39 global health tribune by Global Health Tribune

C OMPLIMEN TA RY C OPY - TA K E ON E Shoulder Pain: Lauri Willmot Tendinitis and and her battle Rotator Cuff against breast P5 P9 Tears cancer

Pulmonary Fibrosis

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Global Health

May is High Blood Pressure Education Month

S er vin g: J upiter

P alm Beach G ar dens

The Pediatric Cardiothoracic Surgery program at The Palm Beach Children’s Hospital at St. Mary’s Medical Center Celebrates Its One Year Anniversary

Dr. Michael Black.

Ten Little Toes.....

Arthur Hansen DPM, M.S.

Select Specialty Hospital… It Just Feels Right

Mike Corvaia

It's not only love that makes one swoon

Shekhar V. Sharma, M.D.

TRIBUNE

Royal P alm Beach

In the United States today, about 68 million people are living with high blood pressure, also known as hypertension. The good news is that high blood pressure can be prevented and controlled. The bad news is less than half of the population with high blood pressure actually has it under control. High blood pressure is an important health concern because it leads to heart attack and stroke, two of the leading causes of death in the United States. In 2008 alone, hypertension was a primary or contributing cause of death for more than 347,000 Americans. High blood pressure is also a major risk factor for other diseases such as congestive heart failure and kidney disease. High blood pressure is sometimes called a “silent killer” because it often does not have any signs or symptoms. Apart from those with Continue on page 5

Wellington

Belle G lade

w w w. g l o b a l h e a l t h t r i b u n e . c o m

Lake Wor th

Lantana

Boyn ton

Boca Raton

Nearly 1 in 3 adults is living with this “silent killer.” Cut back on sodium to lower your risk.

A Grand Opening for Neil S. Hirsch Family Boys & Girls Club

Neil Hirsch and Sara Gehrke.

Dr. Shekhar Sharma and family.

Dr. Krishna Tripuraneni and family.

Mary O'Connor.

Tony Nelson. GLOBAL HEALTH TRIBUNE P.O. Box 213424 Royal Palm Beach, FL 33421

APRIL ISSUE - 2013

WEST PALM BCH, FL PERMIT NO. 1340

PAID

PRSRT STD U S POSTAGE

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April 2013

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DEVELOPMENT

A Grand Opening for Neil S. Hirsch Family Boys & Girls Club I t was a beautiful sight to see – children enjoying themselves in every capacity you can imagine and adult’s right alongside them giving guidance. The Neil S. Hirsch Family Boys & Girls Club held their grand opening luncheon celebration for donors and guests on Saturday, April 27 at their new location, 1080 Wellington Trace in Wellington. As you walk in, it’s easy to see how this building was built with the children in mind and will certainly have an impact on the lives of many. And as you go from room to room, it’s clear that this is not only a gift for the children, but for their parents as well. Neil S. Hirsch donated $1.5 million dollars which played a major role in seeing the vision of many come to fruition. However, so many other local residents gave their time and money to make sure the children had a second home. One of those contributors was Dr. Shekhar Sharma and his family, whose name adorns the Center for Education Room. Other donors include Dr. Krishna and Nirmala Tripuraneni and his family foundation, the Davis McCullough Foundation (Victoria McCullough), Jerry and Peggy Jacobs, John and Julie Kime, the William H. Pitt Foundation, Richard and Trish Rendina, J.M. Rubin Foundation, Raymond Joan Wean Foundation and so many others. Although the heartfelt event was certainly one to remember, it was best summed up by a beautiful young lady and club member, Des’ree Day. It was her thankful words that gave way to

Commissioner Jess Santamaria.

a standing ovation as she said, “I will never settle for less than I want or need” and hopefully, none of these children will ever have to settle for anything again. For additional information regarding the Boys & Girls Club, you can visit their website at www.bgcpbc.org.

LaTricia (Club Director), granddaughter Des'ree with Godmother Retha.

Michele DeRosa teaching some members how to dance .

Mohan Pillai, Dr. Jon Arenstein, Commissioner Jess Santamaria, Dr. Shekhar Sharma & family, and Mrs. Arenstein.

Palms West Hospital CEO, Eric Goldman

Corey M. Collier and a few of the kids enjoying the musical room.

Ramya, Nirmala, Dr. Krishna, and Venkat Tripuraneni.

Deborah Lynn Staff Writer / Associate Editor (312) 351-2383 deborah@globalhealthtribune.com

GRAPHIC DESIGN / PHOTOGRAPHY Sergio Aguilar (561) 797-2325 ads@globalhealthtribune.com

Questions? Comments?

Send us your letter to: info@globalhealthtribune.com

Kids Playing inside at Center for Education.

Global Health Tribune is a newspaper published every month in Palm Beach county and surrounding areas. Copyright 2013, all rights reserved by SEA Publications, Inc. Contents may not be reproduced in any form without the written consent of the publisher. The publisher reserves the right to refuse advertising. The publisher does not accept responsibility for advertisement error beyond the cost of the advertisement itself. All submitted materials are subject to editing.

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Arthur Hansen DPM, M.S.

ou counted to make sure all ten were there, your baby’s toes, that is; and then you commented on how they looked like your spouses. Those little feet were, and still are, precious! They will carry your child through school and every activity he can pronounce. They will proudly sport the loudest sneakers available at Foot Locker. They will carry him into adulthood, hopefully without limitations.

The truth is foot health in kids of all ages is sorely neglected unless the problem becomes so severe that the child limps or complains of pain. This can lead to all sorts of little problems that can turn into big ones if not caught early. Parents need a bit of a foot health primer, so below are some common foot problems in children and how they should be treated.

Keep an Eye on those Feet

Most serious foot problems are caught fairly quickly after a baby is born. The really bad things congenitally are picked up almost immediately. It becomes important for parents to diagnosis foot prob-

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THE FORGOTTEN FOOT

Ten Little Toes.....

lems when their child is at least 3 or 4 years old. Up until about age 4, kids just pick their feet up and put them down. Around age 4 is when they develop a heel/toe gait. This is when foot problems can begin to manifest themselves. The following are a few things to look for:

• Limping • A child not participating at the level that is normal for their age or grade range because their legs get tired • Any discrepancy between the feet, such as one foot turning out more than the other or one foot flatter than the other

While the parent needs to start being vigilant when the child is about 4 years old, that doesn't mean that foot problems can't occur or start beyond that point. Here is a list of common foot problems that can occur through adolescence.

Flat Feet

Usually, pediatric flatfoot – also known as flexible flatfoot – isn't a problem and often resolves itself by age 10 or 12. However, it should be evaluated and monitored both to be sure it resolves itself and to be sure that it is not causing the child any foot or leg pain or causing the child to adjust his gait, which can lead to other problems. Treatment is usually pretty simple and is merely a question of the

Conservative & Surgical Treatments Available Whirlpool with every visit!

April 2013

proper support, unless it does not resolve itself. In the latter case, surgery may be indicated.

Heel Pain

Also referred to as Sever's Disease, heel pain is very common in children aged 8 to 12. We are seeing more and more of this condition now that it's become common for children that play a sport 12

this is when two or more bones in the foot are joined. The condition presents as a flatfoot, but usually just on one side and the foot is rigid rather than flexible. This is most commonly seen from age 8 through the teen years. It's a more serious situation than the traditional flatfoot, and can alter the way a child walks and can lead to stiffening of the foot, difficulties in gait and early arthritis.

In-Toeing

When I was a kid this was referred to as being "pigeon toed," and my baby brother (now 35) was in braces from age 3 to 5 to "cure" his pigeon toes.

