr. Weinstein. “Patients felt relief faster and at data from 607 men and women diagnosed with two and four years, reported better function, spondylolisthesis who were enrolled in the Spine less pain, and higher satisfaction than those Patient Outcomes Research Trial (SPORT), a multi-center study who chose to go the non-surgical route.” that included participants from 13 medical centers in 11 states. Approximately 80 percent of Americans suffer from back pain The study was the largest ever conducted of spondylolisthesis at some point in their lives. Back pain is the most common cause patients. of work-related disability, as well as the most expensive in terms “Until this study, our ‘evidence’ was anecdotal and based of workers compensation and medical costs. Degenerative spon- on patient reports. We wanted data-based, scientific evidence dylolisthesis is one example of this kind of painful back condition. that we could share with patients to help them make their deci- “Degenerative spine disease can be a debilitating condition. sions about taking an operative vs. non-operative approach,” When well informed, surgery is a good treatment choice,” said Weinstein. Weinstein said. Source: American Academy of Orthopaedic Surgeons

LSU Wins Sixth National Championship by Andy Schwehm Entering the College World Series, LSU was portrayed as “L-S-U” and “Geaux Tigers” as the Tigers captured their sixth the most consistent, dominating team in the postseason. Texas national championship. was seen as the team of destiny, the same title LSU held last “We’ve been so consistent all year,” said LSU sophomore season heading into Omaha. catcher Micah Gibbs. “We knew that we would be able to come Well, there’s one problem with destiny, as the Tigers found back [from the loss], and that’s exactly what we did today.” out last year: it can be fickle. This is the second time LSU has won the After a lackluster performance in their 5-1 loss to Texas Southeastern Conference regular season title, the SEC on Tuesday night, the Tigers came out firing early and held tournament title and the national title in the same year. on late en route to an 11-4 victory, improving their record to The only other LSU team to do so was the 1993 squad. 15-1 after a loss. The Tigers are also 6-0 in winner-take-all national The win sent the team into a dog pile full of tears of joy championship games. and got the thousands of LSU fans in attendance cheering out Continued on page 3 Steve Rees M.D. Physical Medicine, Rehabilitation, and Pain Management Bayou Medical Management is University Medical Center in New delighted to welcome Dr. Steve Rees Orleans. After finishing school, he as the newest provider to our PPO completed his residency in Physical Network. Dr. Rees has been practicing Medicine and Rehabilitation at LSU Physical Medicine and Rehabilitation in School of Medicine in New Orleans. He the Acadiana area for over fifteen years. opened his own practice in Opelousas He has expanded into Interventional and and has been treating patients since 1993. Diagnostic Pain Management over the Dr. Rees is board certified in Physical last five years. As the only Physiatrist in Medicine and Rehabilitation and in the area, Dr. Rees practices aggressive 2004 became board certified in the sub- Interventional Pain Management by specialty of Pain Medicine. Dr. Rees is providing a comprehensive program that one of only 2000 physicians nationally includes physical medicine examinations, that are board certified in Pain Medicine pharmacological management. He uses a by the American Board of Medical variety of injection techniques including Specialties. therapeutic and diagnostic fluoroscopic Dr. Rees recently relocated his guided cervical, thoracic, and lumbar outpatient Interventional Pain procedures. These procedures include Management and Physical Medicine facet injections, Medial Branch Blocks, practice to the Opelousas General Health Discograms, and Intrelaminar and transforaminal epidural System South Campus. This location is on the I-49 Service steroid injections. Road, minutes from Lafayette, making him more accessible to Dr. Rees began his education at the Louisiana State patients and attorneys in Lafayette.

LSU Wins Sixth National Championship (continued from page 1) This national championship is the first for LSU coach Paul But after another run in the second to take a 4-0 lead, LSU Mainieri, but the second for his immediate family. His father, right-hander blew up in a 43-pitch third Demie Mainieri, is a legendary junior college coach who won inning, giving up two runs. a national championship in 1964. The Jackson, N.J., native gave up two more runs in the Texas felt the wrath of the baseball gods, as fifth inning on Texas right fielder Kevin Keyes’ Preston Clark and Travis Tucker were both in tears two-run home run to left-center field in the during the postgame press conference. Even Texas middle of the Texas student section. It was the coach Augie Garrido was nearly crying. first multi-run home run for the Longhorns in “I don’t think we lost this tournament,” the championship series and the second in the Garrido said. “I think they won it.” series for Keyes. The Tigers seemed to have shaken Then LSU blew the barn door open with off Tuesday’s loss early in the game, as a five-run sixth to take a 9-4 lead on two hits junior right fielder Jared Mitchell, the and two hit-by-pitches, as Texas used three tournament MVP, blasted a three-run in the inning. home run around the right-field foul That allowed senior Louis Coleman pole in the first inning. It was set up to close the game and get his 300th career when junior designated hitter Blake in the process. Dean was hit by pitch and junior first “It couldn’t have felt any better,” baseman Sean Ochinko singled in his Coleman said. first at bat in the cleanup spot in the tournament. And then the celebration began throughout Rosenblatt Ochinko finished 4-for-5 with a home run, three RBI and Stadium. two runs scored. Mainieri said he inserted Ochinko into the But Mainieri wanted a little more than just a trophy. cleanup spot to add a powerful right-handed batter between “Hey, Joe, I’m putting you on the spot,” Mainieri said left handers and Jared Mitchell. to LSU Athletic Director Joe Alleva during the press “I told him right before lunch he was going to get the conference. “Are we getting a new Intimidator with a new start,” Mainieri said. “He told me he wasn’t going to let me number on it?” down, and he didn’t.” “Oh yeah,” Alleva replied. Diagnostic Health Bayou Medical Management would like to welcome something different to the table. They set the bar in turn Diagnostic Health as the newest addition to our network around time with your clients’ reports back in their doctor’s of providers. Diagnostic Health hands within 48 hours. The staff will go is located in Baton Rouge behind out of their way to make sure that your Woman’s Hospital on Cumberland client has a thorough understanding of Place. Procedures are administered by the scan that was ordered. They will highly trained and certified imaging also make sure that you are informed of technologists with imagery interpreted any no show/cancellation so that we can by professional radiologists. maintain great patient compliance. The Hitachi Aris II Open MRI Diagnostic Health provides services features an air gantry design, which with the comfort and safety of the reduces claustrophobic feelings. This patient in mind and with the goal of results in lower anxiety levels during providing their referring physicians an imaging session. Diagnostic Health with high-resolution images in as short is proud to boast one of the fastest a timeframe as possible. Diagnostic turnaround times for getting imaging Health practices a “patient first” results to a patient’s referring physician. approach to their imaging. Diagnostic The facility also performs various Health equipment, staff, and technology types of MRI’s as well as CT Scans, are one of the best in the area, providing X-Rays, Myelograms, Arthrograms, competent and professional care both Ultrasounds, and IVP’S. to patients and physicians. The staff Their radiologist group is Diagnostic at Diagnostic Health can be reached Radiology Consultants. Each one of their radiologists brings at 225-927-3324 or 225-927-3330.

