DELRAY MEDICAL CENTER CELEBRATES 30 YEARS OF SERVICE P5 Arthritis Foundation Kick-Off Party P 6
Dr. Lawrence Weinstein, a Cardiologist with Heart P 11
SFRO Celebrates Re-Opening at Palm Beach Gardens P 14
Global Health SEPTEMBER ISSUE - 2012
S er vin g: J upiter
P alm Beach G ar dens
Dr. John Rimmer n
A discussion of Lymphedema and L-Dex P 2
n
TRIBUNE
Royal P alm Beach
n
Wellington
n
The Economic Case for Health Care Reform
Belle G lade
n
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
n
Lantana
n
Boynton
n
Boca Rato n
If health care costs continue to grow at historical rates, the share of GDP devoted to health care in the United States is projected to reach 34 percent by 2040.
The Usefulness of Annual Prostate Screenings P 6
Jerry Singer, MD
Sleep Apnea in Babies and Children P 7
Alvaro Betancur, D.D.S.
Council of Economic Advisers projections suggest that this number will rise to about 72 million in 2040 in the absence of reform. A key factor driving this trend is the tendency of small firms not to provide coverage due to the rising cost of health care. PAGE 2
Too Much Tuna Means Too Much Mercury for Kids
Page 11
Mindfulness Meditation and Emotional Style PAGE 8 BETHESDA MEMORIAL HOSPITAL BRINGS FOCUS TO FIRST WORLD SEPSIS AWARENESS DAY PAGE 6 GLOBAL HEALTH TRIBUNE P.O. Box 213424 Royal Palm Beach, FL 33421
Dr. John Rimmer
West Palm Bch, Fl PermIt No. 1340
PaId
Prsrt std U s Postage
2 SEPTEMBER ISSUE
H
• 2012
WWW.GLOBALHEALTHTRIBUNE.COM
The Economic Case for Health Care Reform WHERE WE ARE AND WHERE WE ARE HEADED
ealth care expenditures in the United States are currently about 18 percent of GDP, and this share is projected to rise sharply. If health care costs continue to grow at historical rates, the share of GDP devoted to health care in the United States is projected to reach 34 percent by 2040. For households with employer-sponsored health insurance, this trend implies that a progressively smaller fraction of their total compensation will be in the form of take-home pay and a progressively larger fraction will take the form of employer-provided health insurance.
The rising share of health expenditures also has dire implications for government budgets. Almost half of current health care spending is covered by Federal, state, and local governments. If health care costs continue to grow at historical rates, Medicare and Medicaid spending (both Federal and state) will rise to nearly 15 percent of GDP in 2040. Of this increase, roughly one-quarter is estimated to be due to the aging of the population and other demographic effects, and three-quarters is due to rising health care costs. Perhaps the most visible sign of the need for health care reform is the 46 million Americans currently without health insurance. Council of Economic Advisers projections suggest that this number will rise to about 72 million in 2040 in the absence of reform. A key factor driving this trend is the tendency of small firms not to provide coverage due to the rising cost of health care.
The sources of inefficiency in the U.S. health care system include payment systems that reward medical inputs rather than outcomes, high administrative costs, and inadequate focus on disease prevention. Market imperfections in the health insurance market create incentives for socially inefficient levels of coverage. For example, asymmetric information causes adverse selection in the insurance market, making it difficult for healthy people to receive actuarially reasonable rates.
INEFFICIENCIES IN THE CURRENT SYSTEM AND KEY ELEMENTS OF SUCCESSFUL HEALTH CARE REFORM
While the American health care system has many virtues, it is also plagued by substantial inefficiencies and market failures. Some of the strongest evidence of such inefficiencies comes from the tremendous variation across states in Medicare spending per enrollee, with no evidence of corresponding variations in either medical needs or outcomes. These large variations in spending suggest that up to 30 percent of health care costs (or about 5 percent of GDP) could be saved without compromising health outcomes. Likewise, the differences in health care expenditures as a share of GDP across countries, without corresponding differences in outcomes, also suggest that health care expenditures in the United States could be lowered by about 5 percent of GDP by reducing inefficiency in the current system.
Council of Economic Advisers’s findings on the state of the current system lead to a natural focus on two key components of successful health care reform: (1) a genuine containment of the growth rate of health care costs, and (2) the expansion of insurance coverage. Because slowing the growth rate of health care costs is a complex and difficult process, we describe it in general terms and give specific examples of the types of reforms that could help to accomplish the necessary outcomes.
THE ECONOMIC IMPACT OF SLOWING HEALTH CARE COST GROWTH
The central finding of this report is that genuine health care reform has substantial benefits. Council of Economic Advisers estimates that slowing the growth of health care costs would have the following key effects:
It would raise standards of living by improving efficiency. Slowing the growth rate of health care costs by
increasing efficiency raises standards of living by freeing up resources that can be used to produce other desired goods and services. The effects are roughly proportional to the degree of cost containment.
It would prevent disastrous budgetary consequences and raise national saving. Because the Federal government pays for a large fraction of health care, lowering the growth rate of health care costs causes the budget deficit to be much lower than it otherwise would have been (assuming that the savings are dedicated to deficit reduction). The resulting rise in national saving increases capital formation.
Together, these effects suggest that properly measured GDP could be more than 2 percent higher in 2020 than it would have been without reform and almost 8 percent higher in 2030. The real income of the typical family of four could be $2,600 higher in 2020 than it otherwise would have been and $10,000 higher in 2030. And, the government budget deficit could be reduced by 3 percent of GDP relative to the noreform baseline in 2030.
It would lower unemployment and raise employment in the short and medium runs. When health care costs are rising more slowly, the economy can operate at a lower level of unemployment without triggering inflation. Our estimates suggest that the unemployment rate may be lower by about one-quarter of a percentage point for an extended period of time as a result of serious cost growth containment.
Global Health TRIBUNE
CONTACT US P.O. Box 213424 Royal Palm Beach, FL 33421 info@globalhealthtribune.com
Deborah Lynn Staff Writer and Sales Executive (312) 351-2383 deborah@globalhealthtribune.com
Erica Whyman Staff Writer and Sales Executive (561) 308-1428 erica@globalhealthtribune.com GRAPHIC DESIGN Sergio Aguilar (561) 797-2325 ads@globalhealthtribune.com
ATTENTION Healthcare Professionals… If you are a physician or healthcare professional and would like to contribute an article that you feel would be of interest to our readers. Please e-mail us at articles@globalhealthtribune.com
Dr. John Rimmer A discussion of Lymphedema and L-Dex “Lymphedema is a swelling in a body area due to a blockage in the lymphatic vessels which drain that area. The swelling is caused by an accumulation of the lymphatic fluid. 80% of cases occur in the three years following cancer surgery.”
O
Dr. John Rimmer is a board certified general surgeon. He currently holds hospital privileges at Jupiter Medical Center in Jupiter.
By Deborah Lynn
ver 100 million people have been or are affected by lymphedema and yet, many have never even heard of this condition.
According to Dr. John Rimmer, “lymphedema can be a complication of breast cancer surgery. It can occur after under arm or axillary lymph node biopsy. Sentinel lymph node biopsy is a less invasive procedure compared to the previously used axilla dissection. These procedures are used to stage a breast cancer and are important to understand the prognosis and are a guide to further treatment. Despite this, lymphedema can occur after sentinel node biopsy.”
The lymphatic system is comprised of lymph vessels and lymph nodes throughout the body. The function of the lymph vessels is to collect the lymphatic fluid, consisting of protein, water, fats, and waste from cells. They then transport the fluid to your lymph nodes which is where the foreign material is then filtered out of the fluid. It is then returned to the bloodstream.
There are two types of lymphedema – primary and secondary. Primary lymphedema is hereditary and caused by missing or impaired lymphatic vessels.
Secondary lymphedema is caused by trauma, infection or surgery that is disruptive to the lymphatic channel and results in a loss of lymph nodes.
When someone develops lymphedema, the lymphatic fluid cannot move freely and accumulates in the body. Swelling is seen and is due to an abnormal build-up of fluid in the arms and legs.
Fortunately, there is a way to diagnose lymphedema. This type of assessment is called L-Dex or Lymphedema Index.
years, there are very few places that currently use this type of measurement assessment in Palm Beach County.
As there is no cure for this type of condition, “from a surgical point-ofview, it’s a frustrating disease because when we perform surgery, we like to find the problem and fix it. With this condition, there is no
Dr. Rimmer is one of the physicians that use L-Dex at his practice in Jupiter. “L-Dex is a non-invasive tool that can diagnose lymphedema at a very early stage when the patient doesn’t have any symptoms and has not yet noticed swelling. The L-Dex is mainly used for patients that will have or have had a lymph node biopsy on the axilla under the arm.”
“Lymphedema can occur in a variable proportion of patients that have had breast cancer surgery. For example, the risk of women developing lymphedema after having a sentinal lymph node biopsy is about 2-4%. However, in women who had an axilliary dissection (which is a larger operation under their arm to remove more lymph nodes), is a bit higher at 10%. The more extensive surgery under the arm, the higher the risk of getting lymphedema” stated Dr. Rimmer.
As this procedure is quite new, having only been out for two to three
fix. The treatment involves massage and compression bandages or pumps everyday for the rest of your life. So the concept of the L-Dex is that we prefer to do the test before surgery and follow up after the surgery every three months for up to three years. L-Dex can diagnose lymphedema at the earliest stage and allow intervention including a compression garment which initial clinical trials suggest if used early can prevent lymphedema becoming a chronic condition.” said, Dr. Rimmer.