Most of the time, children will outgrow this, but on occasion need some ‘help’ to promote a straighter gait.

months of the year. Depending upon the severity, a hiatus from sports may be necessary to give it a rest. This is most commonly seen in boys, but as girls become more active in athletics, they are also presenting more foot problems. Also, the habit of putting one's shoes on without untying them is stressful for the foot and heel and should be avoided.

Tarsal Coalition

As the term "coalition" implies,

Hyperhidrosis

More commonly known as sweaty; smelly feet, this is not necessarily a hygiene issue. It's merely that some people's feet sweat more than others, and that perspiration causes them to smell. Controls include changing socks more frequently and using an antiperspirant on the feet. If that doesn't do it, there's a stronger medication that a podiatrist can prescribe. It's important to treat this condition, because it can lead to other problems from the constant moisture, which can include the following two conditions.

Get back on your Feet!

Warts

Warts are very common in adolescence, especially in those with hyperhidrosis. It has been estimated that 90 percent of kids with warts also have hyperhidrosis.

Warts can be difficult to get rid of because they are caused by a virus. They can be painful if they are on a weight-bearing surface. They can also get too near a nerve and cause pain.

Athlete's Foot

Again, hyperhidrosis can exacerbate this condition. It is a fungal infection of the skin on the feet. As for treatment, there are a number of topical treatments for athlete's foot.

Ingrown Toenail

This can be serious if left untreated because it can become infected, and a big cause of infection in teenagers and adults is bathroom surgery. In other words, when they try to dig out an ingrown toenail, it becomes infected. In a case where a child is also diabetic, this can be a disaster. Long term infections of ingrown nails can lead to bone infections requiring surgery and long term intravenous antibiotics.

Think about how much your child depends on his feet to get him where he's going. When you do, it's easy to see how taking good care of the feet now can only help your child in the future.

Podiatric Physicians & Surgeons

Personal & Gentle Care For:

• Diabetic Foot Care • Hammer Toe • Fracture Care • Ingrown Nails, Bunions • Ankle/Heel/Foot Pain • Poor Circulation • Neuropathy • WOUND Care • Custom Molded Orthotics • Diabetic Shoes Medicare Medicaid HCD - PPO & Most Insurances Accepted

Dr. Juan Sardina

Dr. Lori Lane

Dr. Arthur Hansen

Dr. Shelley Plumb

Dr. Daniel Heck

(561) 433-5577 w w w. l a p o d i a t r y g r o u p . c o m

3347 State Rd 7 Suite 204 Wellington, FL 33449

2326 S. Congress Ave. Suite 1-A West Palm Beach, FL 33406

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April 2013

GRAND OPENING CELEBRATION

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A Milestone for Palms West Hospital

alms West Hospital rolled out the red carpet during their Grand Opening Celebration for the new 4th Floor East Tower. This expansion adds another 32 beds to the hospital, which now offers 204 operational beds. The event itself was full of surprises, from the incredible

Scott, Madeline, Selena and Jim.

Palms West Hospital staff members.

candy display to the host of attendees - all of which were quite impressive. Palms West Hospital is located in Loxahatchee. For additional information regarding the new 4th floor addition, contact 561-798-3300 or visit their website at www.palmswesthospital.com.

Ribbon cutting ceremony for the 4th floor.

Mike Arena, Councilwoman Anne Gerwig, Melody and Alex Domb.

Paula and Jennifer.

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April 2013

ORTHOPAEDIC NEWS

Shoulder Pain: Tendinitis and Rotator Cuff Tears Rotator Cuff Tear

By José Ortega, MD

Board Certified, Fellowship Trained Orthopaedic Surgeon Sports Medicine Specialist

houlder pain is very common in the adult population. Symptoms can vary, but they can range from mild on-off pain to severe constant pain which can interfere with regular activities. When shoulder pain is associated to rotator cuff pathology, the usual presentation is pain and weakness with overhead activity and lifting. The pain can be described as sharp or stabbing and can radiate to the arm or shoulder blade. Usually, the patient can recall a specific injury or event that lead to the onset of symptoms. In other cases, symp-

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toms can develop gradually and worsen over time without a triggering event. The diagnosis is made by taking a careful history, performing a thorough physical exam and ultimately by obtaining appropriate diagnostic studies. Once the history is obtained, the physician performs a physical exam. In my experience, shoulder pain with resisted arm elevation is highly suggestive of rotator cuff pathology. Radiographic studies such as plain x-rays, arthrography and magnetic resonance imaging (MRI) can be obtained to confirm the diagnosis. MRI has the advantage of distinguishing inflammation from tearing. Management depends on the type of pathology we have at hand. Inflammation or tendinitis can be successfully treated with nonsteroidal anti-inflammatories, corticosteroid injections and

physical therapy. Partial rotator cuff tears can also respond favorably to physical therapy and anti-inflammatories. Full thickness tears unfortunately don’t heal and if left untreated can get bigger and more symptomatic over time. If the patient is a good surgical candidate, I recommend arthroscopic rotator cuff repair and decompression. Arthroscopic rotator cuff repair has evolved dramatically over the last decade. In fact, with the current techniques and equipment, arthroscopic rotator cuff repair outcomes parallel traditional open procedures. In addition, there is less postoperative pain and surgery can be done outpatient in most cases. Dr. Ortega is Board Certified in Orthopaedic Surgery and holds a Sports Medicine Subspecialty Board Certification.

May is High Blood Pressure Education Month From page 1 known high blood pressure, about 8% of US adults have hypertension, but have never been diagnosed. That’s why it’s important to check your blood pressure regularly, and to take steps to maintain normal blood pressure or lower blood pressure if it reaches unsafe levels.

Why Does Sodium Matter? Eating too much sodium raises the risk for developing high blood pressure. In the United States, about 90% of Americans aged 2 and older eat too much sodium. On average, Americans eat 3,300 mg of sodium per day, which is more than twice the recommended limit for most adults. Fortunately, when sodium intake is reduced,blood pressure, on average, begins to decrease. These benefits apply to everyone, not just people with hypertension. According to a recent estimate, reducing Americans’ average sodium intake to 2,300 mg per day could prevent 11 million cases of high blood pressure every year, and reducing sodium intake further would lead to even greater health benefits. Sodium: How You Can Cut Back Most of the sodium we

consume is already in the food when we buy it, mainly in processed, packaged, and restaurant foods. Only a small percentage of the sodium we eat is added from the salt shaker during cooking or at the table. According to a recent Centers for Disease Control and Prevention (CDC) Vital Signs, most of the sodium Americans eat comes from 10 types of food. Foods like bread, cold cuts, pizza and poultry top the list. There are a few simple steps you can take to control how much sodium you eat each day: • Eat more fresh fruits and vegetables, or frozen fruits and vegetables with no sauce or salt added. • Read nutrition labels and choose lower sodium options. • Cook meals at home from scratch, and use herbs and spices, rather than salt or packaged sauces, to season your foods. • Ask restaurants for low sodium options or not to add salt to your food.

Jose Ortega, M.D., FAAOS Diplomate American Board of Orthopedic Surgery

• Arthroscopic Surgery • Sports Medicine • Fracture Care • General Orthopedics

Same Day Appointments

561-803-8540 561-798-6600

440 State Road 7 • Suite E • Royal Palm Beach, FL 33411

www.boneandjoint.org

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April 2013

HEALTH & WELLNESS

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Palm Beach County Nursing Home Ratings ave you ever wondered how your nursing home rated against other nursing homes in Palm Beach County? Below you will find nursing homes within the county that have been rated by the Centers for Medicare and Medicaid Services (CMS). Their five-star rating system uses an overall score along with a breakdown for health inspections, staffing and quality. For additional information regarding this system, you can visit their website at www.medicare.gov/NHCompare.

