A Surgeon’s Journey: From Louisiana Roots to Robotic Surgery Mastery

In the ever-evolving landscape of medical technology, few advancements have been as transformative as robotic surgery. At the forefront of this revolution is Dr. Daryl Marx, a New Orleans-born surgeon whose career has been deeply influenced by both his family’s medical legacy and a passion for innovation, as per this in-depth interview with The Advocate. With nearly 5,000 robotic procedures under his belt, Dr. Marx has become a leading figure in the South, known for his expertise in minimally invasive surgeries using the Da Vinci Robotic Surgical System. His journey from a hospital orderly in Monroe, Louisiana, to the head of the Robotics Surgery Institute at Our Lady of the Lake in Baton Rouge, is a testament to his dedication to improving patient care through cutting-edge technology.

Dr. Marx’s path to becoming a robotics surgeon was deeply rooted in his family history. Hailing from a lineage of medical professionals, his father, uncle, and grandfather all practiced medicine within Louisiana. This familial influence, combined with the Boy Scout motto, “Leave it better than you found it,” shaped his approach to patient care, driving him to ensure that every individual he treated left his care better than when they arrived.

During his formative years, Marx worked at a hospital in Monroe, where he began as an orderly. His responsibilities included cleaning floors, assisting nurses, and managing schedules. This early exposure to the healthcare environment solidified his desire to pursue a career in medicine. He went on to earn his medical degree, followed by a surgical internship and residency at the LSU Health New Orleans School of Medicine. Over time, his career evolved, leading him to embrace minimally invasive surgery using the most advanced technology available.

As one of the South’s leading robotics surgeons, Dr. Marx performed nearly 5,000 robotic procedures using the Da Vinci Robotic Surgical System. This achievement was a significant milestone in his career, underscoring his expertise and commitment to advancing surgical techniques. In March 2022, he joined Our Lady of the Lake in Baton Rouge as the head of the new Robotics Surgery Institute. The institute offered a range of minimally invasive surgeries, including general surgeries, urology, and ear, nose, and throat procedures.

By the early 2000s, however, Dr. Marx encountered significant challenges with the available instruments. Performing laparoscopic surgeries was labor-intensive and required the assistance of another person to operate the camera, creating communication difficulties during complex procedures. This frustration led to his first encounter with the Da Vinci Robotic System in 2011. He likened this experience to giving a NASCAR to a race car driver, describing it as love at first sight. The technology seemed tailor-made for his skills and mindset, revolutionizing how he approached surgery.

The newer versions of the robotic surgery system, the Da Vinci system, also came equipped with simulators, allowing both new and experienced doctors to train on the machine. Dr. Marx emphasized how this technology had transformed surgical training, enabling junior doctors to become proficient in robotics before ever operating on a live patient.

Looking ahead, Dr. Marx discussed the future of robotic surgery, noting that the computing power of the latest machines was 100,000 times greater than earlier models. This increase in power laid the groundwork for integrating artificial intelligence into surgical procedures, although this technology had yet to be fully realized. Additionally, the introduction of haptic feedback allowed surgeons to feel the tension in tissues through the robotic instruments, a significant improvement over earlier models where surgeons had to rely solely on visual cues.

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Celebrating Excellence at Nicholls Fall Convocation

Nicholls State University kicked off the fall 2024 semester by recognizing the outstanding contributions of its faculty and staff during the University Convocation held on Wednesday, August 14, according to this news release from Nicholls State University. . The event, which marks the beginning of the academic year, provided an opportunity to celebrate the achievements of the past year and look forward to the future.

The convocation began with opening remarks by Vice Provost Dr. Todd Keller and President Jay Clune, PhD. Both leaders extended a warm welcome to the faculty as they returned to campus for the new semester. Dr. Clune’s State of the University address served as a central highlight of the event, where he took the opportunity to reflect on the accomplishments of the faculty and staff over the past year. He also discussed the current and upcoming upgrades to the campus, which aim to enhance the learning environment for students and faculty alike.