Dr. Rimmer’s practice encompasses about 95% of breast cancer surgery. As this is his specialty, he also uses techniques that other offices don’t perform too often, if at all, in the Palm Beach area.
Another accomplishment of Dr. Rimmer’s was the development of the Kristin Hoke Breast Cancer Program at Jupiter Medical Center. This project in particular is very close to his heart as Kristin was his patient. Kristin was a news anchor on WPBF-TV Channel 25 who was diagnosed with cancer and chronicled her experience on television. She succumbed to her disease in 2010 at the age of 42. She was courageous enough to share her dayto-day struggle with the disease and thereby giving strength and inspiration to women everywhere that have been affected by cancer. In doing so, she became a family member to all of her viewers and will forever be missed – but not forgotten.
The center received full accreditation by the American College of Surgeons’ National Accreditation Program for Breast Cancer (NAPBC).
If you would like additional information regarding Dr. John Rimmer, you can visit his website at www.johnrimmermd.com, or call his Jupiter office at 561-748-1242. To learn more about the Kristin Hoke Breast Cancer Program, you can visit www.jupitermed.com/breasthealth.
SEPTEMBER ISSUE • 2012 3
WWW.GLOBALHEALTHTRIBUNE.COM
Listen to your feet D
Arthur Hansen DPM, M.S.
o you realize that your feet and legs may be trying to communicate with you?
They just may be trying to inform you that the circulation to your feet and legs is not as good as it could or should be. Poor circulation could be the result of faulty arteries (vessels that deliver blood to the feet) or faulty veins (vessels that return blood from the feet to the heart). The voice of your feet and legs can be as quiet as the subtle loss of hair on your toes, or swelling of the feet and ankles, to as loud as painful leg cramping. In this article I'll discuss some of the signs of poor circulation to the legs and feet from the most subtle to the most noticeable. Hair follicles are some of the most sensitive types of cells in the body and therefore very susceptible to any changes in their environment. Without appropriate nutrients
Conservative & Surgical Treatments Available Whirlpool with every visit!
being delivered via blood flow, hair follicles fail to thrive and the result is a loss of visible hair growth. Hair growth on the toes is usually the first area affected followed by the feet and then the legs below the knees. Many of my patients complain of cold feet and their inability to sleep or go without socks. Cold feet can be the result of many different physiological processes but a lack of circulation will definitely lower the temperature gradient of your legs and feet as you move towards your toes.
Cramping in the calves and even the feet with walking and/or exertion is a more noticeable sign of poor circulation. If you repeatedly notice cramping after walking a certain distance, that is relieved if you stop and rest for a few minutes, it is likely that the blood flow to your muscles is inadequate. When you exert the muscles in your legs and feet with walking, they require more oxygen and nutrients than if they are resting. If the blood vessels are occluded or are not functioning properly then the muscles are not receiving adequate blood flow. Leg cramping can also occur when the muscles are resting. This "rest pain" is usually worse at night and relieved if the legs are dangling over the bed. The pain is usually unsymmetrical and the legs show marked pallor on elevation and marked redness with dependency.
Another obvious sign of poor circulation can be an ulcerated site on the legs, feet and/or toes that is not healing despite treatment. These lesions are painful and those that suffer from them usually find the most comfort with their legs dangling. They
may even sleep in a chair all night because this position allows for optimum blood flow to the extremities.
Symmetrical swelling of feet, ankles and legs can be a sign of poor venous circulation. That is, the veins are having trouble returning the blood from the feet and legs to the heart. Therefore, the blood pools in the feet and ankles, and swelling is obvious. The swelling is usually less in the morning as you have not been on your feet while sleeping. Varicose veins, painful or not, is a common finding especially among women. These represent faulty valves in the veins and could lead to bulging, painful varicosities and ulcerations.
It is important to realize that the signs and symptoms mentioned above may or may not be caused by poor circulation. For example, not everyone who lacks hair on their feet and toes or who has cold feet suffers from poor circulation.
There are many clinical tests that can be done to determine the existence and extent
Get back on your Feet!
of circulatory problems. A Doppler, or noninvasive vascular study, can be performed which can verify and sometimes quantify circulatory disorders. Once poor circulation is diagnosed treatment can begin. Treatment options can range from the most conservative such as exercise and diet changes to prescription medications to possible surgical intervention. When someone is trying to communicate with you, you listen. Do the same and listen to your feet and legs. Call to make your appointment
(561) 433-5577 WEST OFFICE:
3347 SR 7, Suite 204 Wellington, FL 33449 EAST OFFICE:
2326 South Congress Ave. Suite 1-A West Palm Beach, FL 33406
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
4 SEPTEMBER ISSUE
• 2012
WWW.GLOBALHEALTHTRIBUNE.COM
Good Samaritan Is One Of The First Hospitals In South Florida To Offer Patients Intelligence Orthopedic Surgery Sensor-Assisted Orthopedic Device Provides Surgeons Real-Time Date to Optimize Knee Replacement Surgery Outcomes. nology that harnesses the latest innovations in sensors, microelectronics and wireless communications to improve healthcare outcomes and reduce the cost of treating musculoskeletal disease.
Dr. Elvis Grandic
WEST PALM BEACH, FlaSeptember 2012- Dr. Elvis Grandic at Good Samaritan Medical Center is one of the first surgeons in South Florida to perform intelligent orthopedic knee replacement surgery; a new tech-
E
Dr. Grandic is using the first sensor-assisted orthopedic instrument, the OrthoSensorTM Knee Balancer, to quantify and verify that they position and balance a knee implant properly during total knee replacement surgery. Proper balance of the soft tissue, such as ligaments, tendons, and muscles, are critical for a knee implant to function correctly. Improper soft tissue balance and alignment has been demonstrated to be the cause of up to 36% of early implant revision procedures. Knee replacements performed with this new intelligent orthopedic device may reduce
patients’ risk of premature implant failure.
“If soft tissues are too tight, the knee cannot regain its full range of motion; if too loose, the joint may become unstable; if loaded excessively on one area, an implant will fail prematurely,” said Dr. Grandic. “By using Intelligent Orthopedics to optimize the placement of knee implants, we are providing our patients the best chance for successful long-term clinical outcomes.”
The low-cost, intelligent, singleuse device, made by OrthoSensor, Inc., replaces the standard tibial trial spacer block typically used during knee replacement surgery to fit a knee implant. The surgeon inserts the OrthoSensor Knee Balancer between the femoral
and tibial components of the knee implant to customize their placement. The intelligent instrument is embedded with sensors that quantify joint balance intra-operatively, so the surgeon can make adjustments to the soft tissues and optimize implant placement. Once the implant position is finalized, the intelligent instrument is removed and replaced with a permanent implant component. Until now, surgeons’ decisions about these soft tissue functions have varied based on individual judgment, experience and skill set, due to the paucity of quantifiable data. By contrast, the intelligent knee instrument wirelessly transmits key information to a graphic display, enabling the surgeons to visualize and quantify joint balance and load during
knee replacement procedures. With this evidence, surgeons can make informed adjustments to the soft tissues to optimize implant placement.
“This intelligent device advances our decision-making about crucial soft tissue adjustments from a feel-based art, to a quantifiable science,” said Mark Nosacka, Chief Operating Officer, Good Samaritan Medical Center “Good Samaritan’s orthopedic surgeons now have a new way to measure and verify intra-operatively that a knee implant is properly positioned.”
For more information about the use of Intelligent Orthopedics at Good Samaritan Medical Center or to find a doctor, visit www.goodsamaritanmc.com or call 561-655-5511.
NAME YOUR POISON – WHAT IS IN THAT TOBACCO?
ach year 22 billion packs of cigarettes are sold in the United States. The average pack a day smoker will smoke 7,280 cigarettes in a year and the health tolls are enormous. For each pack of cigarettes sold, approximately $7.00 is spent on healthcare. This totals $157.7 billion dollars a year, according to the Centers for Disease Control (CDC). Each year, 443,000 people die as a direct result of tobacco use and 49,000 die as a result of exposure to second hand smoke. The average smoker can expect to die 14 years earlier than a non-smoker. These numbers do not even include the health results of using chew, dip, snus, and snuff tobacco. Why? What is in that tobacco that is being used by so many?