Overview of the Five-Star Nursing Home Quality Rating System

The nursing homes with five stars are considered to have above average quality compared to other nursing homes. Nursing homes with one star, have below the state average in quality, but still meet Medicare’s minimum requirements.

Health Inspections – The health inspection rating contains information from the last three years of onsite inspections, including both annual visits and any complaint investigation findings. Inspectors visit each nursing home and collect specific information to determine whether a nursing home meets Medicare’s minimum requirements for safety and quality of care.

Staffing Information – This rating includes information about the average number of hours of care given by nursing staff to each resident each day. This rating considers differences in the level of care residents in different nursing homes need.

Quality Measures – This rating is based on ten different physical and clinical measures for nursing home residents, such as the percent of residents with pressure ulcers, the percent of residents with moderate to severe pain, or the percent of residents who have changes in their ability to move about. This information is collected by the nursing home on all residents and shows how well nursing homes care for their residents’ physical and clinical needs. The following list is broken down by overall rating. The five star facilities are listed first and we work down to the single star facilities. The list is in alphabetical order per overall rating, with the exception being the only facility that received five stars in every area, Harbours Edge.

Overall Five Star Facility

Harbours Edge - 401 E. Linton Blvd., Delray Beach (Received five stars in every area) Overall – A Five Star Rating Health Inspections received five stars/Staffing received five stars/Quality Measures received five stars. • Medicare/Medicaid: Both • Number of Beds: 54 • Continuing care retirement community: Yes

Five Star Facilities

Boca Raton Rehabilitation Center, 755 Meadows Road, Boca Raton

Overall – A Five Star Rating Health inspections received three stars/Staffing received four stars/Quality Measures received five stars. • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No

Boynton Health Care Center 7900 Venture Center Way, Boynton Beach

Overall – A Five Star Rating Health Inspections received four stars/Staffing received four stars/Quality Measures received five stars. • Medicare/Medicaid: Both • Number of Beds: 81 • Continuing care retirement community: No

Overall Rating – A Five Star Rating

Health Inspections received three stars/Staffing received four stars/Quality Measures received five stars. • Medicare/Medicaid: Both • Number of Beds: 60 • Continuing care retirement community: Yes Willowbrooke Court at St. Andrews - 6152 N. Verde Trail, Boca Raton

Overall Rating – A Five Star Rating Health Inspections received five stars/Staffing received four stars/Quality Measures received four stars. • Medicare/Medicaid: Both • Number of Beds: 119 • Continuing care retirement community: Yes

Crossings - 4445 Pine Forest Drive, Lake Worth

Overall Rating – A Five Star Rating Health Inspections received four stars/Staffing received four stars/Quality Measures received five stars. • Medicare/Medicaid: Both • Number of Beds: 60 • Continuing care retirement community: No Joseph L. Morse Geriatric Center, Inc. - 4847 Fred Gladstone Drive, West Palm Beach Overall – A Five Star Rating Health Inspections received five stars/Staffing received four stars/Quality Measures received five stars. • Medicare/Medicaid: Both • Number of Beds: 280 • Continuing care retirement community: No

Nursing Center at LA Posada 3600 Masterpiece Way, Palm Beach Gardens

Overall Rating – A Five Star Rating Health Inspections received four stars/Staffing received five stars/Quality Measures received five stars. • Medicare/Medicaid: Medicare • Number of Beds: 40 • Continuing care retirement community: Yes

Rehabilitation Center of the Palm Beaches - 301 Northpointe Pkwy., West Palm Beach

Four Star Facilities

Abbey Delray - 2105 SW 11th Court, Delray Beach

Overall Rating – A Four Star Rating Health Inspections received three stars/Staffing received three stars/Quality Measures received five stars. • Medicare/Medicaid: Both • Number of Beds: 100 • Continuing care retirement community: Yes Abbey Delray South - 1717 Homewood Blvd., Delray Beach

Overall – A Four Star Rating Health Inspections, Staffing, and Quality Measures all received four stars. • Medicare/Medicaid: Both • Number of Beds: 90 • Continuing care retirement community: Yes

Courtyard Gardens Rehabilitation Center - 17781 Thelma Avenue, Jupiter Overall – A Four Star Rating Health Inspections received three stars/Staffing received four stars/Quality Measures received four stars. • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No Heartland Health Care Center Prosperity Oaks – 11375 Prosperity Farms Road, Palm Beach Gardens

Overall – A Four Star Rating Health Inspections received three stars/Staffing received three

stars/Quality Measures received five stars • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No Jupiter Medical Center Pavilion Inc. - 1230 S. Old Dixie Hwy., Jupiter

Overall – A Four Star Rating Health Inspections received four stars/Staffing received four stars/Quality Measures received three stars. • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No Lourdes-Noreen McKeen Residence for Geriatric Care 315 S. Flagler Drive, West Palm Beach

• Number of Beds: 120 • Continuing care retirement community: No

Village on High Ridge - 1800 South Drive, Lake Worth

Overall Rating – A Four Star Rating Health Inspections received three stars/Staffing received four stars/Quality Measures received four stars. • Medicare/Medicaid: Both • Number of Beds: 60 • Continuing care retirement community: No Willowbrooke Court at Edgewater Pointe Estates 23305 Blue Water Circle, Boca Raton

Overall Rating – A Four Star Rating Health Inspections received three stars/Staffing received four stars/Quality Measures received three stars. • Medicare/Medicaid: Medicare • Number of Beds: 101 • Continuing care retirement community: Yes

Overall – A Four Star Rating Health Inspections received four stars/Staffing received two stars/Quality Measures received four stars. • Medicare/Medicaid: Both • Number of Beds: 132 • Continuing care retirement community: No

Three Star Facilities

Overall – A Four Star Rating Health Inspections received two stars/Staffing received four stars/Quality Measures received five stars. • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No

Overall – A Three Star Rating Health Inspections received two stars/Staffing received three stars/Quality Measures received five stars • Medicare/Medicaid: Both • Number of Beds: 138 • Continuing care retirement community: No

Manorcare Health Services 16200 Jog Road, Delray Beach

Medicana Nursing and Rehab Center - 1710 Lake Worth Road, Lake Worth

Overall Rating – A Four Star Rating Health Inspections received two stars/Staffing received four stars/Quality Measures received five stars. • Medicare/Medicaid: Both • Number of Beds: 116 • Continuing care retirement community: No Oasis Health and Rehabilitation Center - 1201 12th Avenue South, Lake Worth

Overall Rating – A Four Star Rating Health Inspections received three stars/Staffing received four stars/Quality Measures received four stars. • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No Royal Manor - 600 Business Pkwy., Royal Palm Beach

Overall Rating – A Four Star Rating Health Inspections received four stars/Staffing received four stars/Quality Measures received four stars. • Medicare/Medicaid: Both

Avante at Lake Worth - 2501 North A Street, Lake Worth

Barrington Terrace at Boynton Beach - 1425 S. Congress Avenue, Boynton Beach Overall – A Three Star Rating Health Inspections received two stars/Staffing received two stars/Quality Measures received five stars • Medicare/Medicaid: Medicare • Number of Beds: 29 • Continuing care retirement community: No