During his address, Dr. Clune acknowledged the challenges the university faced, particularly in terms of budgetary constraints, but he emphasized that despite these difficulties, the university managed to achieve remarkable success. He attributed these achievements to the dedication and talent of the university’s faculty and staff, noting their commitment to the students and the region they serve. This acknowledgment served as a reminder of the crucial role that educators and administrators play in the success of the institution.

One of the key moments of the convocation was the presentation of the Alcee Fortier Distinguished Service Professor Award to Jean Donegan, Dean of the College of Liberal Arts. This prestigious award is presented to faculty members who have demonstrated excellence in instruction, a strong commitment to academics, and significant professional accomplishments. The award is a testament to Donegan’s dedication to her students and her field. Recipients of this award receive an annual professional stipend of $2,500, as well as additional funds for travel and research assistance, enabling them to continue their work and contribute further to their academic disciplines. Additional awards were presented to faculty members who have demonstrated excellence in their respective fields.

The university also recognized several faculty members with the Academic Affairs Awards for Teaching Excellence, made possible through the continued generosity of Regions Bank. Recipients of these awards are chosen based on their consistent performance over five years, including outstanding student and administrative evaluations. The 2024 awardees included Dr. Alexis Fabrizio-Sumpter from the College of Liberal Arts, Kaitlin Gravois from the Al Danos College of Business Administration, Dr. Himanshu Raje from the College of Sciences and Technology, Dr. Cynthia Vavasseur from the College of Education and Behavioral Sciences, and Denise LeBlanc from the Thibodaux Regional Health System School of Nursing. Each of these educators received a one-time stipend of $500, recognizing their commitment to excellence in teaching.

Endowed professorships were also awarded during the convocation, providing financial support to faculty members for their research and academic endeavors. Among the recipients were Eugene Gouaux, who was awarded the Harold J. Callais Endowed Professorship in Economic Development, and Dr. Mary Breaud, who received the Jeanne Picariello Murphy Endowed Professorship. These endowed positions are vital for the continued academic growth of the university, enabling faculty to pursue innovative research and contribute to their fields.

The Fall 2024 Convocation at Nicholls State University not only marked the beginning of a new academic year but also served as a celebration of the achievements of its faculty and staff. Through these awards and recognitions, the university highlighted the importance of excellence in teaching, leadership, and service, ensuring that its community continues to thrive.

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Rewarding Excellence: How LEADS Is Changing Teacher Evaluations

The Louisiana Department of Education (LDOE) recently unveiled a significant overhaul of the state’s educator evaluation system, aimed at recognizing and supporting the diverse needs of teachers across the state, as per this news release. The new system, known as the Louisiana Educator Advancement and Development System (LEADS), represents a modern shift from the outdated practices of the past. Designed to both reward effective teachers and provide tailored support to those in need, LEADS is set to transform how teachers are evaluated, ultimately improving recruitment and retention in the education sector.

LEADS emerged from the recognition that the previous evaluation system, COMPASS, no longer served the diverse needs of educators in Louisiana. Under COMPASS, all teachers, regardless of their experience or past performance, were observed twice a year. This one-size-fits-all approach often led to inefficiencies, with little differentiation between seasoned educators and those still finding their footing in the profession. LEADS, on the other hand, introduces a more customized and responsive system that acknowledges the varying levels of experience and effectiveness among teachers.

One of the most notable aspects of the LEADS system is its emphasis on differentiation. Teachers with at least three years of experience who receive a high score on their first observation are given the option to forgo further observations for the rest of the school year. This approach rewards effective educators by reducing the time they spend in mandatory observations, allowing them more freedom to focus on their teaching. In contrast, newer teachers, or those who need additional support, receive more frequent observations—three times a year—to ensure they are getting the guidance necessary to develop their skills.

