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31 Days of Pink

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WinWalkShare your stories on our 31 Days of Pink blog.Shopfor Breast Cancer Awareness Month
Touro31 Days of Pink.com

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Thanks to our pink partners:
Fleurty Girlsucre
Ralph Brennan Restaurant Group
Swap Varsity Sports
blo dry barbasics underneath
Buff Beauty BarYour Nutrition Delivered
Click here to make a donation to the 31 Days of Pink Campaign to support the Touro Supportive Cancer Center.
Welcome to 31daysofpink.com, Touro Infirmary’s movement to raise breast health awareness every day of October, during National Breast Cancer Awareness Month. 

October 31
The Fight Against Breast Cancer
Continues Every Day

As Touro’s 2013 31 Days of Pink Campaign comes to an end, we are reminded that the fight against breast cancer continues every day of the year… for those who are newly diagnosed with breast cancer, those who have survived it, those who work to diagnose and treat it daily, for family and friends, for researchers and so many more.

Thank you for joining Touro this month to help raise breast health and educate the Greater New Orleans community on the importance of early detection in beating breast cancer. We enjoyed interacting with you face-to-face at various community events and at the Komen Race, as well as online via our blog and social media pages.

Thank you to everyone who joined this important conversation and supported the fight against breast cancer.

October 30
What to Expect After a Breast Cancer Diagnosis

Every three minutes in this country a woman hears the words, “You have breast cancer.” After that, it’s hard to think about next steps. But a diagnosis is just the beginning of a path through treatment and toward recovery.

Each woman’s journey will be different. You and your oncologist will consider your age, health, and family history. Tests such as X-rays and CT or PET scans will help determine the stage of your cancer (0 – IV) and what treatment options are best for you.

After your oncologist suggests a course of treatment, you may want to do research or get a second opinion for more information. Learning about your options can help you make informed decisions about what treatments are best for you.

Click here to read more about cancer treatment options.

October 29
Race, Ethnicity and Breast Cancer

All women should be aware of their risk for developing breast cancer. It can affect women of every age, race, and ethnic group. However, the rates of developing and dying from breast cancer vary among various racial and ethnic groups.

For instance, white, non-Hispanic women have the highest overall incidence rate for breast cancer among U.S. racial/ethnic groups, while Korean-American women have the lowest rate.

Click here to learn more about your risk factors and how race and ethnicity play a role.

October 28
Supportive Care You Can Count On

Supportive care is an important part of the cancer program at Touro Infirmary. Our comprehensive program provides mental, emotional and spiritual support from cancer diagnosis, during treatment and beyond. We take an approach that focuses on the whole person, not just the disease.

Available services include: new patient orientation, information and resources, patient navigations, mental and emotional health, support groups, family support, nutrition, relaxation and healing, pastoral care and care after treatment.

You don’t have to experience cancer alone. Call the Touro Supportive Cancer Care Center at (504) 897-8678 to get the help you need, or click here to learn more online.

October 27
Breastfeeding Benefits

We know that breastfeeding provides many health benefits for both mom and baby. Studies now suggest that there is a link between breastfeeding and reduced risk for developing breast cancer.

Women who breastfeed for at least six months are less likely to be diagnosed with certain types of breast cancer. In recent studies, researchers found that breast feeding for at least six months is most protective against “triple negative” breast cancer. Also, estrogen-sensitive breast cancer was 20 percent less likely in women who breastfed. Two other patterns emerged from this study: starting menstruation at or before 13 and starting menopause after age 55. 

Click here to learn more.

October 26
Race for the Cure!

Touro is proud to join the fight against breast cancer today at the Susan G. Komen Race for the Cure in New Orleans City Park. Over 60 members of Team Touro will walk and run for the cause today that affects one in eight women during her lifetime.

Please Join Us! It’s not too late to register in person. The 5k walk/run begins at 9:30 a.m. and the cost is $25 for adults to register. Registration is located inside City Park behind the museum along Roosevelt Mall. Registration and packet pick-up begin at 7 a.m.

We hope to see everyone out at the race! Be sure to stop by the Touro tent to pick-up a pink backpack giveaway and learn more about 31 Days of Pink.

October 25
Coping with a Cancer Diagnosis

Finding out you have cancer can put you and your family on an emotional rollercoaster. A cancer diagnosis can come with many emotions.