Boynton Beach Rehabilitation Center - 9600 Lawrence Road, Boynton Beach

Overall – A Three Star Rating Health Inspections received three stars/Staffing received three stars/Quality Measures received four stars • Medicare/Medicaid: Both • Number of Beds: 168 • Continuing care retirement community: No Chatsworth at PGA National 347 Hiatt Drive, Palm Beach Gardens Overall – A Three Star Rating Health Inspections received two stars/Staffing received four stars/Quality Measures received four stars • Medicare/Medicaid: Medicare • Number of Beds: 76 • Continuing care retirement community: Yes

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Consulate Health Care of West Palm Beach - 1626 Davis Road, West Palm Beach

Overall – A Three Star Rating Health Inspections received three stars/Staffing received one star/Quality Measures received five stars. • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No Fountains Nursing Home 3800 N. Federal Hwy., Boca Raton

Overall – A Three Star Rating Health Inspections received two stars/Staffing received four stars/Quality Measures received four stars. • Medicare/Medicaid: Both • Number of Beds: 51 • Continuing care retirement community: No

Glades Health Care Center 230 S. Barfield Hwy., Pahokee

April 2013

HEALTH & WELLNESS

Menorah House - 9945 Central Park Blvd North, Boca Raton

Whitehall Boca Raton - 7300 Del Prado South, Boca Raton

Overall Rating – A Three Star Rating Health Inspections received two stars/Nurse Staffing received four stars/Quality Measures received four stars. • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No

Overall Rating – A Three Star Rating Health Inspections received two stars/Staffing received four stars/Quality Measures received four stars. • Medicare/Medicaid: Both • Number of Beds: 154 • Continuing care retirement community: No

Overall Rating – A Three Star Rating Health Inspections received four stars/Staffing received four stars/Quality Measures received one star. • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No

Overall – A Two Star Rating Health Inspections received one star/Staffing received three stars/Quality Measures received five stars • Medicare/Medicaid: Both • Number of Beds: 144 • Continuing care retirement community: No

NuVista Living at Wellington Green - 10330 Devonshire Blvd., Wellington

Two Star Facilities Avante at Boca Raton - 1130 NW 15th Street, Boca Raton

Lake View Care Center at Delray - 5430 Linton Blvd., Delray Beach

Lakeside Health Center - 2501 N. Australian Avenue, West Palm Beach

Overall – A Three Star Rating Health Inspections received three stars/Staffing received three stars/Quality Measures received four stars. • Medicare/Medicaid: Both • Number of Beds: 180 • Continuing care retirement community: No

Heartland Health Care and Rehabilitation Center - 7225 Boca Del Mar Drive, Boca Raton

Overall – A Two Star Rating Health Inspections received one star/Staffing received four stars/Quality Measures received four stars • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No

Heartland Health Care Center Boynton Beach - 3600 Old Boynton Road, Boynton Beach

Overall – A Two Star Rating Health Inspections received two stars/Staffing received one/Quality Measures received five stars • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No Manorcare Health Services Boynton Beach - 3001 S. Congress Avenue, Boynton Beach

Hamlin Place - 2180 Hypoluxo Road, Lantana

Overall – Three Star Rating Health Inspections received two stars/Staffing received two stars/Quality Measures received five stars. • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No

Overall – A Two Star Rating Health Inspections received one star/Staffing received four stars/Quality Measures received five stars. • Medicare/Medicaid: Both • Number of Beds:120 • Continuing care retirement community: No

Palm Garden of West Palm Beach - 300 Executive Center Drive, West Palm Beach

Overall Rating – A Three Star Rating Health Inspections received three stars/Staffing received three stars/Quality Measures received three stars. • Medicare/Medicaid: Both • Number of Beds: 176 • Continuing care retirement community: No

Stratford Court of Boca Raton - 6343 Via De Sonrisa Del Sur, Boca Raton

Overall Rating – A Three Star Rating Health Inspections received three stars/ Staffing received two stars/Quality Measures received four stars. • Medicare/Medicaid: Both • Number of Beds: 60 • Continuing care retirement community: No

Terraces of Lake Worth Rehabilitation and Health Center - 1711 6th Avenue, Lake Worth

Overall Rating – A Three Star Rating Health Inspections received two stars/Staffing received three stars/Quality Measures received five stars. • Medicare/Medicaid: Both • Number of Beds: 99 • Continuing care retirement community: No

Coral Bay Healthcare and Rehabilitation Center - 2939 South Haverhill Road, West Palm Beach

Overall – A Two Star Rating Health Inspections received two stars/Staffing received three stars/Quality Measures received four stars. • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No

Darcy Hall of Life Care - 2170 Palm Beach Lakes Blvd., West Palm Beach

Overall – A Two Star Rating Health Inspections received two stars/Staffing received three stars/Quality Measures received three stars. • Medicare/Medicaid: Both • Number of Beds: 220 • Continuing care retirement community: No

Edward J. Healey Rehabilitation and Nursing Center - 1200 45th Street, West Palm Beach

Overall – A Two Star Rating Health Inspections received one star/Staffing received five stars/ Quality Measures received five stars • Medicare/Medicaid: Both • Number of Beds: 198 • Continuing care retirement community: No Gardens Court - 3803 PGA Blvd., Palm Beach Gardens

Overall – A Two Star Rating Health Inspections received two stars/Staffing received one star/Quality Measures received five stars. • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No

North Lake Rehabilitation and Health Center - 750 Bayberry Drive, Lake Park Overall Rating – A Two Star Rating Health Inspections received one stars/ Staffing received four stars/Quality Measures received four stars. • Medicare/Medicaid: Both • Number of Beds: 85 • Continuing care retirement community: No Savannah Cove - 2090 N. Congress Avenue, West Palm Beach

Overall Rating – A Two Star Rating Health Inspections received one star/Staffing received four stars/Quality Measures received four stars.

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• Medicare/Medicaid: Both • Number of Beds: 30 • Continuing care retirement community: No

Signature Healthcare of Palm Beach - 4405 Lakewood Road, Lake Worth Overall Rating – A Two Star Rating Health Inspections received one star/Staffing received four stars/Quality Measures received three stars. • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No Waterford - 601 University Blvd., Juno Beach

Overall Rating – A Two Star Rating Health Inspections received one star/Staffing received four stars/Quality Measures received four stars. • Medicare/Medicaid: Both • Number of Beds: 60 • Continuing care retirement community: Yes

Wood Lake Nursing and Rehabilitation Center - 6414 13th Road South, West Palm Beach

Overall Rating – A Two Star Rating Health Inspections received one star/Staffing received four stars/Quality Measures received five stars. • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No

One Star Facilities Boulevard Rehabilitation Center - 2839 S. Seacrest Blvd., Boynton Beach Overall – A One Star Rating Health Inspections received one star/Staffing received one star/Quality Measures received three stars. • Medicare/Medicaid: Both • Number of Beds: 167 • Continuing care retirement community: No Regents Park Nursing and Rehabilitation Center - 6363 Verde Trail, Boca Raton

Overall Rating – A One Star Rating Health Inspections received one star/Staffing received three stars/Quality Measures received one star. • Medicare/Medicaid: Both • Number of Beds: 180 • Continuing care retirement community: No

Renaissance Health and Rehabilitation - 5065 Wallis Road, West Palm Beach

Overall Rating – A One Star Rating Health Inspections received one star/Staffing received three stars/Quality Measures received four stars. • Medicare/Medicaid: Both • Number of Beds: 120 • Continuing care retirement community: No

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April 2013

Page 9

ONCOLOGY NEWS

Relay for Life

Lauri Willmot journey

The family and friends of Lauri Willmot are uniting to raise money to help with her battle against breast cancer. Please show your support!