ACROSS DOWN 1: Beldames 1: Anticipatory feeling Crossword Puzzle 5: Insulting remark 2: Friend 9: Supports, with ‘up’ 3: Tickled-pink feeling 14: Earthenware jar 4: Bicycle part 15: Brainwave 5: Dainty ornament 16: Eagle’s nest 6: Well-versed 17: Responded ‘Not guilty’ 7: Sow’s opposite 18: Stapleton of ‘All in the Family’ 8: Problem source 19: New South Wales, for one 9: Quarterback, at times 20: Ophthalmologist’s supply 10: Out of work? (abbr.) 23: Quarterback Brady of the Patriots 11: Like a long speech 24: Galoot 12: Mountain climber’s spike 25: Long-legged birds 13: Appears to be 27: Raised 21: Fishing gear 30: Point maker 22: Equilateral quadrilaterals 32: Spoil 26: Crimsons 33: Many a prime-time series 27: Baseball VIPs 36: ‘Goddess’ of the opera, literally 28: Cut back 39: Lions and Tigers and Bears 29: Announce 41: Chocolate substitute 30: Young codfish 42: Sign of healing 31: Ring-tailed critter 43: Final prelim 34: Most chilling? 44: Like ‘The Gift of the Magi’ 35: Mountain lake 46: Tap output 37: Apt rhyme for ‘dale’ 47: Straighten out, as an iron bar 38: All tucked in 49: Tended a squeaky hinge 40: Greed and gluttony 51: Some condiments 45: Murmurs tenderly 53: Black, to a bard 48: Low strings 55: Show of affection 50: If 56: Its depth is illusory 51: Glass fragment 62: Culture media 52: Boring tool 64: Copter’s cousin 53: Spine-tingling 65: Overwhelmed 54: Dimwits 66: Fix loose laces 57: They’re beaten in the kitchen 67: Insincerely fluent 58: Get all stirred up 68: Kane’s dying thought 59: Night birds 69: Bottom-of-the-barrel stuff 60: Tiniest protest For the solution please go to: 70: Goes out with 61: Small whirlpool www.bmmppo.com/solution 71: Get a glimpse of 63: Trucker’s ride Lewy Physical Therapy - More Than Just Healing Bayou Medical Management is happy flexibility, improve balance, and gain to welcome Lewy Physical Therapy as the more stability and postural alignment newest provider to our PPO Network. through aquatic therapy. Established in 2001, Danny and Shannon In addition to aquatic and land-based Lewy opened Lewy Physical Therapy therapies, Danny and Shannon also rely on providing the highest quality physical and manual therapy. This hands-on approach occupational therapy for people in Baton includes massage and mobilization, which Rouge and the surrounding areas. With restores mobility to the joints and reduces so many patients unable to attend therapy muscle tension, allowing the patient to during normal business hours, Danny and move more naturally and with less pain. Shannon began after-hours and Saturday This combination of aquatic, land-based, morning sessions to accommodate their and manual therapies give Lewy Physical patients. This patient-first mentality Therapy a thoroughly comprehensive and has allowed Lewy Physical Therapy to versatile program for back pain. flourish and expand to Denham Springs Lewy also has a certified hand where they can better serve the people of that area. therapist on board, in Kevin Lalonde, OT, CHT. Kevin completed After noticing patients having a difficult time with pain while his training at the world- renowned Philadelphia Hand Center, performing traditional exercises, they designed a state-of-the- and is highly skilled in treating injuries of the hand, finger, wrist, art therapy pool. The buoyancy of the water helps support the elbow and shoulder. patient’s weight, putting less stress on the joints, and making Lewy Physical Therapy is outstanding in the Baton Rouge area exercises easier and less painful. The 94 degree pool temperature for its incorporation of all aspects of treatment, providing patients helps relax the patient’s muscles, and dilates vessels to increase with a challenging, energetic, and comfortable environment blood flow to injured areas. Patients are also able to increase which maximizes therapeutic results.

Inside BMM is a quarterly newsletter published by Bayou Medical Management, PPO LLC. BMM does not prescribe medical advice. Comments are welcome. For additional information,

contact us as follows: Tel: 225-448-2591, Fax: 225-448-2594. Mailing address: BMM, Attn: Kyle Kinberger, Marketing Manager, 9441 Common St., Suite C, Baton Rouge, LA 70809.

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70809 LA Rouge, Baton 9441 Common St. Suite C Suite St. Common 9441