Louisiana State Superintendent of Education, Dr. Cade Brumley, highlighted the importance of this shift, noting that teachers have a profound impact on student learning. He emphasized that the new system is designed to honor those who excel in their craft while simultaneously providing the necessary support for new teachers to grow within their profession. The ultimate goal is to create an environment where all educators, regardless of experience level, are empowered to succeed.

Another key component of the LEADS system is its focus on providing more timely, useful, and actionable feedback to educators. The previous system often failed to deliver feedback that could genuinely enhance teaching practices. However, LEADS incorporates evidence-based practices and multiple measures to ensure that evaluations are both fair and transparent. Teachers are encouraged to engage in self-reflection and are given a voice in the evaluation process, making it more collaborative than ever before.

Deputy Superintendent Dr. Jenna Chiasson emphasized that these improvements are crucial for fostering the continuous growth and development of educators across the state. By building upon existing initiatives, LEADS aims to create stronger connections between evaluation and professional learning, ensuring that teachers receive the resources and support they need to improve their instructional practices. The expanded five-point rating scale introduced by LEADS offers more room for growth, allowing educators to see a clear path to improvement.

The development of LEADS was a comprehensive process that involved extensive feedback from educators across Louisiana. In 2022, the LDOE conducted a discovery survey involving over 8,000 educators and school leaders. The survey revealed that more than half of the participants did not feel that the existing evaluation system provided feedback that was truly beneficial for improving their instructional quality. Additionally, many educators expressed a strong desire for more opportunities for professional growth and development.

In conclusion, the introduction of LEADS marks a significant step forward for educator evaluation in Louisiana. By prioritizing differentiated support, improved feedback, and professional growth, the LDOE aims to create a system that not only recognizes and rewards effective teaching but also supports the development of all educators. As the state moves towards full implementation in 2025-2026, it is clear that LEADS has the potential to make a lasting impact onthe quality of education in Louisiana.

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Weeknight Grilled Flank Steak Tacos with a Southern Kick

When it comes to combining the rich flavors of the Southwest with the bold spices of the South, this Louisiana Cookin recipe for Grilled Flank Steak Tacos with Cajun Pico de Gallo stand out as a winning dish. Perfect for a quick midweek meal or a weekend gathering with friends and family, this recipe is sure to satisfy your cravings for something hearty and full of flavor. The tender flank steak, marinated to perfection, pairs beautifully with a zesty Cajun pico de gallo, creating a fusion that’s both unexpected and utterly delicious.

Ingredients:

  • 1½ to 2 pounds of flank steak
  • 12 corn tortillas, warmed
  • 1 tablespoon lime zest
  • 1 teaspoon cumin seeds
  • 1 tablespoon chili powder
  • 1 tablespoon Cajun seasoning
  • ¼ cup olive oil
  • Cajun Pico de Gallo (recipe follows)
  • Guacamole, queso fresco, and lime wedges, to serve
  • Garnish: fresh cilantro

Directions:

  1. Marinate the Steak: Begin by preparing the marinade. In a large resealable plastic bag, combine the olive oil, chili powder, Cajun seasoning, lime zest, and cumin seeds. Mix the ingredients well, ensuring they’re evenly distributed. Add the flank steak to the bag, seal it, and push out as much air as possible. Refrigerate the steak for at least 30 minutes to allow the flavors to penetrate the meat. For even more intense flavor, marinate the steak overnight.
  2. Prepare the Grill: When you’re ready to cook, heat a grill pan over medium-high heat. If you prefer, you can also use an outdoor grill, which will add a nice smoky flavor to the steak.
  3. Grill the Steak: Remove the steak from the marinade, discarding the excess liquid. Place the steak on the hot grill pan and cook it for 10 to 15 minutes, turning once, until it’s nicely browned and has reached an internal temperature of 140°F. This will give you a medium-rare steak, but feel free to cook it to your desired level of doneness. Once cooked, let the steak rest for 10 minutes—this allows the juices to redistribute, resulting in a more tender and flavorful steak.
  4. Assemble the Tacos: Thinly slice the rested steak against the grain. This helps to ensure that each bite is tender. Serve the slices of steak in the warmed corn tortillas, and top with Cajun Pico de Gallo. Add dollops of guacamole, crumbles of queso fresco, and a squeeze of fresh lime juice. If you’re a cilantro fan, sprinkle some on top for a fresh, herbaceous finish.