I am trying to help a patient raise money for treatment. She is 2 years out of a divorce and could not get insurance due to a pre existing. She now needs radiation and chemo and has to pay for it cash. If you can help with just $10 it will add up and help tremendously.

Thank you in advance for any help you can do.

Warmest regards

Dr. John Cleveland.

The American Cancer Society held a Relay for Life event at Roger Dean Stadium in Jupiter on April 20.

The entire day was filled with exciting events and activities which included a reception for survivors and care givers, guest speakers, an auction, sports, games, food,

Judy Armstrong ARNP SFRO Survivorship Clinic 561-775-7748

and numerous types of laps and so much more!

Please visit our Upcoming Events page for additional events scheduled for Relay for Life. If you would like to learn more about Relay for Life, please visit their website at www.relayforlife.org.

Or visit: http://www.giveforward.com and type Lauri Willmot journey for make donations online.

Anne Marie and Judy Armstrong.

ARE YOU CARING AND COMPASSIONATE?

BECOME A VOLUNTEER South Florida Radiation Oncology (SFRO) Survivorship Clinic is looking for a few very caring, compassionate and empathetic individuals to volunteer their time and energy in their Palm Beach Gardens facility.

If you are a cancer survivor, family member of a survivor, retired, a stay-athome mom or even a college student and are interested in helping a clinic that focuses entirely on cancer survivors, please contact Judy Armstrong at sfro_judy@yahoo.com or at 561-775-7748.

Book Review to the volume of food consumed by Americans.

Cindy Collins, Ph.D., R.D.

Experimental Health Psychology / Nutrition

“

FAT Chance: Beating the Odds Against Sugar, Processed Food, Obesity, and Disease

No scientist has done more in the last fifty years to alert Americans to the potential dangers of sugar in the diet than Dr. Robert Lustig.” (As stated by Gary Taubes) Robert Lustig, M.D., believes that in order to alleviate the obesity epidemic we need to understand the cause. We need to do more than attempt to change the eating behaviors as it relates

Fat Chance offers a thorough explanation of the use of nutrients for energy. It describes in detail the body’s neurological and hormonal regulation of utilization vs. storage of the nutrients we eat. This regulation is altered by the form of the food ingested, specifically the type of sugar or saccharide. In turn this affects our motivation to eat. At the heart of our motivation, Dr. Lustig cites a molecule called Leptin.

Dr. Lustig explains the role of leptin. We all have a “personal leptin threshold.” Leptin is made in the fat cells themselves. It circulates in the body to the brain and gives the message to the nervous system (specifically the ventromedial hypothalamus) that

you have adequate fat stores for energy. However, Lustig proposes that leptin resistance explains the cause of obesity.

Lustig points out how all successful diets have had one thing in common – sugar restriction. He is referring to the Atkins diet, Ornish diet and the typical Japanese diet. Table sugar, sucrose is half glucose and half fructose. Fructose is the main culprit as it has the unique effect of increasing insulin resistance thus leading to diabetes, fat production and high insulin which leads to some cancers. It also blocks leptin signaling which lead to more eating! Dr. Lustig suggests we give up juice, but not fruit. He devotes a chapter to the protective effect of the fiber in a whole fruit. In Fat Chance, Dr. Lustig also discusses food addiction, metabolic syndrome, exercise and the Food Industry. The global view he provides helps to shed light on the cause and potential resolution for our obesity crisis. This book is well worth the read and it may just change your eating habits!

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April 2013

HEALTH & WELLNESS

Page 11

Pulmonary Fibrosis Interstitial Lung Disease

Sheryl Gilman has been practicing respiratory care for 14 years in Palm Beach County. For the last 5 years she has been the Clinical Supervisor of the Cardiopulmonary Department at Lakeside Medical Center, the hospital in Belle Glade serving the residents of the Western Communities. She has specialty certifications in Neonatal and Pediatric care, Pulmonary Function Testing, and is a Certified Tobacco Cessation Specialist as well as having a Bachelor degree in Health Care Services Management.

t any one time, 200,000 people in the United States have a diagnosis of Pulmonary Fibrosis also known as Interstitial Lung Disease (ILD). Over time, the lung tissue thickens, becomes stiff, and replaces lung tissue with scarred tissue. This scar tissue is what is known as fibrosis and it is unable to transfer oxygen from the lungs to the blood stream for the body to use. Because this results in a lack

of oxygen for the body’s needs the individual feels short of breath and fatigue. Other symptoms include an irritating dry cough, chest discomfort and weight loss. Eventually, due to the increased back pressure from the lungs to the right side of the heart, the person develops heart failure. At this time, although much research is being done to find a cure for this disease, there is no lasting cure. Life expectancy is only 2-3 years after diagnosis is made. Annually 40,000 people a year die from the effects of pulmonary fibrosis.

What Causes Pulmonary Fibrosis?

Certain cells called myofibroblasts give off a material that is required for wound healing. Once the wound closes, the cells are supposed to disappear. In pulmonary fibrosis, however, these myofibroblast cells stick around continuing to give off the wound healing factors that eventually cause the fibrosis or scar tissue in the lungs. This “over healing” can be caused by chemotherapy medications and other types of drugs that depress the immune system and are used chronically. Also, damage from radiation therapy can cause this condition. Often breathing in dust particles constantly, such as coal mine dust, asbestosis particles, and other lung irritants can be the cause. Usually though, there is no apparent cause for the body to

go haywire producing this disease. When this happens it is called Idiopathic Pulmonary Fibrosis, meaning no apparent cause.

How is it Diagnosed?

Diagnosis often starts with a chest x-ray to determine why the individual is short of breath and has a constant dry cough. When a possible pulmonary fibrosis is suspected, a CT scan is done to determine the extent of the lung damage. This is followed with an echocardiogram to visualize the heart action and determine the pressures in the right side of the heart. A respiratory therapist will then perform a Pulmonary Function Test to determine how much ability the lung has lost in order to function properly. Sometimes, tissue samples are taken from the lung through a variety of means.

Treatment

Right now, there is no current treatment that can reverse or stop the progression of this terrible disease. Treatment, therefore, focuses on (1) improving symptoms temporarily, (2) slowing the progression of the disease, and (3) improving the quality of life. Prednisone is a frontline medication to help reduce inflammation in the lung, but strangely, other immune suppressing medications (methotrexate, cyclosporine, etc.) can also help. N-acetylcysteine, made from an amino acid found naturally used with prednisone

may slow the disease’s progression. Oxygen therapy helps to decrease the shortness of breath and along with breathing exercises prevents or lessens a low blood oxygen level which is the cause of other side effects of the disease. This can decrease the blood pressure in the right side of the heart, improve the quality of sleep and improve a sense of well-being. Pulmonary rehabilitation provides education about the disease process and medications, teaches breathing exercises to improve lung function, and helps the individual to lead a full, satisfying life. As a last resort, lung transplant is available to those who meet certain qualifications.

What Can I Do?

The individual who develops pulmonary fibrosis is really the only one who can control the impact of the disease on his life. Immediately ANY smoking must stop and the physician’s plan of treatment must be followed exactly. Other life style changes

to lengthen and improve the quality of life include eating well to prevent weight loss, exercise to maintain lung function and to get vaccinated against respiratory infections such as pneumonia and the flu. More information and support can be found at www.pulmonaryfibrosis.org. December 5-7, 2013, the Pulmonary Fibrosis Foundation is hosting an Idiopathic Pulmonary Fibrosis Summit in San Diego, California. This is open to physicians, nurses, respiratory therapists, patients and their families. Details are available at the above website. The American Lung Association at www.lung.org/lungdisease/pulmonary-fibrosis provides a wealth of information and some support services. For help to stop using tobacco of any kind, especially smoking, contact the Everglades Area Health Education Center at 1-877-8192357. They offer free classes and free nicotine replacement, such as the patch and nicotine gum.

