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Pam Golden of Longtown laughs during a chat with her cardiologist, Dr. Douglas Horstmanshof, in an examining room during Golden's visit to Horstmanshof's office in Oklahoma City this week. Golden had a LVAD (left ventricular assistance device) implanted in her body to improve her circulation system. Photographed at Integris Baptist Hospital on Monday, Jan. 14, 2013. Photo by Jim Beckel, The Oklahoman