Smoke pH is a measure of the acid/base chemistry of a cigarette. By controlling the pH, more nicotine is present in a chemical free-base form. This makes nicotine more readily available for absorption and use by the body allowing for increased addictive properties. Menthol, used for flavor and as a counter-irritant, enhances nicotine absorption and can reduce neural activity that may stimulate muscles providing for deeper inhalation of cigarette smoke adding to the addictive process. Menthol is also used as a pesticide and is a component of chest cold rubs. The modern cigarette contains 10% additives by weight. The average weight of a cigarette is 1.2 grams. That means that approximately 2.4 grams of chemicals are added to every pack of cigarettes. Tobacco companies use 499 or more chemicals to formulate and flavor their tobacco products and, by law,
snus, or snuff is no safer. Because tobacco is so bitter, sweeteners are used to make it taste better causing tooth decay. Abrasives such as sand and fiber glass wears down the surface of teeth and causes abrasions in mouth tissue allowing more nicotine into the body systems. Other chemicals included are polonium (elimination of static electricity), formaldehyde (embalming, preservative), lead, arsenic, and cyanide for various formulation and flavor needs. Copenhagen, made by US Smokeless Tobacco Company, uses such additives as ammonium chloride, ethyl alcohol, ammonium carbonate, and sodium carbonate.
are required to post their chemicals used, which can be found on each company’s website. Among these additives are chemicals that have bronchodilator properties. This helps to prevent lung bronchial spasms when smoking and allows for deeper inhalation and greater deposition, thereby effectively removing a physical barrier to smoking. Diammonium phosphate used for flavor and as a nicotine enhancer is also used as a component for fertilizer and fire retardant chemicals. The average pack a day (ppd) smoker can inhale up to 14 pounds of this chemical in just one year. Graphite, used as pencil lead and in locks, is added as a heat source and can allow a ppd smoker to inhale up to 64 pounds in a year of use. Another chemical of note is Propylene glycol. Used as a humectant (helps to retain moisture) and for flavor, it is also a component of de-icing solutions, paintball production and may be more familiar as anti-freeze. The company,
JTI, producing the “Export” and “Wave” brands uses ethylene vinyl acetate copolymer, microcrystalline wax, polyvinyl acetate, paraffin (wax), and boric acid as filter adhesives. For its filter material this company includes Titanium dioxide.
Cigars are a mixture of tobacco and other leaves. Ligero leaves enhance the flavor of tobacco while Secco leaves provide for a milder flavor. Volado leaves are included to help ensure a more even burn. Also there is significantly more nicotine in a cigar than a cigarette. The exact amount of nicotine depends on the brands, but an average of 10 mg of nicotine is in each cigarette while there is 100-200 mg of nicotine in a cigar. Pipe tobacco actually contains 400 times more nicotine than cigarettes and it too uses propylene glycol to retain moisture. It also contains Benzene, Benzo(a)pyrene, and lead. Tobacco that is chewed, dipped,
It is no wonder that a variety of devastating health risks is associated with all tobacco products. Using tobacco changes the brain’s chemistry and is a cause of early death with an average loss of 14 years of life per smoker. Years of life are fraught with health problems such as cataracts, gum disease, loss of teeth, atherosclerosis, COPD, and peripheral vascular disease. Women who use tobacco suffer from reduced fertility while men using tobacco are at greater risk for infertility. Then, of course, there are the various cancers associated with all tobacco use such as cancer of the nasal cavities, lungs, urinary bladder, pancreas, lips, mouth, throat, and cervical cancer. In short, there is not one health benefit to using tobacco of any kind and definite damage to a user’s health. There is help to quit using tobacco of any kind. The federal government hosts a website guide to quitting smoking at smokefree.gov (http://www.smokefree.gov). This provides you with a step-
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.
by-step guide to quit and includes sections such as “Talk to an expert”, “Find tools to help you quit”, and “Learn about topics related to quitting.” Also the state of Florida provides a “Quitline” at 1-877-U-CANNOW. Locally, the state funds Quit Smoking Now and Tools to Quit classes. Quit Smoking Now classes are one-hour a week for six-weeks and the Tools to Quit classes are a one-time two-hour hour class. Both are free to the public and provide free nicotine replacement products such as patches, lozenges, and gum to eligible participants. More information on these classes can be obtained at the Everglades Area Health Education Center at 1877-819-2357. Why not call today and begin a new tobaccofree lifestyle.
SEPTEMBER ISSUE • 2012 5
WWW.GLOBALHEALTHTRIBUNE.COM
PUBLIC INVITED TO LEARN ABOUT HEART DISEASE, DIABETES, & BIPOLAR DISORDER AT FUTURE OF MEDICINE SUMMIT WEST PALM BEACH (September 13, 2012) – Members of the general public who are interested in heart disease, diabetes and bipolar disorder are invited to attend the Future of Medicine Summit’s Science, Medicine and Community segment. On Thursday, September 27, from 12:45-5pm at the Palm Beach County Convention Center, local physicians, Scripps Florida researchers and community nonprofits will speak about these three chronic conditions. There is no cost to attend the event between 12:45-5pm, and attendees will be able to visit the Summit exhibitors.
Current Perspectives in Bipolar Disorder takes place from 12:452pm and features Ronald L. Davis, PhD, Scripps Florida; Amy Dean, Palm Healthcare Foundation; Linda De Piano, PhD, Jerome Golden Center for Behavioral Health; Pamela Gionfriddo, Mental Health Association; Janet Hibel, PhD; James Howell, MD, Nova Southeastern University; Bruce L. Saltz, MD, Mental Health Advocates, Inc.; and Abbey Strauss, MD.
Diabetes: A National & Global Crisis takes place from 2-3:15pm and features Jose Arrascue, MD, South Palm Beach Nephrology,
Delray Medical Center Celebrates 30 Years of Service Week long festivities to follow
PA; Donald Grossman, MD, Florida True Health; Patricia McDonald, PhD, Scripps Florida; Eugenia Millender, PhD(c), FAU Diabetes Education and Research Center; Kathryn Reynolds, MD, Palm Beach Diabetes & Endocrine Specialists, PA.
Latest Advancements in Cardiovascular Disease Research, Treatment and Care is scheduled for 3:30-5pm and features Stephen Babic, MD, Boca Raton Cardiology Associates; Michael Dennis, MD; Malcolm Dorman, MD; Pascal Goldschmidt, MD, University of Miami Leonard M. Miller School of Medicine; Bruce Inverso, American Heart Association; and Kirill Martemyanov, PhD, Scripps Florida.
Pre-registration is required. To register, call 561-433-3940. To learn more about the Summit and to view the Summit schedule in its entirety, visit www.pbcms.org/FOMSummit.
DELRAY BEACH, FL-October 2012-Delray Medical Center will celebrate 30 years of dedicated service to the community during the first week of October. This celebration will include numerous events honoring those of who have been employees at the hospital for 30 years as well as commemorating the overall success the hospital has experienced. “For 30 years, we have remained true to our mission to provide excellent healthcare services to our patients,” Chief Executive Officer Mark Bryan said. Originally named Delray Community Hospital, it began as a 160-bed facility and was seen as innovative right from the beginning with its “campus concept,” allowing patients to take advantage of various services in one central location. This broke the mold of what a traditional acute care hospital provided. When it opened on October 4, 1982, it had 700 employees and 195 physicians with two operating rooms. Renamed Delray Medical Center in 1996 to note its expanded services, it has developed into a thriving 42-acre campus with
493 licensed beds, 1,600 employees, and over 600 physicians. The hospital has also become known for its range of specialized services including a provisional level one trauma center, a center for advanced orthopedics, and a state designated comprehensive stroke center. For Delray Medical Center, awards and national recognition has become a mainstay. For the past six years, it has been named one of America’s 50 Best Hospitals as well as being one of only 269 hospitals ranked in the top 5% in the nation for patient outcomes by Healthgrades, a
leading independent healthcare ratings organization. In addition to its award-winning services, Delray Medical Center has been fully committed to community outreach programs including sponsoring local events, community lectures and fundraisers.
The vision for the future for Delray Medical Center is constantly evolving through its growing number of specialty services. Bryan echoed this projection, “I see Delray Medical Center making even more strides as a leader in excellent healthcare to the community we serve as it grows and changes.”
6 SEPTEMBER ISSUE
• 2012
WWW.GLOBALHEALTHTRIBUNE.COM
THE USEFULNESS OF ANNUAL PROSTATE SCREENINGS: THE CONFUSION AND CONTROVERSY
O
Jerry Singer, MD
Board-Certified Urologist who has been in private practice in the Lake Worth and Wellington areas since 1985.
ver the years, we have experienced greater life expectancies and better health because of the emphasis on preventative care and early detection and treatment of serious illnesses. Recently, many of the medical tests responsible for these health benefits have come under fire by the U.S. Preventative Services Task Force, because of potential complications, patient discomfort and perceived lack of medical benefit. Their decision to recommend against annual mammograms, PAP smears and prostate cancer screening has generated the most notoriety and raised the most controversy. Urologists, patient advocates and the major urologic organizations disagree with this recommendation and continue to support the benefits of annual prostate screenings using a PSA blood test in properly educated patients. The prostate is a gland that stores and releases semen. It is
located below the bladder and encircles the urethra like a doughnut. The prostate continues to grow (BPH) with age but can also become cancerous. Prostate cancer is the most common solid organ cancer in men and is currently the second leading cause of cancer death in men behind lung cancer. There are no symptoms with early prostate cancer and the only way to diagnose it is with a screening comprised of a yearly digital rectal exam and serum PSA. Prostate Specific Antigen (PSA) is a protein produced in the prostate and found circulating in the blood stream of all men. Neither of these tests is diagnostic but rather an indication that there may be a cancerous growth and a prostate biopsy should be recommended. The decision to biopsy should be fueled by the rectal exam results, the PSA, changes in PSA over time, patient age, ethnicity, and other illnesses.
