Massive scam operations and people are getting seriously damaged for life; I worked at OLOL Pontchartrain Surgery Center in Covington Louisiana, and I can tell you that Gerard Gianoli is manipulating and elevating the lumbar puncture results of his patients. After botching their ears he is blaming their injuries and their horrifying symptoms on elevated intracranial pressure that they never had. He then suggests to perform additional lumbar punctures and additional surgeries. Gianoli is orchestrating a massive financial scam operation in Covington Louisiana.