Louisiana
New noninvasive heart surgery saves New Orleans twins. They graduated Kindergarten in May.
Ashley Lane gave birth in July of 2019 to twins 17 weeks before her due date.
Both boys had patent ductus arteriosus, or PDA, a congenital heart defect where a blood vessel that allows blood to bypass the lungs in the womb, fails to close after birth — along with other health concerns like lung damage.
“With being so premature,” Lane said. “There were so many what-ifs and question marks and things in the air of what would be wrong with them.”
The Metairie family waited three weeks for the holes in their children’s hearts to heal on their own.
They did not.
Then, the family met with Dr. Ivory Crittendon, a pediatric cardiologist and the co-chief of pediatric cardiology at Ochsner Medical Complex in New Orleans.
Crittendon wanted to try a new FDA-approved method and device, the Amplatzer Piccolo Occluder, to close the twins’ hearts using a catheter in the leg.
The Lane family said yes.
“That first day with Dr. Crittendon set the tone for our whole story. We definitely had such a sense of peace,” Lane said. “When your kids are born that young, and everything that you planned was totally out of your control, and you had to learn to let go very, very, very quickly and trust strangers with your most prized possession, it’s very vulnerable.”
One week later, the twins were taken into back-to-back procedures as among of the first patients in Louisiana to receive treatment.
The previous treatment for PDAs was to perform open-heart surgery, where the doctor would create an incision along the side of the body and crack the chest of the child.
“I think there’s been enough data through all the years to prove that open-heart surgery probably wasn’t the best form of PDA closures,” Crittendon said. “Because a lot of kids struggled for a number of reasons afterwards.”
PDAs are more common in premature babies than mature babies, according to Crittendon. The more mature a child is born, the more likely the hole in the blood vessel is to close on its own.
In this new procedure, Crittendon and his team at Ochsner insert a catheter into the leg of an infant as small as 700 grams (the twins were 770g and 817g at the time of the surgery). Then, through the catheter tube, the surgeon places a device that will facilitate tissue to grow around the hole in the heart.
“It starts the natural process of the PDA closing,” Crittendon said. “It basically augments that process and tissues, sort of envelops around the device and closes the PDA on both sides.”
According to the Crittendon, the most impactful part of the noninvasive procedure is that the recovery time is exponentially higher for the very small, vulnerable patients.
“We take out that hollow tube and take out that small IV and just leave a Band-Aid on the leg,” Crittendon said. “And there’s really no real recovery from the procedure, which is the best part.”
The Lane twins’ hearts have since grown over the devices, and, after five years of checkups, they have gotten their approval from Crittendon to wait another three years for their next visit with the doctors. They both graduated kindergarten in May.
According to Lane, the twins are doing every sport they can get their hands on — soccer just ended, and they are looking to pick up baseball this summer.
“We know that there are so many babies out there that are not as fortunate, and families that are not as fortunate to have this procedure,” Lane said. “This is their second time around playing all these sports. They are really getting the hang of it and enjoying their sporting activities and being competitive against each other as twins.”
Treating patients in the future
The team of physicians, nurses and anesthesiologists that performs the new Piccolo procedure is based at Ochsner Children’s Hospital in New Orleans.
While the team has made moves to travel between hospitals within New Orleans to perform the live-saving procedure, they have also transported patients from around the state and Mississippi for treatment.
“That’s something that we’ve been proud of that we’ve been able to do,” Crittendon said. “However, we’ve sort of led the nation on trying to bring the therapy to the babies, rather than transporting them.”
Going forward, the team hopes to expand their ability to perform the procedure to patients outside of New Orleans, to hospitals within the health system across the state.
Louisiana
Louisiana’s disappearing coast could shape Baton Rouge’s future
BATON ROUGE, La. (WAFB) – South Louisiana’s coast has long served as a natural buffer between communities and rising water.
But since the 1930s, Louisiana has lost nearly 2,000 square miles of coastal land.
Dr. Torbjorn Tornqvist, a professor at Tulane University, said Louisiana is one of the most vulnerable coastal areas in the world because of climate change, sea level rise and subsidence.
“Louisiana is arguably one of the most vulnerable… perhaps the most vulnerable coastal zones in the world when it comes to climate change and sea level rise… and there are several reasons for that but one important reason is that we have high subsidence rates, and that means sea level rise here is a lot faster than the average around the world,” Tornqvist said.
Tornqvist is the lead author of a recently published study examining the long-term impacts of sea level rise across south Louisiana.
He said the issue is no longer limited to communities closest to the Gulf Coast.
“People are leaving the coast of Louisiana, but it’s going to accelerate over the course of the century. And those people are going to have to go somewhere, and it’s likely that a significant number are going to look at a place like Baton Rouge to move to,” Tornqvist said.
Since Hurricane Katrina, Louisiana has invested billions of dollars in large-scale restoration projects designed to reduce flood risk and strengthen the coast.
Some researchers believe those projects are important but not permanent fixes.