The best way to handle those emotions is to talk with your loved ones and your doctors about the specifics. Support groups are also a great help when dealing with a diagnosis.

Click here to read tips for handling the challenges that go along with a cancer diagnosis and how Touro can help you cope.

October 24
Therapeutic Wellness

Stress Management is an important component of cancer care. The Touro Therapeutic Wellness Program incorporates gentle yoga and relaxation techniques to help you develop strength, stamina and a sense of well-being, both during and after cancer treatment.

Practicing restorative techniques – in an individual program designed by an occupational therapist – can help you:

  • manage treatment side effect
  • reduce stress and anxiety
  • strengthen your immune system
  • promote general wellness

Therapeutic wellness is designed to compliment a patient’s medical care and requires a physician’s referral for participation. The program is offered in individual sessions for a fee, which is usually covered by a person’s health insurance.

To learn more, please contact Tamarin Hennebury, LOTR, Certified Yoga Instructor, through the Touro Occupational Therapy Department at (504) 897-8642.

October 23
Gynecologic Cancer Awareness

In addition to breast health education, Touro is joining the fight against gynecologic cancer by educating women about the gynecologic cancers (cervical, ovarian, uterine, vaginal, and vulvar) that affect approximately 71,500 women in the United States annually.

While all women are at risk for developing gynecologic cancers, risk generally increases with age. It is important for all women to know their individual risk factors and the signs and symptoms associated with gynecologic cancers. The best defense is always early detection, and it's important to know what is normal for you and visit your gynecologist for regular clinical exams and screening tests.

Click here for our article ‘Are You at Risk for Ovarian Cancer?’ by Touro Gynecologic Oncologist Joan Cheng, M.D.

October 22
Alcohol and Breast Cancer Risk

Many studies show drinking alcohol increases the risk of breast cancer. A pooled analysis of data from 53 studies found for each alcoholic drink consumed per day, the relative risk of breast cancer increased by about seven percent. Women who had two to three alcoholic drinks per day had a 20 percent higher risk of breast cancer.

Click here to read more about alcohol and breast cancer risk from Susan G. Komen.

October 21
What is 31 Days of Pink?

Touro Psychosocial Oncologist, Dr. Robert Garner, Ph.D., LPC discusses 31 Days of Pink in an interview with New Orleans Living’s Maria Muro on WLAE TV.

Click here to view the interview and learn more about the 31 Days of Pink campaign and Touro’s Supportive Cancer Care Center.

October 20
A Pallet Pleasing & Cancer Fighting Meal

Seared Salmon with Sun-Dried Tomato Pesto
Earlier this month, Touro partnered with Ralph Brennan Restaurant Group to offer a cooking demonstration event on cancer fighting foods. Chef Chris Montero, of Café B and Café NOMA, demonstrated a delicious seared salmon entrée served over a succulent butternut squash puree and topped with a sun dried tomato pesto with toasted garlic.

Each component of the dish included important cancer-fighting ingredients: like salmon, fresh butternut squash, olive oil, garlic, and baby arugula.

Click here to download the recipe and try it at home today!

October 19
Cancer Fighting Tips from Pink Partner, Your Nutrition Delivered

Visit our 31 Days of Pink Blog for An informative post from Your Nutrition Delivered Founder, Erik Frank. 

A cancer-fighting tips for women:

  • Drink green tea, and lots of it! Green tea is packed with antioxidant polyphenols, which can potentially cut the risk of cancer.
  • Keep up with your dairy intake, but make sure the items you choose are low in fat. Dairy products supply a serving of conjugated linoleic acid (CLA), which can help hinder the spread of cancer cells
  • Load up on broccoli, cabbage and cauliflower, as these vegetables are the “strongest” when it comes to cancer defense.
  • As always, avoid refined carbohydrates. Choose wholegrain cereals instead that offer cancer-fighting nutrients selenium and vitamin E.

October 18
Writing to Heal: Writing Program for Cancer Patients and Survivors

Did you know that writing can help you heal? Studies have shown expressive writing has the power to help transform physical, mental and spiritual health. In fact, expressive writing has been shown to:

  • Decrease heart rate
  • Lower blood pressure
  • Improve self-esteem
  • Promote relaxation
  • Strengthen the immune system to fight infection
During Touro’s 4-week workshop, you will receive coaching through a simple progression of exercises that have been shown to promote mental and emotional healing from cancer.