To round out your meal, consider serving these Grilled Flank Steak Tacos with a few complimentary side dishes. Mexican Street Corn (Elote), with its creamy, cheesy, and slightly spicy coating, is a perfect match for the bold flavors of the tacos. Black Bean Salad offers a refreshing contrast, with its mix of black beans, corn, red bell peppers, and a lime-cilantro dressing. For something lighter, a simple Green Salad with Avocado and Lime would balance the richness of the steak.

These Grilled Flank Steak Tacos with Cajun Pico de Gallo are more than just a meal—they’re an experience. The fusion of flavors from the Southwest and the South creates a dish that’s both familiar and exciting. Whether you’re making them for a quick weeknight dinner or serving them at a weekend cookout, these tacos are sure to be a hit. Their adaptability and ease of preparation make them an ideal choice for any occasion, from casual family dinners to lively gatherings with friends. Don’t forget to experiment with different toppings and side dishes to make the meal truly your own. With every bite, you’ll savor the perfect blend of smoky, spicy, and tangy flavors that will leave your taste buds craving more.

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Immerse Yourself in the Charm of Bath County, Virginia

Nestled in the heart of the Allegheny Mountains, Bath County, Virginia, offers a tranquil retreat for those seeking to immerse themselves in nature and enjoy a slower pace of life. Located west of Shenandoah National Park and encircled by the George Washington National Forest, this rural county is an idyllic escape with a population of just 4,000. As per this travel guide from Southern Living, visitors are drawn to Bath County for its pristine rivers, therapeutic natural springs, and a variety of outdoor activities that provide a refreshing break from the hustle and bustle of city life. The county’s rich history, beautiful landscapes, and inviting small-town charm make it a destination worth revisiting.

A trip to Bath County would be incomplete without indulging in the area’s historic natural springs. The town of Warm Springs is famed for its naturally-heated mineral springs, which have been attracting travelers for centuries. The springs are so integral to the region’s identity that they were the foundation for America’s first resort, The Omni Homestead. Established in the 18th century, this historic resort still operates today, offering visitors the chance to soak in the warm mineral waters that have been cherished for their therapeutic properties. A 50-minute soak in these mineral-rich waters is a must, offering a relaxing and rejuvenating experience that has been enjoyed for generations.

Beyond its famous springs, Bath County is also known for its vibrant art scene. The area’s picturesque landscapes have long inspired artists, particularly plein air painters who gather each fall for the annual Bath County Plein Air Festival. During this week-long event, artists from across the country come together to capture the beauty of the county’s natural environment on canvas. Throughout the year, visitors can explore local galleries that showcase these works, along with sculptures and mixed media pieces. The Warm Springs Gallery is a notable stop, offering a serene space to admire a diverse collection of art that reflects the region’s creative spirit.

For those who crave outdoor adventure, Bath County offers an abundance of activities that make the most of its natural beauty. The county is home to more than 100 miles of hiking trails, catering to all levels of hikers. Whether you’re in the mood for a challenging trek or a leisurely walk, there’s a trail for you. The Flag Rock Loop Trail is a steep, 3-mile hike that rewards adventurers with stunning views, while the 2-mile Blue Suck Falls Trail offers an easier route leading to a picturesque waterfall. Both trails are located within Douthat State Park, a 4,500-acre park that also features a 50-acre lake with a swimming beach—perfect for a refreshing dip after a day of hiking.