West Boca Medical Center Promotes Beata Norek to Director of Laboratory

Boca Raton, FL (March 2013) – West Boca Medical Center congratulates Beata Norek on her promotion as the hospital’s director of laboratory. In her new position, Norek will oversee laboratory operations and ensure patient satisfaction with lab related services. “Beata Norek is a proven leader with a dedication to quality and service. Her extensive experience as both a manager and clinician will continue to benefit both our patients and staff,” said Mitch Feldman, chief executive officer at West Boca Medical Center. Since 2008, Norek has been the laboratory supervisor at West Boca Medical Center. Her 21-year laboratory career includes experience working in four different hospital laboratories and as a college instructor. Norek served as an adjunct instructor for the Medical Laboratory Science Department at Florida Atlantic University. During her tenure, she taught computer applications. Norek graduated from the School of Medicine and Health Sciences at the University of North Dakota with a Bachelor of Science degree in Clinical Laboratory Science.

Page 12

April 2013

HEALTHCARE NEWS

www.GlobalHealthTribune.com

Select Specialty Hospital… It Just Feels Right

Mike Corvaia has been in healthcare administration for over ten years and is currently the Director of Business Development for Select Specialty Hospital in Palm Beach. He holds a Bachelor’s degree from the University of Florida and is completing his Master’s Degree this year in Business Administration, with an emphasis on Healthcare Administration.

Please feel free to send any healthcare related questions to mcorvaia@selectmedical.com

By Mike Corvaia

When a loved one is placed into an acute care hospital it is often traumatizing not only for the patient themselves but also the family involved as well. Many times we hear about what went wrong in the hospital and not so much about everything that went right. Select Specialty Hospital of Palm Beach has some of the most inspiring success stories one can expect to experience in an acute care setting. Our success doesn't stop in Palm Beach though. Listed below are various success stories from a few of our 111 hospitals nationwide.

• Fifty-two-year-old Rick Berry was the District Attorney in Harrison County for 21 years. He was enjoying working as a trial attorney and going bass fishing as often as possible. He had never really been sick. Life was good. In January of 2010, Rick presented to the hospital with flu-like symptoms and was admitted with respiratory failure requiring a ventilator. He then progressed into renal failure. Rick was suffering complications of H1N1 influenza. After weeks in a large medical center ICU, Rick was referred to Select Specialty Hospital - Longview for ventilator weaning, treatment of an antibiotic resistant infection he had developed and several other complications. Following months of setbacks and progress, treatments and therapy, Rick was finally breathing on his own again and headed for a full recovery. During his months of hospitalization, Rick had grown a beard. Before he left, the staff decided to cast secret ballots to help Rick decide if he should shave or not. His wife cast the tie-breaking vote and the beard was gone. Today, Rick is back in the courtroom and the bass boat, loving life again.

• For years, Alphonso Holt struggled to breathe due to severe asthma and sarcoidosis (inflammation occurring in the lymph nodes, lungs, liver, eyes, skin, or other tissues). He had been hospitalized multiple times during the past few years due to his condition. He was depressed and unable to fully enjoy the life he shared with his wife and grandson, Jerimiah. In March 2011, Alphonso's lungs gave way to an acute episode of pneumonitis. He was rushed to a large medical center and placed on a ventilator. After almost three weeks in ICU, his physicians suggested he be transferred to a hospital that

specialized in ventilator weaning. Alphonso arrived at Select Specialty Hospital-Atlanta dependent on the ventilator with pneumonia, renal failure and newly diagnosed diabetes. His wife, Antoinette, quit her job to be by his side. She said, "I had to have faith for both of us. I can get another job, but not another husband." Six weeks later, Alphonso discharged home from Select. He was off the ventilator, his renal failure, blood pressure and diabetes was resolved. Antoinette says, "We were praying for a miracle and we found that miracle at Select." These days, Alphonso stays busy cleaning, ironing, helping Jeremiah with his homework and driving twice a week to play a mean game of pinochle at the senior center.

• David Condon, an 18-year veteran of the Pittsburgh police department, was visiting in New York and had just enjoyed his 30 year class reunion. About 11:30 pm that night, David got on his motorcycle and headed back to his parents house. Less than a mile away, a startled deer jumped onto the road, clearing the motorcycle and hitting David. Two women leaving the reunion found David and called for help. He had suffered a severe head injury and was flown to Erie, PA for emergency surgery to stop the bleeding in his brain. The next several weeks were touch and go. His recovery was complicated by a pulmonary embolism, stroke and respiratory failure. One doctor suggested that he would not recover and if he did, he would never walk or talk again. After three weeks, David began to stabilize and was transferred to Select Specialty Hospital-Pittsburgh. He was taken by ambulance with a police escort from his friends. One month later, he discharged from Select, no longer ventilator

dependent, ready for the next steps in his recovery. David is back home with his wife and children now, working with the Pittsburgh Police Department and planning another gathering with high school classmates.

• When 76-year-old Esther Harner began having shortness of breath, she assumed it was her lungs. However, tests revealed it was her heart and an aneurysm doctors had been watching. She needed surgery immediately. Esther remembers the cold, snowy January day she went in for the surgery. It took more than 10 hours for surgeons to replace her aortic valve and repair the aneurysm. She was then sent to a facility for ventilator weaning, but developed complications and was sent back to an acute care ICU for treatment. After that, Esther was transferred to Select Specialty Hospital-Wichita. "The first thing I remember after going in for surgery was waking up at Select and seeing my three kids smiling." Doctors had warned them that Esther might never recover or be herself again. She was at Select for almost a month. "They took great care of me and my family too. I was impressed." Esther weaned from the ventilator and was discharged to a rehabilitation facility for strengthening. She finally returned home on a warm April day filled with flowers and sunshine. It was very different from the dreary January day she left home for

surgery. Esther says, "I clean my house. I drive. I balance my checkbook. I live a normal life. Thanks be to God!"

• Our patients often come to us with: n Respiratory and heart failure /disorders (requiring ventilator weaning or treatment for, emphysema, pneumonia or COPD) n Severe infections (such as sepsis or infectious diseases) n Wounds of many sorts (such as burns or pressure related) n Post-surgery recovery complications (such as orthopedic complications or nutritional deficiencies) n Bladder and bowel impairments n Neurological or Post-Trauma conditions (such as stroke, spinal cord and head injuries or dysphagia) Our services include: n Multiple physician visits daily n 24-hour Nursing Care n An All-Registered Nurse nursing staff n 24-hour Respiratory Care n Physical therapy n Occupational therapy n Speech therapy n On-site pharmacy n Diagnostic radiology and laboratory services n Specialized Nursing Care (such as wound specialists) n Nutritional Care n Patient/Family Education n Dialysis

April 2013

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Page 13

PRACTICE TRENDS

It's not only love that makes one swoon Case Number Two:

The second case is that of an elderly gentleman who passed out while on a ladder and he too had no other symptom. He awoke later to find himself alone in the emergency room. I saw him later to find out he had the same condition as the first case I just mentioned. Have you figured it out yet?

Case Number Three:

In this situation, the patient was found unconscious at home, but woke up after the ambulance personnel arrived. His blood workup showed that he had elevated muscle enzymes and was diagnosed with what condition?

Shekhar V. Sharma, M.D. Board Certified in Internal Medicine

still have so many cases to share with you that you will find not only interesting, but educational as well.