You do not need to have any prior writing experience nor any desire to become a writer. In fact, the Writing to Heal program uses practices that simply cultivate your natural ability to express the ideas that define who you are as a person and how you view your life.

For more information or to register for the Writing to Heal workshop, contact Robert Gardner, Ph.D. at (504) 897-8209 or by email at robert.gardner@touro.com.

October 17
Breast Self-Exam

Beginning in their 20s, women should be told about the benefits and limitations of breast self-exam (BSE). Women should be aware of how their breasts normally look and feel and report any new breast changes to a health professional as soon as they are found. Finding a breast change does not necessarily mean there is a cancer.

A woman can notice changes by knowing how her breasts normally look and feel and feeling her breasts for changes (breast awareness), or by choosing to use a step-by-step approach (with a Breast Self Exam) and using a specific schedule to examine her breasts.

Click here for information on how to do a breast self exam from the American Cancer Society. 

Breast self exams should be done in conjunction with annual clinician breast exams (starting at age 20) and mammograms (for women over age 40, or younger if recommended by your physician).

October 16
Coping with a Cancer Diagnosis

Learning that you have cancer is a difficult experience that you are likely unprepared for. After receiving the news of your cancer diagnosis, you may feel anxious, afraid, or overwhelmed and wonder how you can deal with everything to come.

Here are some suggestions on how to cope with a cancer diagnosis:

  • Bring a family member or friend with you to your first appointment to help you take notes and ask questions.
  • Try to obtain as much basic, useful information as possible about your cancer diagnosis. Write down your questions and concerns beforehand and bring them with you.
  • Keep the lines of communication open. Maintain honest, two-way communication with your loved ones, doctors, and others after your cancer diagnosis.
  • Anticipate possible physical changes before you begin treatment. Preparing now will help you better cope later. Discuss expected changes with your doctor. Organizations like the American Cancer Society can provide wigs or prosthesis at no cost.
  • Participate in cancer support groups. You may find this experience to be particularly helpful as group members can provide you with information, support and helpful tips.
  • Maintain a healthy lifestyle. Examine the ways you are living and consider changes in the ways you eat, sleep and exercise so that you can maintain a healthy lifestyle.
  • Let friends, family and others help. Don’t resist the offer to help when you feel you could use it.
  • Learn how to relax, take steps to minimize stress and take care of your spiritual health. These are all important in maintaining a healthy outlook on your life.
  • Make an effort to maintain your “normal” lifestyle. Be yourself and continue to do things you enjoy doing.
  • Adopt a fighting spirit. Research has documented that people who cope best and have the most favorable results tend to adopt a “fighting spirit” throughout their treatment.

October 15
Lymphedema: What You Need to Know

Studies have shown that 50 percent of breast cancer patients have the risk of developing lymphedema following cancer treatment. Lymphedema refers to the build-up of liquid and swelling in the arms after surgery for breast cancer treatment.

“Not everyone develops Lymphedema after breast cancer surgery, but you need to be aware of the possibility that it could happen,” says Pegi Gaudet, licensed Physical Therapist at Touro Infirmary. “While doctors cannot determine who will develop lymphedema, there are several risk factors including patients who are overweight, don’t get enough exercise or are still in treatment.”

Be aware of your risk of lymphedema and notify your doctor if you experience the following symptoms:
  • swelling in the arm
  • heaviness when lifting the arm
  • limited mobility
  • difficulty doing daily activities

Unfortunately, lymphedema can not be cured, but the good news is that it can be managed through physical and occupational therapy, exercise, proper skincare and manual lymphatic drainage. Early detection and treatment of lymphedema can limit a patient’s risk and complications such as infections, inability to use arm and further surgery.

To learn more about treatment for Lymphedema, please contact the Touro Rehabilitation Center at (504) 897-8157.

October 14
Men Can Get Breast Cancer Too

While breast cancer in men is rare, it does happen. In the U.S., about one percent of all breast cancer cases occur in men. In 2013, it is estimated that among men in the U.S., there will be:

  • 2,240 new cases of invasive breast cancer
  • 410 breast cancer deaths

Rates of breast cancer incidence and mortality (death) are much lower among men than among women.

Click here to read more about breast cancer in men from Susan G. Komen, including symptoms, risk factors and treatment information.