The American Urological Association has established guidelines for PSA screening (April 2009) and now recommends that baseline PSA screening and digital rectal exam be considered in men at age 40 years of age. Annual digital exams should continue and if the PSA is very low, the annual PSA test can resume annually at age 45. Additionally, patients need to be informed and be part of the decision making process regarding screening and treating prostate conditions. The controversy created by the USPSTF task force is based on
their notion that screening with PSA leads to unnecessary testing and overtreatment. Some prostate cancers diagnosed will remain dormant and never spread, unfortunately we have no way of knowing which cancers will behave this way. Their recommendation disregards the positive effect the PSA test has had on so many men in this country. Thanks to early detection from a PSA test, 90% of all prostate cancers are discovered before they spread. At this early stage, the survival rate is nearly 100%. The task force ignores the nearly 30,000 men who suffer a prolonged course of illness then die from prostate cancer each year The last point is particularly worrisome because men with metastatic prostate cancer often suffer a protracted, painful course before death from the disease. More than two million men are alive today because of early detection and improved management of prostate cancer. Since the introduction of the PSA blood test there has been a 30% reduction in the death rate from prostate cancer. Prior to the use of the PSA, 75% of men presented with advanced cancer which was not curable compared to the 90% of men found today with localized curable disease. The PSA blood test is not perfect but is the best we have. Physicians must speak freely to their patients about PSA-based screening for prostate cancer, informing them of the risks and benefits. Ultimately each patient must decided if they want to be screened, evaluated and treated for prostate cancer.
BETHESDA MEMORIAL HOSPITAL BRINGS FOCUS TO FIRST WORLD SEPSIS AWARENESS DAY
Bethesda Memorial Hospital Brings Focus to First World Sepsis Awareness Day on September 13, 2012.
(Boynton Beach, FL) Every 3-4 seconds someone dies of sepsis. Did you know that “Superman” actor Christopher Reeve died of sepsis? Sepsis is one of the most common but least recognized diseases in the world. Today, the World Health Organization has proclaimed the first “World Sepsis Awareness Day.” Bethesda’s head Critical Care Intensivist physician Sreedhar Chintala, M.D., is educating staff and the community about this worldwide issue.
Sepsis causes more deaths than prostate cancer, breast cancer and HIV/AIDS combined. Globally, an estimated 20 – 30 million cases of sepsis occurs each year. Experts in the field believe sepsis is actually responsible for the majority of the mor-
tality associated with HIV/AIDS, malaria, pneumonia and other infections acquired in the community, in healthcare settings and by traumatic injury (4). The annual costs for hospital treatment of Sepsis in the U.S. is 14.6 Billion dollars!
In treating sepsis, time is of the essence. A person with sepsis can become very sick very quickly. Antibiotics and intravenous fluids need to be given as soon as possible to give patients the best chance of survival.
Founded in 1959, Bethesda Health, Inc., is a nonprofit healthcare organization serving the medical needs of South Palm Beach County with a mission to provide quality health services in a caring manner.
T
Arthritis Foundation Kick-Off Party
he Arthritis Foundation held their 2012 Team Kick-Off Wine Social on September 13 at their office in West Palm Beach. This was a prelude to their upcoming Arthritis Walk & Arff-ritis Dog Walk which is scheduled for Saturday, November 10.
If you would like additional information on this upcoming event, please visit their website: www.2012awlakeworth.kintera.org
WRMF 97.9 was on hand with Alexa and Jason.
Rachael, Leeah (Jr. Honoree) and Patti Rath.
Taylor (Volunteer) and Susie Rhodes.
Arthritis Walk Kick-Off Event.
Krystal, Jeanne, Art, Maryann and Joecy.
Maureen Conte and Bill Watson.
Miriam Davis, Julie Schiess and Trina.
SEPTEMBER ISSUE • 2012 7
WWW.GLOBALHEALTHTRIBUNE.COM
Sleep Apnea in Babies and Children Noisy breathers Obesity Frequent upper airway infections Earaches Bedwetting Nocturnal mouth breathing Snoring Restless sleep Nightmares Night terrors Headaches Chronic nose running
Alvaro Betancur, DDS, has practiced dentistry in Florida since 1990. After receiving his dental degree, Dr. Betancur completed a residency in craniofacial pain and pathofunction at the University of Florida and a fellowship at the University of Florida Pain Center rand the American Academy of Craniofacial Pain. Dr. Betancur is a member of the American Academy of Dental Sleep Medicine.
By Alvaro Betancur, D.D.S.
Baby's Sleep Apnea can be fatal. Prevention and early treatment is the best thing you can do for your kids.
Sleep disorders often occur in children because of congenital issues or/and tonsils, and children that are sleepdeprived need to be evaluated by a Dentist and pediatrician; Children that snore should be evaluated by an ENT. Morning crankiness or behavior problems at school could signal a warning for OSA; long narrow faces may indicate sleep deprivation; and a bluish hue under the eyes can be a sign of allergies or oxygen deprivation. Children who have sleep disturbances are often smaller because they lack vital growth hormone production during lesser stages of REM sleep. Sleep deprivation can cause attention and behavioral problems and increase the risk of obesity. Obstructive sleep apnea has being associated with heart disease and sudden death....It is a serious condition and potentially life threatening disorder. Symptoms of Sleep Apnea in Children Hyperactivity Poor concentration -Some times are Diagnosed by mistake with ADD/ADHD Developmental delay Hyponasal quality to their voice
Most parents now are more educated and want to know more about what is best for their children’s nutrition, education and life. As a modern parent, you should also learn more about your child facial development and its influence in airway, sleep, pain, orthodontic conditions and make healthier choices that will impact you child life. Dentofacial orthopedics is the way to early treatment and preventing OSA (can open the airway 10 mm or more) by developing the facial profile to an optimum situation and maintaining or increasing the airway space. Call our office for a complimentary consultation. Treatment should be started as soon as the problem is diagnosed after 2 years of age. Without treatment, the problem is only going to get worse. Just look for the V shaped form between menton and lip.
Give your children a present for life: Beautiful smiles and faces without apnea and snoring. Treatment started as young as 2 years old, can Help your children to reach the maximum growth potential by helping to remove possible obstacles to their breathing, swallowing, sleeping and developing a beautiful facial profile at the same time.
Parents are the first ones to notice their babies problems…and as a parent you can be the first one to help in prevention and early care of potentially life treating conditions in your children. STARTING AT PREGNANCY BY PREPARING TO:
1-Learn a little about craniofacial development and accept the fact that
SNORING AND DAYTIME SLEEPINESS may signal a potentially life threatening disorder:
OBSTRUCTIVE SLEEP APNEA OR OSA OSA can lead to heart attack and reduced libido
Member Alvaro Betancur, D.D.S.
The airway is the keystone of the face. The airway stabilizes the surrounding arches: the orbits, palate. maxillary arch, cheek bones and sinuses.
Compare Treatment Options
feeding in a reclined position may potentiate tongue thrust. When babies are held upright positions they are encouraged to take the breast milk with the neck stretched and a forward stretching of the chin, which is most important for healthy orofacial development.
Maxillary arch holds 85% of the nasal airway. A compromised airway in a child changes the activating signal and alters growth and development. Airway, allergies, tongue and lips posture, adenoids and habits….they are all related. The human fetus starts to swallow at approximately 12 weeks of gestation as per prenatal studies Davis ME, and Potter EL, Intrauterine Respiration of the human fetus.JAMA 131:1194, 1946.
The largest increase in development occurs within the first 4 years of life. early treatment works faster, less expensive,less traumatic with better results and should be performed as soon as a problem or condition is observed. Craniofacial development is 90% complete by 12 years of age. Shepard et al, Sleep 1991 Research done at Mayo.
The force needed to move an anterior tooth is 1.7 Gr; the lower lip can exert a force of 100 to 300 Gr; The tongue has 16 muscles with a total force of up to 500 Gr., making the tongue the strongest muscle in the human body (if considered as one group of muscles). Just imagine what could happen when there is no control or equilibrium on this forces and the damage that can be done on a child dental arches and face. 2-Learn about breastfeeding: advantages of doing it VS artificially fed infants. Artificially fed infants have greater overall incidence of upper respiratory allergies, that close the nasal airway, resulting in mouth breathing and predisposition to child to respiratory disorders.
The best position to hold a nursing infant is upright rather than reclining. Healthy swallowing in a reclining position is just as difficult for the baby as it is for the adult. Nursing in a reclining position often causes milk to flow into the middle ear and may cause inflammation and possibly other pharyngeal complications. The infant will thrust the tongue forward to expel the milk and thereby prevent pooling in the pharyngeal region. Continued
Save your life… Peaceful Sleep without CPAP
PEACEFUL SLEEP WITHOUT CPAP
covered by most medical Insurance and medicare
harmful habits are impediments for children to reach their full potential development with excellent quality of sleep. Those habits can be controlled since birth.
obstructive sleep apnea (osa) affects more than 18 million americans and can lead to hypertension, heart attack, stroke, diabetes, reduced libido, tmJ dysfunction, morning headaches and excessive daytime sleepiness which can lead to work and car accidents.
3-Learn about habits and how to control them. Sucking, tongue trust, lips posture and mouth breathing can be controlled and treated early. See more info in how we can help your children to control oral habits. The neonatal sucking reflex is an automatic reflex that is clinically evidenced immediately post-partum. The infant’s tongue undulates anteriorly and posteriorly. Any object placed into the oral cavity, on which the infant sucks, other than the breast, can act as an orthodontic appliance, depending on the force, intensity, direction and duration of the sucking. This allows the potential for creating malocclusion with a resultant TMJ dysfunction and airway invasion and compromise to increase the risk of developing sleep apnea.