Case Number One:

Case Number Four:

While on call, I came across this young 35 year-old lady who was in the Emergency Room. She had passed out after taking an antibiotic called, Floxin, which was prescribed for her by an urgent care center for a Urinary Tract Infection. The ER doctor wanted to send the patient home saying that she passed out due to the Floxin antibiotic, but I was not convinced! When I saw her in the ER, she was quite calm and was reading a novel!

A farm worker from Belle Glade passed out cold and woke up on his own, exactly like the two patients above.

While in the ER, he was found to have an irregular heartbeat of which he was unaware! After the investigative work, his diagnosis was crystal clear.

Case Number Six:

An elderly lady had passed out briefly at home. It was later determined through an ultrasound that she had a narrowing of the arteries in her neck. So once again, I came across a person who passed out without any obvious reason who considered herself “always healthy" and never seen a doctor. Of course I ordered some pertinent blood tests and found her to have passed out due to …?.

He too had no other medical condition and according to him, he had a clean bill of health.

After ordering the appropriate tests, I had found out that he had an entirely different condition than the cases above. Can you guess what he had?

She had no other medical problem or symptoms and after an investigational work up I got the diagnosis. What do you think it was?

Case Number Five:

In this case, an elderly gentleman passed out in his home and woke up on a few minutes later.

Case Number Seven:

Here, the patient was a middleaged gentleman that is not only a heavy cigarette smoker, but also an alcoholic, passed out for several minutes after having palpitations. Can you guess what he had?

Are you ready to test your medical expertise? You’ll find the diagnosis for each patient below and good luck!

Case One Diagnosis: This lady had several clots in her lungs and thankfully lived to go home after spending several days in the hospital receiving treatment. This was not a usual presentation for this type of diagnosis. Case Two Diagnosis: This gentleman had a large clot in his lung and survived in the end. Case Three Diagnosis: This gentleman had a seizure which was diagnosed through an EEG! He experienced severe involuntary shaking during the seizure which was the reason why he had elevated enzyme levels.

Case Four Diagnosis: This gentleman had a rare condition called Ball-valve Thrombus of the right heart where the large blood clot in his heart chamber caused transient blockage of his Tricuspid valve opening causing him to pass out. He was transferred to JFK Medical Center and underwent successful open heart surgery. Case Five Diagnosis: This patient had a Mini Stroke as understood in local parlance, but in medical terms had a Transient

Ischemic Attack or TIA. The irregular heartbeats were a condition called Atrial Fibrillation which led to the stroke.

Case Six Diagnosis: This woman also experienced a TIA, but this time it was due to hardening of the neck arteries related to high blood cholesterol and age. In this case, daily aspirin therapy was the treatment of choice.

Case Seven Diagnosis: This unfortunate gentleman had Alcoholic Cardiomyopathy which is defined as weakening of the heart muscle due to excessive alcohol consumption where the heart fails to pump the blood efficiently. He had a dangerous heart arrhythmia called Ventricular Tachycardia for which he required a Pacemaker. He quit consuming alcohol. Unfortunately, later he started to drink alcohol excessively again and eventually passed away. I have so many interesting case histories to share with you. These cases will alert you as to the various causes a person may pass out. I cannot think of a better way to educate someone than with my simplistic case descriptions above. I always tell my patients that self-awareness and knowledge is a powerful tool!

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Page 14

April 2013

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COMMUNITY EVENTS

The Pediatric Cardiothoracic Surgery program at The Palm Beach Children’s Hospital at St. Mary’s Medical Center Celebrates Its One Year Anniversary est Palm Beach, FL (April 2013) – The Palm Beach Children’s Hospital at St. Mary’s Medical Center celebrates a big anniversary for the smallest hearts. Approximately one year ago, Dr. Michael Black joined the medical staff at St. Mary’s

Medical Center and developed the Pediatric Cardiothoracic Surgery program. Under the leadership of Dr. Black, St. Mary’s Medical Center has been able to perform limited incisions in the surgical care of cardiac disease and congenital malformations. This minimally

invasive surgery technique uses very small incisions to perform a variety of cardiovascular procedures. The benefits include shorter hospitalization, a smaller 2-inch incision, less pain, less damage to muscle and tissue and a quicker return to daily activities. In the first year, Dr.

Black performed a total of 58 cardiac procedures as well as 20 non-cardiac procedures. "Pediatric Cardiothoracic Surgery program saw roughly 70 cases in the first year,” states Dr. Black, “However I don’t measure the success of the program through numbers, I

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BillTavernise@keyes.com

DEAR DEBORAH: I have been dating online for about three years and am looking for a relationship. While there are a lot of nice men, there are also a lot of creeps. Being a widow at the young age of 35 and not having children, I found that I attract men that just want to play around. Recently, I created a new profile which depicts me as a divorced woman of 35 with three children – all school aged. What I have found is that the men that respond to me are nicer, more understanding and WANT a relationship! I have maintained both profiles, but with the latter, I have the ability to create excuses if a better offer comes up. For example, if I had set a date with a guy from my second profile and a better offer comes along, I can cancel my other date by saying the kids are sick. I know, it probably sounds horrible to most people, but it does allow me to pick and choose. Besides, men have played games with women for years, so I really don’t feel bad, I’m just looking for the right guy. - Double Profile Diva

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www.keyes.com

Dear Double Profile Diva: I have never been able to understand why someone feels the need to play games with another human being! If you are looking for a pat on the back – you will not find it here. You seem to feel as though you have one up on a man, when in reality you are the one that will suffer in the long run. Let’s imagine that you meet a wonderful man on the second profile. He’s honest, understanding, loyal, loving and wants a commitment from you. Are those non-existent children suddenly going to materialize? Or, are you going to tell him that you lied and deceived him and hope that he is an exceptionally understanding man that can tolerate a liar? I personally feel you need a reality check. Act like a mature adult and stop lying and manipulating men. If the tables were turned and a man created a false or bogus profile just to get more dates, once you found out you would not only be upset, but drop him regardless of his reasoning. At 35, I would have hoped that you would actually act like an adult and not a spoiled child!

DEAR DEBORAH: Do I have to respond to all the people that send me an e-mail through my online profile? I know that it’s probably the polite thing to do, but I don’t have the time to write rejection e-mails. - Prefer to Remain Silent

Dear Prefer to Remain Silent: I know that there are many opinions out there regarding whether or not you should send a response to an e-mail. I know of a gentleman that started communicating with a woman through an online dating site and they really hit it off. He continued to get e-mails from other women and felt the gentlemanly thing to do was to let them know that he met someone and although it was in the early stages of communication, he just did not have the time to dedicate to more than one woman. Again, he THOUGHT he was doing the right thing – which turned out all wrong. One woman that initially sent him a very nice e-mail later sent him a scathing e-mail once she received her rejection. She went ballistic!!! He never responded to another woman and has since put his profile on hold. Therefore, my opinion is simple;

Dr. Michael Black.

Bob Wolff 561-352-0620

BobWolff@keyes.com

measure it by looking at the faces and the lives that I have improved or saved through this program. That’s nearly 70 children that our program has helped.” The success of the Pediatric Cardiothoracic Surgery program is attributed to the multidisciplinary approach involving cardiothoracic surgeons, cardiologists, nurse practitioners, critical care physicians and anesthesiologists to help meet the needs of patients and their families. “We are very fortunate to have Dr. Black as a part of our team and are looking forward to continued success and growth this year” commented Davide Carbone, chief executive officer of St. Mary's Medical Center. “Palm Beach County residents once had to travel to Miami or Orlando in search for the advanced treatment of congenital heart defects. Now, St. Mary’s can offer a very unique minimally invasive treatment option right here in the community.”