October 13
Quality You Can Count On

Breast Imaging Center of Excellence by the American College of RadiologyTouro’s Women’s Imaging Center is designated a Breast Imaging Center of Excellence by the American College of Radiology. As one of a select few facilities with this designation, you can trust Touro to bring you advanced technology, friendly staff and clinical expertise. Please call 504-897-8600 to schedule an appointment or visit www.touro.com/imaging to learn more.

Touro’s cancer program has been recognized by the Commission on Cancer of the American College of Surgeons as offering the very best in cancer care, receiving a three year Accreditation and the 2011 Outstanding Achievement. This elite designation reflects the quality of our comprehensive, multidisciplinary patient care. We’re proud to bring you the very best in today’s cancer care from diagnosis and treatment, to support and survivorship.

Click here to learn more about the COC accreditation.

October 12
Breast Imaging & Screening:
What You Need to Know

Screening mammography has been shown to contribute to a 30 percent reduction in breast cancer mortality. But screening mammography is not the only tool radiologists use to assess patients for breast cancer. Your doctor might recommend a variety of tests to evaluate for breast disease:

  • Screening Mammography: Screening mammography is a special type of low dose X-ray of the breasts that has been used for decades to detect early breast cancer. The American Cancer Society (ACS), American College of Radiology (ACR) and American College of Obstetrician Gynecologists (ACOG) all recommend annual screening mammography for women 40 and older. X-rays of each breast are taken, and patients receive their test results in about a month. If an area of either breast needs further study, the patient will be contacted to return for additional tests.
  • Diagnostic Mammography: Diagnostic mammography is used to evaluate abnormal areas seen on screening mammograms as well as lumps or other concerning findings found by breast exam. Diagnostic mammography uses the same techniques as screening mammography, but also gives tailored views to better see small abnormalities like calcifications. 
  • Breast Ultrasound: Ultrasound, or sonography, uses sound waves and the speed at which they travel to create images of the body without radiation. Breast ultrasound is an extremely useful tool to evaluate abnormal areas found on breast examination, such as lumps, as well as to further investigate abnormalities found by mammography. Ultrasound, which is very useful in determining if a lump is fluid-filled or solid, is not limited by the density of a woman’s breasts.
  • Breast MRI: MRI is a noninvasive medical test that uses a strong magnetic field to help produce detailed images of the soft tissues, internal organs or any other area of the body under study. It is a useful addition to mammography but is not a replacement. Breast MRI can be used for screening asymptomatic patients at high risk for the development of breast cancer. It can also be used to problem solve abnormal areas found on mammograms or ultrasound. MRI is also frequently used after a diagnosis of breast cancer has been made to plan surgery or assess the effect of initial chemotherapy. MRI has been proven valuable in diagnosing a broad range of conditions, and unlike mammography, MRI is not limited by the density of a woman’s breasts.

October 11
Breast Screening Guidelines

The American Cancer Society recommends the following screening guidelines for most women:

  • Yearly mammograms are recommended starting at age 40 and continuing for as long as a woman is in good health
  • Clinical breast exam (CBE) about every 3 years for women in their 20s and 30s and every year for women 40 and over
  • Women should know how their breasts normally look and feel and report any breast change promptly to their health care provider. Breast self-exam (BSE) is an option for women starting in their 20s.

Some women – because of their family history, a genetic tendency, or certain other factors – should be screened with MRI in addition to mammograms. (The number of women who fall into this category is small: less than 2% of all the women in the US.) Talk with your doctor about your history and whether you should have additional tests at an earlier age.

Click here for more information on breast screening and early detection.

October 10
A Journey Together

Supportive care is an important part of the cancer program at Touro. Our comprehensive program provides mental, emotional, spiritual, and social support from cancer diagnosis through treatment and beyond. At Touro, we take an approach that focuses on the whole person, not just the disease.

Selecting the services you need helps you to strengthen your mind and body and empowers you to fight cancer and recover from treatment. The programs and services provided by the Supportive Cancer Care Center are available to our patients and their family members at no cost. The Center provides free resources and services for cancer patients and their loved ones for non-medical needs through patient navigation, mental health counseling, support groups, nutrition assessment, relaxation training and more.

You don’t have to experience cancer alone — call the Supportive Cancer Care Center at (504) 897-8678 to get the help you need. Click here to learn more.