Granted, there are children who are passive suckers, and they do not create a malocclusion, but rather than take the risk it is better to discourage the habit. The alternative choice, for determined-to-suck child, is to substitute a Nuk exerciser, available in small and large sizes. The objective is to channel the sucking activity through the exerciser to stimulate healthier growth and development. The Nuk design allows the child to close lips and enables normal forward and back movement of the mandible, as in nursing. The oral baglet of the Nuk nipple is designed to broadly fit the anatomy of the baby’s palate and inner arch. The nipple hole, being on top and toward the palate, distributes fluid over the palate and on top of the tongue. The tongue side of the baglet is cupped, causing the tongue to lie flatly under the Nuk nipple and not around it, as with conventional nipples. The soft baglet has low
Permits Movement
eliminate the cPaP mask and continue using cPaP equipment with the new oral appliance to obtain the benefits of both. OAT is covered by most Medical Insurance and Medicare
5-Orthodontic conditions .teeth crowding and abnormal bites with deep/overbite are more likely to develop OSA and TMJ dysfunction due to the airway space invasion and jaw collapse. Early treatment with dentofacial orthopedics will help to prevent OSA and develop a more appealing facial profile for your children. Waiting to treat your children with braces after 12 years old, only increases the risk of the need for teeth extractions and jaw surgery to correct the problem, compromising at the same time the upper airway space. 6-Diet Softer diet from fast food in young infants create a smaller bones and an incorrect maxilla/mandible relationship. This will allow to develop teeth crowding with mayor orthodontic needs, TMJ dysfunction and Obstructive Sleep apnea. Hard/semihard and fibrous diet accompanied with normal swallowing and breathing stimulates growth factors to develop the necessary bone structures to accommodate all teeth and proper airway. Plus sleep apnea and snoring are related to obesity. The best is prevention by decreasing eating hot dogs, fries, burgers, pizza and increasing the intake of more fruits, vegetables and fiber rich foods.
Call today for a complimentary consultation to learn more about stoping snoring and preventing sleep apnea in children. Pembroke Pines, Fl. (954) 392-1851 Boca Raton, Fl. (561) 750-6790
Our Services Include:
Dental Implants
Snoring ruins your sex life
Custom Fit
4-OSA and TMJ disorders They are related to facial and airway development; you can take preventative measures and early treatment as the best option to mayor complications.
Family Dental Care Comprehensive
treatment with oral appliance therapy (oat): for mild and moderate sleep apnea and snoring. Plus severe osa when the patient is intolerant to cPaP or needs to be used in conjuntion with cPaP.
Full Lip Seal
inclined anterior guide planes, which are designed to broadly and flatly contact important anterior elements of the upper and lower jaw during nursing. It is also designed so that the infant can close the lips during nursing. All this helps the baby to grow and develop the face and airway in a unrestricted way. There is plenty of evidence in the literature that mouth-breathing has an adverse effect on the growth and development of the face and jaws. All children who are habitual mouthbreathers will have a malocclusion. The mouth breathers’ maxillas and mandibles are more retrognathic. Palatal height is higher, overjet is greater in mouth breathers. Overall, mouth breathers have longer faces, with narrower maxillae and retrognathic jaws.
Dentist-rx.com
Wisdom teeth removal * oral rehabilitation gums treatment: surgical and non-surgical root canals * Fillings * crowns * tmJ
Orthodontics & Dentofacial Orthopedics
starting as young as 2 years old, you may help your children to solve ear inflammation symptoms, develop a beautiful face and smile with a more attractive profile as well as prevent sleep apnea and avoid orthognathic surgery; all with Funtional appliances and Facial focused orthodontics.
We can straighten your teeth at any age, fast and comfortably using invisible technology with or without braces. Improve your facial appearance with a beautiful and healthy smile.
SuperFastOrtho.com
3401 N.Federal Hwy. Suite 101 18503 Pines Blvd. Suite 305 Boca Raton, FL 33431 Pembroke Pines, FL 33029
Phone: 561-750-6790
Phone: 954-392-1851
8 SEPTEMBER ISSUE
• 2012
WWW.GLOBALHEALTHTRIBUNE.COM
Improvements in Radiation Therapy for Prostate Cancer
P
Kishore K. Dass, MD
Board-Certified Radiation Oncologist
By Albert Attia, MD
rostate cancer is the second most common cancer in men in the United States. Localized prostate cancer can be treated through use of surgery or radiation. There are many different types of radiation treatments available including external beam, particle therapy (i.e., protons), or brachytherapy. All research indicates that a high dose of radiation is needed to effectively kill prostate cancer and prevent biochemical relapse.
When patients were treated with the use of external beam radiotherapy, as recently as 10 years ago, they were treated with a limited number of beams of radiation given to the prostate. Due to the lack of technology, wider beams were required to deliver adequate dose to the prostate. Consequently, these wider beams would cause surrounding structures, such as the bladder or rectum, to receive unnecessary radiation. In order to prevent this from happening, the dosage of
Albert Attia, MD
Radiation Oncologist – South Florida Radiation Oncology, LLC
radiation given to the prostate was limited. Henceforth, one was unable to treat with as high of a dose as one would desire.
One method of allowing a better dose distribution between the prostate and surrounding structures using external beam radiotherapy is intensity-modulated radiation therapy (IMRT). To gain a better understanding of IMRT, it is helpful to first gain some understanding of how the linear accelerator works. A linear accelerator is the machine that generates the radiation beam that eventually reaches the tumor. The head of the machine, called the gantry, moves in different angles around the patient to give the radiation to the intended target. Within the head, where the radiation exits, is an area called the collimator. The collimator has many metal plates called leaves that can move to form the shape of the field, which reflects the shape of the tumor. These are called multi-leaf collimators (MLC’s). When a patient is
treated with IMRT, these MLC’s are continuously moving while the radiation is exiting the linear accelerator. This allows the dose intensity to be shaped around the prostate and avoid the rectum and bladder. As mentioned above, with the use of IMRT, the radiation oncologist is able to prescribe to a higher dose of radiation to the prostate, which is of utmost importance in improving the patient’s chances of beating his
cancer. Another factor of importance is toxicity. With IMRT, not only is the patient able to receive a higher dose, but he is less likely to have side effects from treatment. Common side effects from radiation to the prostate include proctitis or inflammation of the rectum, which can result in rectal bleeding. Another side effect is cystitis, meaning inflammation of the bladder. This can result in the increase of frequent or burning of urination. The dose intensity
shaping that is possible with the use of IMRT allows the bladder and rectum to receive a much lower dose of radiation than with traditional external beam radiotherapy methods.
At South Florida Radiation Oncology (SFRO), we believe in giving the patient the best treatment that will not only provide a cure for cancer, but also improve the patient’s quality of life. With IMRT, we are able to attain this goal.
Mindfulness Meditation and Emotional Style
C
Cindy Collins, Ph.D., R.D.
Experimental Health Psychology / Nutrition
an Mindfulness Meditation help us lead happier, more productive lives? Can it influence our emotions enough to significantly help us cope with life altering diagnoses such as cancer? Psychology professor and neuro-
scientist Richard Davidson might think so. In his recent book, “The Emotional Life of Your Brain,” he discusses the relationship between meditation, brain plasticity and emotional style. First Davidson outlines a spectrum of six emotional styles: resilience, outlook, intuition, self-awareness, context and attention. He explains that each of these styles is supported by an underlying brain circuit. Resilience is of particular interest. It is the ability to recover quickly from adversity. The pattern of behavior that defines a style can be in reaction to the environment in which we develop. In turn, based on the fact that our brain is plastic (capable of being changed) he believes our style can change with “neurally inspired behavioral interventions.” Specifically, Davidson states, that Mindfulness Meditation is one of
those interventions. The key factor in Mindfulness Meditation in providing this benefit is the non-judgmental attention toward emotional interactions it teaches. This approach prevents rumination and perseveration. Recent studies support the idea that Mindfulness Meditation promotes quick recovery in response to adversity thus leading to resilience. Davidson has applied his theory to his own life and practices Mindfulness Meditation on a daily basis.
To learn more about Richardson’s emotional styles, go to: http://richardjdavidson.com/takesurvey/. Mindfulness Meditation is taught at South Florida Radiation Oncology (SFRO). For information, contact Cindy Collins, Ph.D., R.D. at ccollins@sfrollc.com or (561) 512-0065.
he llives ives o affects off ly a ffffects tthe A diagnosis of prostate cancer dramatically uth Florida Florida R adiation you and your loved ones. That’s why at South Radiation Oncology, we focus on providing comprehensive hensive ccare are with with a complete range of the most technically advanced vanced ttreatment reatment s, iincluding ncluding tthe he options in the world. Leading technologies, nd brachytherapy, brachytherapy, offer offer CyberKnife®, RapidArc™, TrueBeam™ and to living living y our life. life. fast, effective results to help you get back to your eam o adiation At South Florida Radiation Oncology, ourr tteam off rradiation geable a nd oncologists and support staff is knowledgeable and onate care care — all all at at the the experienced, providing gentle, compassionate South Florida location of your choice. ay tto od iscuss tthe he Call South Florida Radiation Oncology today discuss gainst p rostate ccancer. ancer. available treatment options for your fight a against prostate
With the Most Advanced Treatment Options in the Field
Get back to living your life.