Dear Deborah

you do not need to reply with a rejection. I can also speak from personal experience. When I was on a dating site in the past, I would respond to everyone with a thank you, but for one reason or another, I felt that we were not a match. This would initiate more communication and then I would receive another e-mail that would ask questions. It was then that I realized I would no longer respond to anyone that I was not interested in and therefore, the lack of response would speak volumes.

DEAR DEBORAH: I have traditional values and expect to be treated like a lady. However, I am not sure that those values are upheld by everyone, including men. Over the past year, I have found myself having to pay for either half or even the entire check while on a dinner date. This is quite upsetting to me since most of the men have asked me out to dinner. While I can understand if I asked a man out on a date, than absolutely, I would be happy to pay, if they did not. But, if they

ask me out and especially if it’s a first date, I believe that they should pay. I am really getting tired of pulling out my credit card to pay for dinner, especially if there is no connection. Is there a way to ask them upfront if they are going to pay? - Sick of Paying?

Dear Sick of Paying: I completely agree with you regarding traditional values as I am quite old-fashioned in many ways. However, there is no clear-cut way of asking someone whether or not they are going to pay without sounding as though you are simply looking for a free meal. Perhaps the best advice that I can give is to spend a little more time getting to know them before going out to dinner. You can meet for coffee, a drink, at a museum or something that is a lot less expensive and that way, you will not feel as though you are being taken advantage of.

Dear Deborah is a monthly advice column written by Deborah Lynn with a common sense approach to dating. If you have any questions or comments, please forward them to: questions@globalhealthtribune.com as we would love to help.

April 2013

www.GlobalHealthTribune.com

UPCOMING EVENTS

Good Samaritan Medical Center and Midtown Imaging celebrate ribbon-cutting at Comprehensive Breast Care Center

t was all about the “Girls” and “Love Your Girls” as girlfriends, mothers, daughters and sisters, learned about the new Women’s Services at Midtown Imaging in Royal Palm Beach. Good Samaritan Medical Center and Midtown Imaging cut the ribbon on the Women’s Services and Compre-

Page 15

hensive Breast Care Center with tours of the advanced diagnostic imaging technology. The community also learned about the comprehensive, patient focused care on-site by board-certified radiologists on staff at the medical campus. The educational event’s focal point included educating local women on the center’s re-

sources, long-term-follow-up, information about biopsies and the importance of timely breast cancer screenings. The Central Palm Beach Chamber of Commerce, hospital board members, local community leaders, Susan G. Komen and hundreds of women from the local West Palm Beach community were at the event.

Upcoming Charity and Medical Fundraising Events April 20 – May 31, 2013 April 26

Central Palm Beach County Chamber Installation Gala. International Polo Club, Wellington. Tickets for members are $125.00 and future chamber members are $175.00. For additional information, contact Jaene Miranda at 561578-4816 or e-mail her at jaene@pbcchamber.com. You can also visit their website at www.cpbchamber.com.

April 27

Scleroderma Foundation. Lifetime Achievement Awards. Boca Greens Country Club, Boca Raton. Cost is $40.00. For additional information, contact Ferne at 954-798-1854 or sclerodermasefl@gmail.com. Or, you can visit their website at www.schleroderma.org. American Cancer Society. Relay For Life of East Boca Raton. Mizner Park Amphitheatre, West Palm Beach. For additional information contact Melanie Ginsberg at 561-394-7751 or Melanie.ginsberg@cancer.org.

May 3

(L-R) Mary Lou Bedford, vice president, Central Palm Beach Chamber; Jack Frost, GSMC Governing Board; Jorge Avellana, chairman, Governing Board; Sandra Mondro, M.D., board-certified radiologist; Mark Nosacka, CEO; Jon Rosenweig, M.D., board-certified radiologist; Erika Palmer, imaging center manager; Alex Fernandez, COO, ambassador for the chamber. (Back L-R) Heather Black, director of business development; June Owens, CHRO; Kim Elyanow, CFO; Ross Lieberfarb, M.D., radiology division director.

West Boca Medical Center Doctors Day

Mitch Feldman CEO West Boca Medical Center, Dr. Luis Alvarez.

Dr. Karim Harfouche, Mitch Feldman CEO West Boca Medical Center.

West Boca Medical Center honors its hospital and community based Physicians of the Year, Dr. Karim Harfouche and Dr. Luis Alvarez. Nominated by their peers, these physicians were chosen based on their respect towards the nursing staff, exemplary bedside manner and team approach to healthcare. West Boca Medical Center continues to strive for patient satisfaction through superior care in a compassionate and professional manner.

Angels of Mercy A Poem by Mario H. Casuga

immaculate uniform skills to heal and inform work unholy hours asking no favors never complaining praises not withstanding keep harrowing alone till thankless job is done selfless angels of mercy much-loved nurses we commend thee

Palm Healthcare Foundation. 11th Annual Nursing Distinction Awards “An Evening in Paris.” The Breakers, Palm Beach. Tickets are $125.00. For additional information, contact 561-833-6333, 561-837-2285 or jmcgrath@phfpbc.org.

May 4

Little Smiles. 1st Annual Miles for Little Smiles Run/Walk 5K. Roger Dean Stadium, Jupiter. For additional information, contact 561-290-7661.

May 9

2013 Heroes in Medicine Awards Luncheon. Honoring outstanding healthcare professionals and volunteers. For additional information, contact 561-433-3940 or reception@pbcms.org.

May 11

Catherine’s Hope for a Cure. 2nd Annual Golf Benefit, Boutique, Auction and Dinner. Boca Lago Country Club, Boca Raton. This event is to raise awareness for Batten disease. Cost for golfing is $125.00 (which includes dinner and drinks), or if you only want to attend the dinner with cocktails and the auction is $45.00. For additional information, contact 561-482-5000. You can also visit their website at www.catherineshopeforacure.org.

May 17

Cystic Fibrosis Foundation. Finest Palm Beach Gala. The Borland Center, Palm Beach Gardens. For additional information contact, Karen Gray or Megan Fogg at kgray@cff.org or mfogg@cff.org.

May 18

American Cancer Society. Relay For Life of Downtown West Palm Beach. Meyer Amphitheatre, West Palm Beach. For additional information contact Melanie Ginsberg at 561-394-7751 or Melanie.ginsberg@cancer.org.

PCP

Accountable Care Organization provides accountable, coordinated care

If you want to be part of a Primary Care Physician-owned and PCP driven ACO, where each member will be an equal owner, then call (561) 537-4805. We are inviting Primary Care Physicians to join this fast growing ACO and take this unique opportunity to be an integral part of the future of healthcare. We are a 100% transparent and fully primary care physician-owned ACO.

Time is of the essence as enrollment ends soon, so please call today. Isn’t it time to take your destiny into your own hands?

Experts agree; the Medicare system is broken. While most Politicians continue to argue for squeezing physician reimbursement and increasing out-of-pocket expenses, they admit the duplication, overutilization and sheer inefficiency of the system accounts for billions of wasted dollars each year. What if Physicians were reimbursed, not just for

IMAGINE HEALTH CARE that helps you PREVENT ILLNESS instead of just treating it...

that connects all your care providers through ELECTRONIC MEDICAL RECORDS...

today’s "chief complaint" or "level of service", but for the actual medical conditions addressed? Imagine healthcare that enables you to have the complete picture of your patient’s prescriptions, specialty and hospital care and sharing 50/50 with Medicare in any savings that were generated on your patients' yearly Medicare costs... all with no downside risk?