Water enthusiasts will find plenty to do in Bath County as well. The county boasts some of Virginia’s cleanest rivers, including the Cowpasture River, a tributary of the larger Jackson River. Kayaking or canoeing on these pristine waters provides a peaceful way to connect with nature, and local outfitters like Alleghany Outdoors offer guided paddling trips tailored to different skill levels. If fly-fishing piques your interest, Bath County’s rivers offer excellent opportunities to learn or refine this meditative sport. Experienced guides, such as those from Wesley Hodges, are available to teach the basics or help seasoned anglers hone their skills amidst the county’s serene landscapes.

In conclusion, Bath County, Virginia, is a hidden gem that offers a unique blend of natural beauty, outdoor recreation, and cultural richness. Whether you’re soaking in the historic mineral springs, hiking through lush forests, or enjoying a fine meal in a picturesque setting, Bath County provides a refreshing and memorable experience. This tranquil region invites visitors to slow down, breathe in the fresh mountain air, and reconnect with nature.

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The Boot: A New Chapter for Louisiana’s Military Service Members

The State of Louisiana proudly introduced a forward-thinking initiative named The Boot, which is dedicated to recruiting, retaining, and returning military service members to the state after they complete their service. As per this article from The Lafourche Gazette, this initiative marks a significant step in ensuring that those who have served the country find a welcoming and supportive environment in Louisiana as they transition to civilian life. The Boot was born from a collaborative effort between the Governor’s Office, the Louisiana Department of Veterans Affairs, and various influential leaders, including its Founder Andrew Ward and CEO Ben Armstrong.

Governor Jeff Landry was enthusiastic about the initiative, emphasizing the importance of supporting military personnel as they return to civilian life. He pointed out that the men and women of the armed forces have made tremendous sacrifices for the nation, and it is now the state’s responsibility to ensure they receive the necessary support during their transition. According to Governor Landry, The Boot would play an essential role in providing the resources and assistance needed for these individuals to succeed in Louisiana. His remarks reflected the state’s deep commitment to honoring and supporting those who have served.

Secretary Charlton Meginley of the Louisiana Department of Veterans Affairs underscored the significance of The Boot in aiding service members as they transition to civilian life. He highlighted that Louisiana has always been a state that deeply values and honors military service. With The Boot, the state not only aims to welcome back its heroes but also to ensure they have the resources and opportunities required to thrive in their post-military lives. Meginley stressed that Louisiana is committed to being a welcoming home for military personnel, reinforcing the state’s dedication to its veterans.

Andrew Ward, who founded The Boot, shared insights into the organization’s mission and objectives. He emphasized that The Boot is committed to creating a smooth and seamless transition for military members returning to Louisiana. By collaborating closely with state agencies, local businesses, and communities, The Boot seeks to establish a comprehensive support system tailored to meet the unique needs of service members transitioning from military to civilian life. Ward described this transition as moving from one “duty station” to another, with The Boot ensuring that the journey is as smooth as possible.

CEO Ben Armstrong elaborated on his vision for The Boot and its future impact. He conveyed that the organization’s primary goal is to make Louisiana the top destination for military service members concluding their service careers. Armstrong stressed that The Boot is not solely focused on recruiting and retaining these individuals but also on guaranteeing their access to high-quality jobs, education, and healthcare. He envisioned The Boot as a beacon of support, ensuring that service members and their families receive the assistance they need to build successful lives in Louisiana. Armstrong’s vision aligns with the broader mission of The Boot, which is to create a thriving community for veterans within the state.

The Boot will be headquartered in Baton Rouge, specifically located at 453 Louisiana Avenue, and its operations will extend statewide. The organization’s leadership and staff will be embedded in key military and civilian communities across the state, including Barksdale Air Force Base, Fort Johnson, Baton Rouge, Lake Charles, Lafayette, and the New Orleans Metro region. This strategic placement will allow The Boot to effectively reach and support military service members throughout Louisiana. Additionally, The Boot will provide linkage to educational opportunities, access to benefits and healthcare resources, and post-service integration programs. By partnering with local businesses and organizations, The Boot aims to build a robust network of support that will enable military service members to lead successful and fulfilling lives in Louisiana.

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