October 9
Understanding Breast Cancer Risk Factors

A risk factor is anything that affects your chance of getting a disease, such as cancer. Different cancers have different risk factors. For example, exposing skin to strong sunlight is a risk factor for skin cancer. Smoking is a risk factor for cancers of the lung, mouth, larynx (voice box), bladder, kidney, and several other organs.

But risk factors don't tell us everything. Having a risk factor, or even several, does not mean that you will get the disease. Most women who have one or more breast cancer risk factors never develop the disease, while many women with breast cancer have no apparent risk factors (other than being a woman and growing older). Even when a woman with risk factors develops breast cancer, it is hard to know just how much these factors might have contributed.

Some risk factors, like a person's age or race, can't be changed. Others are linked to cancer-causing factors in the environment. Still others are related to personal behaviors, such as smoking, drinking, and diet. Some factors influence risk more than others, and your risk for breast cancer can change over time, due to factors such as aging or lifestyle.

Click here to learn more about breast cancer risk factors from the American Cancer Society including age, family history, genetics, and more.

October 8
Understanding Breast Cancer Genes: BRCA1 and BRCA2

Women with a mother, sister or daughter diagnosed with breast cancer have nearly twice the risk of developing the disease. When breast cancer strikes in families, particularly at a younger age, doctors often suspect genes are to blame. You may have read about actress Angelina Jolie's decision earlier this year to undergo an elective double mastectomy after she learned she carried the BRCA1 mutation.

Click here to learn more about the role genes play, and options for genetic counseling in an article by Touro Director of Radiation Oncology, Ellen Zarkis, M.D.

October 7
Why Do You Pink?

There are approximately 2.8 million breast cancer survivors in the United States. That’s a lot of women (and men) of strength. In New Orleans and in our families, there is a large and special group of breast cancer survivors that live among us – our mothers, sisters, aunts, cousins, best friends, cousins, coworkers. With that many survivors, we all have our own breast cancer stories to tell. We all have a reason to pink.

Dr. Elysia Outlaw, Touro Radiation OncologistTouro has created a blog, in connection with 31 Days of Pink, to be a place to share our stories of survival, courage and healing. By telling our stories, we can help others living with cancer or caring for someone with cancer. All month long, we as a community will come together and share our stories and tell the world “why we pink.”

Click here to read why Touro Radiation Oncologist, Elysia Outlaw, M.D. pinks.

If you would like to let us know “why you pink,” please email us your story at marketing@touro.com. We thank you for your commitment to beating breast cancer, not only in October, but all year long.

October 6
STAR Cancer Rehabilitation at Touro

Touro STAR Program

Touro is proud to be the first hospital in Louisiana to offer the nationally recognized STAR Program® (Survivorship, Training and Rehabilitation) to patients diagnosed with cancer.

The side effects, or after effects, of cancer treatment can be hard on the mind and body and often outlast the impact of the cancer itself. Many survivors accept symptoms like fatigue, difficulty with memory or concentration, muscle pain, limb swelling, weakness, balance problems, swallowing or speech issues — and learn to live with them, but cancer rehabilitation can help.

Specialty caregivers from a variety of disciplines--including physicians, physical and occupational therapists, speech pathologists, dieticians, oncologists and others-- work together with each patient on a personalized rehabilitation plan to increase strength and energy, alleviate pain, and improve daily function and quality of life. 

To learn more about Touro’s STAR program visit www.touro.com/star.

October 5
Race for the Cure: Saturday, October 26

Komen Race for the Cure

Click here to register as part of Team Touro online now through October 16th. Or stop by the Touro Marketing Office (3439 Prytania Street, Suite 200) to fill out a paper registration form now through October 16th. The Marketing Office is open 8:30 a.m. – 5 p.m. Monday – Friday.

WHEN: Saturday, October 26, 2013
8:30 a.m. – Kids Dash - 100 yards
8:45 a.m. - 1 mile Fun Run/Walk
9:30 a.m. - 5K (3.1 miles)

WHERE: New Orleans City Park, 1 Palm Drive

COST: $25 – Adults
$15 – Teens (13-17 years)
$12 – Kids 12 and under

Team Touro packets including your race numbers and Komen t-shirts will be available for pick-up in the Touro Marketing Office the week before the race: Monday, October 21 - Friday, October 25, 8:30 a.m. - 5 p.m. The Marketing Office is located in the Medical Arts Building at 3439 Prytania Street, Suite 200, New Orleans, LA 70115.