( 7376 )
877.930.SFRO www.sfrollc.com
T TRUEBEAM RU E B E A M ™
C YBERKNIFE YBERKNIFE®
RAPIDARC R A P I DA RC ™
BRACHYTHERAPY B R AC H Y T H E R A P Y
BELLE GLADE JUPITER
|
|
BOCA RATON EAST
PA L M B E AC H G A R D E N S
|
|
BOCA RATON WEST
PORT ST T.. L U C I E
|
|
STUART
BOYNTON BEACH
|
WELLINGTON
Palm Beach Gastroenterology Consultants, LLC
Krishna Tripuraneni M.D., M.B.A.
Vikram Tarugu M.D
Call Us Today If You Suffer From Any Of The Following: Abdominal Pain Bleeding Chest Pain Cirrhosis of the Liver Colitis Constipation Diarrhea
Pancreatis Stomach and Duodenal Ulcer Ulcerative Colitis Reflux Disease Hemochromatosis Hemorrhoids Hepatitis
Digestive Diseases Stats Dysphagia Gallstones Gastroesophageal Jaundice Lactose Intolerance Liver Disease Nervous Stomach
Venra Clinical Studies, LLC Also offering
IRRITABLE BOWEL SYNDROME?
We are conducting a clinical research study of an investigational medicine. If you meet the following criteria, you may be interested in participating in this clinical trial.
• Age 18 – 79 inclusive • At least 28 stools over a 7-day period • Moderate to severe Pain in your abdomen associated with: • relief by defecation, • change in frequency of bowel movements, or • change in appearance of stool.
Participants receive study related care, diagnostic tests, and study medication at no cost. Payment for time and travel to the study center may be provided
For more information about the research study, please contact:
Two Convenient Locations: WELLINGTON
1157 South State Road 7 Wellington, Florida 33414
561.795.3330 Venra Clinical Studies, LLC 561-795-3330 ex. 249 info@venraclinicalstudies.com
BELLE GLADE
1200 South Main Street #102 Belle Glade, Florida 33430
561.996.5600
At Palm Beach Surgery Center we provide a safe and friendly environment, with a highly qualified and dedicated staff. A variety of procedures such as colonoscopy, endoscopy, gastroplications, ERCP, Liver Biopsy, 24 PH Monitoring/BRAVO can be done at our facility thus avoiding the need for hospitalization.
www.wellingtongastroenterology.com
SEPTEMBER ISSUE • 2012 11
WWW.GLOBALHEALTHTRIBUNE.COM
Too Much Tuna Means Too Much Mercury for Kids In a new report, the mercury
Policy Project says children should never eat albacore tuna. It advises parents to limit light tuna to one serving per month for kids under 55 pounds, and to two monthly servings for bigger children.
"today we unfortunately have to bring consumers a warning about tuna. despite its popularity, it should be a rare meal for children," sarah Klein of the center for science in the Public Interest, one of the consumer groups in the coalition, said at a news teleconference.
the report includes tests of 59 samples of tuna from 11 states. the researchers purchased the tuna in the large 4-pound cans or foil packages from schools or from companies that supply schools.
the tests showed that mercury concentrations varied widely from can to can. even separate samples from the same can carried very different amounts of mercury. the study found somewhat lower mercury levels in light tuna than in Fda tests, but higher levels in albacore tuna than the Fda reports.
despite the study's recommendations, the Fda stands by its own conclusions.
"Fda and ePa recommend that women of childbearing age and children consume no more than 12 ounces a week of canned light tuna and only 6 ounces per week of canned albacore tuna, which is higher in mercury. the average can of tuna holds 6 ounces of fish," the Fda says in a statement.
Benefits vs. Harm
the report focuses only on the harms of tuna and not on its nutritional benefits, says Jennifer mcguire, rd, a dietitian at the tuna council of the National Fisheries Institute, a trade group that represents three major canned tuna producers.
"the report has no mention of omega-3 fatty acids, no mention of lean protein, and no mention of selenium, which has a positive interactive effect with mercury," mcguire says. "they just pulled out the trace amounts of mercury in isolation and tried to make a fuss about it. there is really nothing new here to be concerned about."
edward groth, Phd, the author of the coalition report, admits that most research on the effects of mercury has focused on pregnant women and early child development. he points to a 2009 study in spain, which found that children with the highest mercury exposure had delayed mental development.
DR. LAWRENCE WEINSTEIN D
A Distinguished Cardiologist with Heart, Wit, and Smarts Positively Impacts Medical Care in Palm Beach County
r. Lawrence Weinstein has built a distinguished career on the diagnosis and treatment of the most challenging cardiac cases. This New York-trained, second generation, Board Certified cardiologist has positively affected the lives of the South Florida community where he lives and works. His skills as a clinical cardiologist are only rivaled by the compassionate care that he provides to each of his patients. When it comes to describing this gifted physician, think one part Sherlock Holmes, one part Marcus Welby, and a dash of Patch Adams.
“The secret of my success, over the past twenty-three years of practicing medicine in New York and Florida, really isn’t all that secret,” says Dr. Weinstein. “85% of all diagnoses can be made on medical history alone. Taking the time to sit, and actually listen to the patient, is the most important thing any physician can do. The human body will act in a predictable manner in the face of illness. What’s different is how we, as individuals, perceive these changes. One person’s chest pain is another person’s fatigue and shortness of breath.”
He explains that an educated doctor, who is truly in synch with his patients, can provide the highest level of care on a regular basis.
“Really listening, to what patients tell you, has an added benefit,” continues Dr. Weinstein, “because it engages the patients as active participants in their own health and it rightfully conveys, to the patients, that you actually care about what goes on in their lives.” A graduate of the prestigious Mount Sinai School of Medicine, Dr. Weinstein became the Medical Director of the Cardiology Clinic at the New York Hospital Center of Queens and the Medical Director of the Cardiodiagnostic Center of New York — positions that he held for over 10 years. He has also lectured in far off places such as the Dominican Republic, Ecuador, and Russia. During this time, he honed his language skills and while he is fluent in Spanish he can also converse in French, German, Italian, and even a little bit of Chinese — another perk for patients who do not speak English. He also prides himself on his dry sense of humor — he trades jokes and stories, with many of his patients, who appreciate his wit.
After moving to South Florida, in 2001, Dr. Weinstein decided that in addition to wanting to make a positive impact, on the patients
administrators about the benefits of a wonderful technique called Transmyocardial Revascularization (TMR). A cardiac surgeon can use a special cardiac laser, and drill 30 - 40 microscopic holes in the heart, which will allow the body to be able to develop new blood vessels and alleviate severe chest pain, while improving a patient’s quality of life and survival. This past December of 2011, Dr. Weinstein succeeded in getting Bethesda Memorial Hospital, in Boynton Beach, to buy this special cardiac laser. Bethesda is now the only hospital, in Palm Beach County, that owns this laser and has cardiac surgeons who can perform TMR on patients. Building on that triumph, Bethesda will also be one of four hospitals, in all of Florida, that will be participating in a stem cell study — using TMR — at the end of 2012.
in his practice, he also wanted to improve the quality of medical care in his community. His first step, in achieving the latter, was when he became the first medical Director of the Chest Pain Center of Delray Medical Center. During his tenure, Dr. Weinstein helped streamline the process, by which heart attack victims get treated when they hit the emergency room door, and standardized the care that nurses provided for critically ill patients. He created procedures and protocols to ensure that chest pain/heart attack patients always received the highest level of patient care in the most time-efficient manner.
It was only logical that Dr. Weinstein would turn his attention to improving the survival rate of patients who had sustained a cardiac arrest. Although many doctors are quite successful in restoring the rhythm of the heart, many of their patients who survive are still left with significant brain damage. It became evident to him, and to other doctors and nurses — based on current medical literature — that by cooling patients down, who had been technically dead, they could literally bring them back to life. This technique is called Therapeutic Hypothermia. Dr. Weinstein insisted on treating cardiac arrest victims by cooling the patients down to to 89 degrees — within six hours of a cardiac arrest — so that their brain function could be preserved. The impact of this low tech procedure changes the survival rate of these patients from 5% to 53%.
Dr. Weinstein and his team developed the first non-invasive Therapeutic Hypothermia approach in Palm Beach County in 2009. Thanks to their heroic team efforts, many people went on to live happy, healthy, productive lives. Dr. Weinstein noted that thanks to his care, and the employment of Therapeutic Hypothermia, a 34-year-old man — who had sustained a cardiac arrest and was “technically dead” at a gym in Boynton Beach — is now back to work and back with his loved ones. Most recently, Dr. Weinstein used this progressive technique on a 13-year-old boy who also had suffered from cardiac arrest while riding a stationary bicycle. By the time Dr. Weinstein saw this boy, at the hospital, the boy had been without a pulse for 11 minutes. After deciding to use Therapeutic Hypothermia, the results were miraculous. Within 36 hours, the boy woke up — and was back to normal — as if nothing had ever happened.
For the last two years, Dr. Weinstein has been on a definitive crusade to help patients, in Palm Beach County, with the diagnosis of Refractory Angina. This is a condition where patients continue to get angina — severe chest pain — despite being on maximal medical therapy. Furthermore, many of these patients are told that they are not candidates for angioplasty or bypass surgery, due to their age, weak heart vessels, or other medical conditions. Thankfully, there is now hope for these patients, thanks to Dr. Weinstein’s campaign to educate other doctors and hospital
Realizing that his role as a physician is to improve the quality of life, not just the quantity, Dr. Weinstein also developed the Heart Failure program at Delray Medical Center. Based solely on simple things, like using daily weights, and educating patients on food choices, the importance of lifestyle changes, and medication side effects and drug interaction, Dr. Weinstein has reduced hospital readmission rates by 66% at this hospital.