“We have…right now we have a pretty high-quality flood protection system that’s obviously way better than it was during Katrina and we should certainly keep investing in upkeep, but we also have to recognize that’s only going to take us so far,” Tornqvist said.
State officials say those investments remain critical as Louisiana adapts to future flood risks.
Micheal Hare, executive director of the Coastal Protection and Restoration Authority, said the state’s coastal plan is designed to balance restoration work with protection projects, including levees.
“Our 2023 master plan certainly incorporates the best science available to us to then come up with a balanced approach between how do we effectively spend money on restoration as well as money on protection projects like levees,” Hare said.
Hare said those projects will continue to evolve as future risks change. CPRA and the Army Corps of Engineers are re-evaluating portions of the West Bank and Vicinity levee system in New Orleans to meet projected future flood risks within the next half-decade.
“Morganza to the Gulf is a great example, location communities came together, they started funding it…so that protection is critical…It will constantly be maintained and constantly elevated to meet the new levels of threats and risks that are out there,” Hare said.
Coastal officials and researchers agree that what happens along Louisiana’s coast will continue to affect communities far beyond the shoreline for generations.
“And so maybe you don’t live behind the levee, but I promise you want those coastal communities to stay there and to keep working, and to stay productive and engaged…so that we don’t have to have these flood fights further north or lose parts of our economy,” Hare said.
Tornqvist said the decisions made now could shape the future of Louisiana communities.
“What’s really important to recognize is that the next few decades are basically going to decide the long-term future of cities like Baton Rouge,” Tornqvist said.
Louisiana has always lived with water. As the coast changes and sea levels rise, the challenge is how communities across south Louisiana continue adapting for generations to come.
From the Gulf Coast to Baton Rouge, the future of Louisiana’s coastline is a conversation that impacts the entire state.
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Louisiana
Louisiana is the eighth most affordable state to retire, study says
Louisiana ranks among the top 10 most affordable states to retire, according to a new study from Retirement Living, a national journal of retirement research.
Researchers analyzed each state’s housing costs, living expenses and tax friendliness to compile the ranking. Louisiana, they say, is the eighth most affordable state for retirees.
In Louisiana, the median monthly rent for a one-bedroom apartment is $932, the median home sale price is $255,000, monthly grocery spend per capita is $272, the average price per gallon of regular gas is $4, the average Medicare Advantage monthly premium is $13.35 and the average effective property tax rate is 0.55%.
West Virginia is the most affordable state to retire, followed by Mississippi, Alabama, Oklahoma, Arkansas, Kentucky, Missouri, Louisiana, Indiana and Kansas. Researchers describe the South as “the sweet spot for an affordable retirement.”
The most expensive state to retire, meanwhile, is California, followed by Hawaii, Washington, Oregon, Colorado, New Jersey, Massachusetts, Utah, New York and Minnesota.
Read Retirement Living’s full report here.
Louisiana
Louisiana agencies urge hurricane preparation ahead of season start
BATON ROUGE, La. (WAFB) – With hurricane season approaching, the Louisiana Coastal Protection and Restoration Authority is bringing the community together to prepare before a storm forms.
“We can’t stop disasters from happening. We can’t stop hurricanes from happening. But what we can do is equip our communities with the resources that they need to prepare for these storms ahead of time,” said Jayda Morris, CPRA outreach manager.
The agency hosted an event featuring interactive storm simulations and a full model of the Mississippi River.
“If you do it now, like on a sunny day like today, you’re ready to go for the rest of the season,” Jay Grymes said.
El Niño may reduce storms, but Louisiana still at risk
State Climatologist Jay Grymes said an El Niño pattern may reduce the number of storms in the Atlantic but warned against a false sense of security.
“In those 25 years, Louisiana, some part of the state has been impacted by 29 storms. That’s one a year, regardless of El Niño. So that should tell you something,” Grymes said.
He said the bigger concern is storms that can form in the Gulf with little warning.
“If we’re going to get a storm, it very possibly could be one that bubbles up in the Gulf and doesn’t give us five or seven days to track it coming our way. It gives us 40 hours to get ready for a landfall. So it’s imperative that you go ahead and do it now,” Grymes said.
Preparation goes beyond stocking water
Preparing now includes walking through yards, checking trees, and knowing whether everyone in the family can survive two weeks without power.
PhD students with the LSU College of the Coast and Environment gave the community a virtual reality experience that puts users inside a storm.
“If they wear the goggles or play with the Apple Vision Pro, they can understand how high will the flood be, and they can know how dangerous is the hurricane scenario,” said Yixuan Wang.
The VR simulation uses real historical data to show users what compound flooding looks like in New Orleans and surrounding areas. The goal is to make the science real for people who can’t picture what a flood map means.
“It’s just to let you understand the environment. We will add the audios, the different sound of the wind and the storm. And you can see how tense of the rainfall around you,” Wang said.
Organizers said the event is about making sure that when a storm threatens the area, families already know their plan.
Information from the event is available on CPRA’s website. Hurricane season runs through Nov. 30.
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