Questions? Please contact Kristen Robinson at x8263 or kristen.robinson@touro.com.

October 4
15 Cancer Symptoms Women Ignore

Although studies show that women are more cautious about getting routine and recommended check ups, this is not always the case. Younger women tend to ignore cancer symptoms because of the notion that cancer is just an older person’s disease. However, cancer does not discriminate. Experts compiled a list of 15 symptoms that women might often ignore but should be checked out.

  1. Unexplained loss of more than 10 pounds in a month without a change in diet or exercise
  2. Bloating occurring every day for more that a few weeks
  3. Lumps in breast, changing of the skin, nipple changes or discharge
  4. Abnormal bleeding or bleeding between periods can be an early sign, if it’s not normal for you check it out!
  5. Changes in skin including abnormal moles, bleeding on your skin or excessive skin scaling lasting no longer than seven weeks
  6. Turning to soups or liquid foods due to difficulty swallowing
  7. Blood in the wrong places such as the toilet bowl or in your stool
  8. Gnawing abdominal pain and depression
  9. Indigestion for no apparent reason
  10. White patches inside the mouth or on the tongue
  11. Persistent and unexplained pain
  12. Progressively larger lymph nodes for longer than a month
  13. Fever unexplained by influenza or infection
  14. Fatigue, which only occurs early in certain cancers
  15. Unexplained persistent cough that lasts longer than three to four weeks

Source: http://www.webmd.com/cancer/features/15-cancer-symptoms-women-ignore

October 3
Cancer Fighting Foods

It’s true that we cannot choose our genes. However, we can choose to be proactive with how we treat and nurture our bodies. During October, breast cancer awareness month, our goal is to build awareness and focus on those “external factors,” which are within one’s control.

The link between a healthy lifestyle and cancer risk reduction has been well documented. We now know that smoking cessation, maintaining a healthy weight, exercising regularly, and consuming a healthy diet can greatly reduce one’s risk of developing or dying from cancer. Eating a diet that is filled with powerful cancer-fighting super foods can help prevent damage caused by free radicals.

>> Click here to learn 10 recommendations for cancer prevention from the American Institute for Cancer Research.

>> Click here for a list of phytochemicals with an in-depth look into various cancer-fighting foods and their possible benefits. Try to incorporate some of these cancer fighting foods into your everyday cooking.

>> Click here for more about cancer fighting foods in this Fox 8 news interview with Touro Family Medicine Physician, Meredith Maxwell, M.D.

October 2
Preparing for Your Mammogram

We know that mammography is an important tool for detecting breast cancer early on, when its most effectively treated. The American Cancer Society recommends yearly screening for all women ages 40 and older. Women should talk with their doctors about their potential risk factors before deciding when to start getting mammograms and how often they should get them.

>> Click here to download our handy “Know Before You Go” infographic to learn what to expect from your first mammogram.

Need to schedule your mammogram?
Contact the Touro Women's Imaging Center at (504) 897-8600 or touro.com/imaging.

October 1

Breast cancer is the most common cancer among American women, except for skin cancers. About 1 in 8 women in the US is diagnosed with breast cancer during their lifetime. The American Cancer Society estimates that in 2013, about 232,340 new cases of invasive breast cancer will be diagnosed in women and about 29,620 women will die from the disease.

The good news is that today there are more than 2.8 million breast cancer survivors living in the US. Death rates from breast cancer have been declining since about 1989, with larger decreases in women younger than 50. These decreases are believed to be the result of earlier detection through screening and increased awareness, as well as improved treatment. We encourage all women to learn their risk factors, and speak with their physician about when they should begin screening for breast cancer.

Early detection is the key to beating this disease.

We hope you’ll explore our website, and revisit daily for new breast health education, inspiring blog posts, and much more! Be sure to:

© 2013 Touro. All rights reserved.
Touro Infirmary, 1401 Foucher Street, New Orleans, Louisiana 70115
Phone: 504-897-7011

© 2014 Touro. All rights reserved.
Touro Infirmary, 1401 Foucher Street, New Orleans, Louisiana 70115
Phone: 504-897-7011 Pencil
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