As a cardiologist, Dr. Weinstein is extraordinarily dedicated and passionate about providing expert, personalized conciergestyle care — without any extra fees — for all of this patients. Because he believes his patients should have total access, to him, he even provides them with his personal cell phone number. Think about it — it is the doctor, whom you can phone at 3:00 a.m. when you are having chest pains, that makes all of the difference in the world. It is also interesting, to note, that none of Dr. Weinstein’s patients call him randomly -- they only phone him when the need arises. “My patients appreciate that they can reach me at any time, day or night, and they have peace of mind that I am always available. When you can talk to your doctor, and discuss symptoms, you can receive the best level of care. I can also meet my patients at the hospital and be there to make sure that they are treated in a timely manner. Life doesn’t stop at 5:00 p.m. — doctors should always be accessible.”
Dr. Lawrence Weinstein’s office is located at Bethesda Health City, 10301 Hagen Ranch Road, Suite B-550, in Boynton, Beach, Florida. Please phone 561.200.3583 for additional information or an appointment.
12 SEPTEMBER ISSUE
• 2012
WWW.GLOBALHEALTHTRIBUNE.COM
A day in the doctor’s office stabilized with medications. There are times she feels nauseous with episodes of vomiting after eating. So, I started asking a lot more questions. In the end, I realized this was more than a routine visit by this patient who had earlier called my staff wanting to be seen for feeling stressed out. Obviously, the story goes on and I realize there is much more here than meets the eye. I now start to think, how am I going to solve all the above problems in one sitting? In this patient’s mind, they have only come to see me as a follow-up for something as routine as stress, but in my mind I have other thoughts.
I
Shekhar V. Sharma, M.D. Board Certified in Internal Medicine
After examining the patient, I spoke with her about doing an EKG. I find the patient to have an irregular heart rhythm with some tenderness on the upper part of the abdomen. I did a finger prick to check her blood sugar and found that to be above 300 mg, which is very high. I now have taken more than the assigned 15 minutes for the patient and after a half-hour, I have come to some type of conclusion. She has a new condition called atrial fibrillation, which was causing her palpitations. I also found her to have acid reflux disease based on the examination and her symptomatology. Considering she is a diabetic, I cannot rule out underlying heart disease. As I continue to counsel the patient, while in the process of explaining all my findings and what I have diagnosed, I have to consider doing a scan of the abdomen to make sure she does not have gallstones. I thought about sending her to a gastroenterologist for doing further studies and of course, consider sending her to the hospital for further management. I also counseled the patient to stop smoking, stop eating late at night and not to take any
thought it would be nice to start my article with how I spend a typical day in my office.
There is nothing like starting the day with a hot cup of coffee. It’s 9 a.m. and at this time, I am to see the first patient in examination room #1. Upon opening the door, she says, “Doctor, I’m having these palpitations and acid reflux symptoms in my stomach. What do I do? How did I get this?” As I continue to question the patient, she says, “For the past few weeks, I have been drinking a lot of coffee, more than usual, and I am under a lot of stress. I have personal issues. I eat late at night. I cannot sleep and I have to have a cup of coffee after a long day along with smoking a couple of cigarettes. I find myself kind of bloated at night and this has been going on for the past few weeks.” I also find out this patient has diabetes mellitus and hypertension, which has been treated appropriately and fairly
citric acid juices or caffeinated drinks like coffee or sodas because all the above can cause acid reflux, especially if one has a hiatal hernia. By now, unexpectedly and not so unusually, I have spent more than 40 minutes on this one patient and I am thinking about examination room #2. I walked over to examination room #2 and apologized for the delay. The patient in examination room #1 is gracious enough to excuse me and I started working on patient #2. This one too has come in for a followup visit who says, “Doctor, I have nasal congestion and some nasal drip. All I want is a steroid nasal spray, which I ran out of and I would like to get a refill, if you do not mind.” After taking down his history, I find
go?” I told the patient that he has a sinus infection and needs antibiotics as well as a CAT scan of the sinuses, considering the chronicity of his symptoms. The patient insisted that when he was living in New York, his doctor used to give him decongestants and a nasal spray and send him home and he wanted me to do the same over here, but I disagreed. (Note: The patient did return for the next visit to find out that he has chronic sinusitis, meaning chronic infection of the sinuses in the head. At which time I thought, had his physician spent a little more time on this patient in the past, that would have prevented this type of infection, but doing this takes time. In my practice, I treat anything from simple to complex cases and it does take time because a seemingly simple case can be very complex). Now, I am off to examination room #3. In this case, this patient has a slight infection of the fingernail and I say aha! It is a simple and clear-cut case which should not take me more than a few minutes and I can make up my time this way. I gave the patient the appropriate antibiotic and moved on to examination room #4. Having made up some of my lost time, I am starting to feel a little better. Guess what? I spoke too soon.
out this patient has had frequent episodes of nasal and postnasal drip in the past one year or so and has been getting nasal sprays and oral decongestant tablets all along, without any investigative workup. By this time, the patient says, “listen doctor, I am in a hurry, I have many other things to do today. I have to go to work. Could you just give me the nasal spray and let me
I have no idea what I am getting myself into because this is a new patient who says, “I am here for a physical examination and I feel fine!” As time goes on, it becomes more ominous due to this patient having multiple medical problems. I had to go through multiple pages of the patient’s old medical records, which of course takes time to read, comprehend, and apply it to this patient’s present visit. This one again takes more time than
usual. All-in-all, the above patients were very satisfied with my care and extremely thankful I spent the time with them.
However, I did not think the patient in examination room #5 was too happy with me for being late to see her. I apologized when I walked in, took care of her issues and she walked out happy.
Quite often, to make up time, I work through my lunch and continue going straight through until the evening sometimes waiting for patients who are late themselves. Of course, the whole day is interspersed with several phone calls from patients and patients’ families. Some patients want me to discuss their labs over the phone. Some call to make appointments and some want refills of medications despite not wanting to be seen in my office and I have not been seen them for several months despite sending reminder letters, phone calls, and so on. So, I have to negotiate and maneuver my way through the day only to go home and do more work for the next day. That was the end of day one. Now I can go home and sleep well because at the end of the day, I know that I have done everything for my patients. The next morning, I wake up early, go for a workout and then rush to the office to start my second day. That was just a small sampling of the many patients I see on any given day. But, knowing that I am helping my patients and how much I enjoy them and they appreciate me – makes each and every day brighter than the day before.
PALM BEACH PRIMARY CARE ASSOCIATES, INC. State of the Art Office Building with Imaging Center,
Shekhar Sharma M.D. Ebonee Johnson A.R.N.P.
Accepting New Patients
Southern Blvd.
MEDICARE, BLUE CROSS BLUE SHIELD, UNITED HEALTH CARE, AETNA, CIGNA, HEALTH CARE DISTRICT AND MOST MAJOR INSURANCES ACCEPTED On staff at Palms West Hospital and Wellington Regional Medical Center
Palomino Park
N
PALM BEACH PRIMARY CARE ASSOCIATES
Lake Worth Rd.
Florida’s Turnpke
The Mall at Wellington Green
State Road 7 (441)
Forest Hill Blvd.
Monday - Friday from 9:00 am - 5:00 pm Same Day Appointments and 24-Hour Service Available
3347 State Road 7 Suite 200 Wellington, FL 33449
Tel: (561) 795-9087 • Fax: (561) 753-8730
SPECIALIZING IN: • Diagnosis of Complex Illnesses • Cholesterol Management • Diabetes • Cardiac Care • EKG/24-Hour Heart Monitoring/Spirometry • Hypertension • Geriatric Concerns • Osteoporosis 1200 South Main Street Suite 101 Belle Glade FL 33430
ACCEPTING NEW PATIENTS
Tel: (561) 996-7742 • Fax: (561) 753-8730
SEPTEMBER ISSUE • 2012
WWW.GLOBALHEALTHTRIBUNE.COM
18221 Daybreak Drive Boca Raton, FL
8596 Wendy Lane East West Palm Beach
Maria Furtado
This exquisite home is located in the exclusive Long Lake Estates Community of Boca Raton. It offers a tumbled French patterned travertine driveway, a beautiful grand foyer entrance with coffered ceilings and a gorgeous formal dining and living room. The master suite offers Santos Mahogany floors and his and her baths with a private deck. A loggia and pool area offer you a private tropical oasis and a wonderful place to entertain your guests. All of this is situated on a professionally landscaped one-plus acre lot. Being offered at $1,995,000
To request a viewing, please contact Maria Furtado at 508-728-8760. Maria Furtado Office Phone: 561-209-8350 Mobile Phone: 508-728-8760 Fax Phone: 561-249-5757 MariaFurtado@keyes.com Language: English, Portuguese and Spanish
This beautiful custom home is waiting for you in Banyan Lakes. It offers 5 bedrooms, 3 1/2 baths and 3 CG. The living room boasts soaring 20' coffered ceiling, double crown moulding and beautiful travertine marble flooring. The den has triple glass windows for privacy.
An elegant dining room features an illuminated tray ceiling adjacent to a built-in wet bar with granite countertop.
Please contact Bill Tavernise at 561-209-8304 or BillTavernise@keyes.com to view this lovely property.
THANK YOU TO
DR. CARMINE PRIORE
The incredible gourmet kitchen features Brazilian "Golden Fire" granite, cherry wood cabinets and top-of-the-line appliances.
For Your Many Years of Service to the Wellington Community and Palms West Hospital
The master suite has tripe crowned coffered ceilings, a luxury master bath with an oversized jacuzzi tub / travertine marble / shower and surround sound.
the leading Brokerage company in Florida since 1926
It's charming breakfast nook, spacious family room and builtin wall units with marble inlays add to the beauty of this custom home.
In addition, there are professional window treatments; stem wall construction (which raises the property three feet), steel reinforced concrete at roof line with walk space in attic, pre-wiring for pool system, surround sound in the LR/FR/MBR/MBA.
Bill Tavernise 561-209-8304
Billtavernise@keyes.com
13
Specializing in: • corporate relocations • corporate medical suites • luxury real estate
www.keyes.com
Bob Wolff 561-352-0620
BobWolff@keyes.com
14 SEPTEMBER ISSUE
• 2012
WWW.GLOBALHEALTHTRIBUNE.COM
SFRO Celebrates with a Grand Re-Opening
S
Seema Dass, Dr. Kishore Dass and Dr. Rohit and Bharait (Bubli) Dandiya.
outh Florida Radiation Oncology (SFRO) welcomed the medical community at their Palm Beach Gardens location on Thursday, September 13. It truly was a gathering of friends at this Grand Re-Opening Celebration, which was a prelude of what's to come from this wonderful organization. In the very near future, Survivorship Clinic SFRO will open its doors which will assist cancer survivors in their transition from treatment to living a more comfortable life.
Wendy and Larry Bright.
Dr. Adam Lee, Veronica Muniz, Dr. Kishore Dass and Jennifer Geist
Valerie and Jasmine.
Dr. Ben Han, Jennifer Geist and Samir Qureshi.
Louann, Sommelier.
Dr. Mark Perman, Judy Armstrong, Dr. Robert Entel and Charlie Fischer.
Dr. Cindy Collins, Annie Stair, Kathi Bressler and Tara Pacius.
DEAR DEBORAH: I have been dating three guys. I like them all, but I’m not sure if I like one more than the other. None of them know about the other. Should I keep dating all of them until I figure out if I like one more than the other? - Is Three a Charm?
Dear Is Three a Charm: First of all, do any of the men think that they are in an exclusive relationship with you? Or, is it open dating season for all? If you are freely dating, there is no reason to upset any of them by telling of the others. On the other hand, if the men feel as though you are in a committed relationship with them – you need to tell them that you are dating others. Now that we got that out of the way, you can absolutely continue to date all
three of them, however you need to think about whether or not these individual men have the qualities that you want for a long-term partner. If not, you are surely just wasting your time and theirs. In that case, you may want to continue looking for the right person to share your life with and not just a filler.
DEAR DEBORAH: Have you ever been on a dating site? If so, did you meet anyone that you had a connection with? Are you on one now? - Online Curious
Dear Online Curious: I have tried two online dating sites here and there and have met a few people over the past three years. However, I have never posted a photo of myself as I would prefer for men to get to
know ME through a few e-mails first. You can tell a lot from conversing with someone without them knowing what you look like – initially. I have actually dated a few truly amazing men that I had met online, but for one reason or another didn’t last long-term. I am all for online dating and highly recommend it as long as you know that it is a virtual smorgasbord and not everyone is simply looking for one partner. As for myself, although single, I am not on any online dating site at this time.
DEAR DEBORAH: I’m in my 50’s and single. I do not feel the need to get married and prefer to date casually. I like my freedom and alone time and don’t feel the urge to share my space on a permanent basis either by living with someone or
Dr. and Mrs. Jerome Spunberg.
Dr. Rohit Dandiya and Dr. Rupesh Dharia.
Dea r Deborah
getting married. What upsets me is that people always ask the same questions or make the same comments: - Why haven’t you gotten married? - What’s wrong with you? - Why give someone false hope if you’re not serious! How can I put an end to those statements? - Forever Single
Dear Forever Single: Unfortunately, there is nothing you can do to stop them from asking questions or making statements. There is also nothing wrong with wanting to remain single and alone. Our society seems to have moved from the marriage realm to remaining single. The people that are making those comments
are probably looking for their soul-mate and find you interesting or they are married. Simply put - they cannot understand why someone would want to be alone forever. The problem is that there are people out there who are looking to randomly date and have sexual relations and thus give their partners false hope for a longterm commitment. I would recommend for you to be honest with the individuals that you are dating by telling them that you enjoy their company and would like to continue to date them; however you have no interest in getting married or sharing your residence.
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.
SEPTEMBER ISSUE • 2012 15
WWW.GLOBALHEALTHTRIBUNE.COM
A
Bump to Bump
Going Back to Work Post Baby!
By Erica Whyman
s the countdown to my due date draws near, I am not only making the necessary preparations at home, but in the office as well. As I tie up loose ends, notify clients, I am thinking of not only the time I will be away from work, but also what it will be like when I return to the workforce, as a new mom. The advice I have received from countless numbers of mom’s is to have a plan and be prepared. The emotions that coincide with the end of maternity/ paternity leave are inevitable, so having a plan, just allows you one less thing to worry and fret over.
The Family Medical Leave Act (FMLA) This federal law was enacted in 1993 under the Clinton administration. The law requires covered employers to provide employees up to 12 weeks of job-protected, unpaid leave for qualified medical and family reasons. Included in these qualified medical/family reasons, is pregnancy, adoption or foster care placement of a child. Not all employers are required to comply with FMLA; a worker must be employed by a business with 50 or more employees with-in a 75 mile radius of his/her workplace. The employee must have also worked for the employer for 12 months and 1250 hours within the last 12 months. This is an extensive law and much too broad to cover here, but for more information, check out www.dol.gov/whd/fmla . This is unpaid leave, but it is job protected and available to both partners if your employer is a qualified employer.
Check with your Employer You may work for an employer who is not required to comply with FMLA, but regardless, you should meet now with your HR department or representative to discuss other benefits/policies that are in place. My husband’s
Upcoming Charity and Medical Fundraising Events September 15 – October 31, 2012
September 19
Arthritis Foundation and Massage Envy. Healing Hands for Arthritis. $10.00 from every one hour massage or facial will be donated to the Arthritis Foundation. Please visit their websites for additional information at www.massageenvy.com or www.arthritis.org and schedule an appointment near you.
September 29
Bethesda Next. 2nd Annual White Party. Eleven Spa, Delray Beach. $50.00 per person in advance and $60.00 at the door. Proceeds benefit the Bethesda Memorial Hospital Pediatric Playroom renovation. Must be 21 or older to attend. For additional information, call 561-278-1100.
company provides a week off of paid paternity leave, which is in addition to his vacation policy, which will be a huge help to me! • Short Term Disability- Some companies, states and private policies will provide some short term compensation post having a baby. • Paid Time Off- You may have sick, personal or even vacation time that is offered by your employer that you are able to use. • Union Benefits- If you work for a union, many unions have maternity benefits. • Continuation of Health Insurance- Speak with your HR Representative about what the policy is for continuation of health care coverage, and how to arrange for monthly premiums, to ensure both you and the baby are covered.
Making the Transition Regardless of how long you are able to take off, it is difficult for everyone when that time ends. Here are some tips to survive the first week back: • Create a packing list- Things you and baby will need throughout the work day. Pack the night before, mornings can be unpredictable. • Plan a morning schedule- How long is it going to take to get ready for work with a baby? • SLEEP- Get as much as you can, when you can. • Reach out to other parentsThis can be an emotional transition, it is important to have a support team. • Reward yourself- Plan a treat for yourself for week-end. You deserve it.
BRIGHTON COLLECTIBLES
sUrVIVorshIP clINIc sFro Is PartNerINg WIth BrIghtoN collectIBles to helP oUr NoN-ProFIt orgaNIZatIoN that assIsts caNcer sUrVIVors. BY PUrchasINg a “PoWer oF PINK Breast caNcer Bracelet” IN octoBer From theIr WellINgtoN greeN mall locatIoN, BrIghtoN WIll doNate $10 For eVerY Bracelet sold to the sUrVIVorshIP clINIc. the BeaUtIFUl Bracelet WIll Be UNVeIled at the KIcKoFF eVeNt oN sePtemBer 29th. WheN YoU call, Please Be sUre to meNtIoN the sUrVIVor clINIc sFro IN order For Us to get the doNatIoN. We thaNK YoU From the Bottom oF oUr hearts For YoUr sUPPort UPPer leVel - ceNter coUrt - Near Nordstroms call 561-333-3558 to Place YoUr order NoW!!
WELLINGTON GREEN MALL STORE ONLY
(the photo is a representation, the actual bracelet available in october)
American Heart Association. Heart Walk of the Palm Beaches. Meyer Amphitheatre, West Palm Beach. For additional information, contact Brittney Farwell at 561-697-6617 or pbcheartwalk@heart.org.
Brighton Collectibles – Wellington and SFRO. There is an introduction party for their new breast cancer awareness bracelet that begins at 10:00 a.m. at their Wellington location in Wellington Green Mall. If you order a bracelet through that location, please mention South Florida Radiation Oncology (SFRO) as $10.00 from every bracelet will be donated for their new Survivorship Clinic SFRO. For additional information, you can visit their website at www.wellingtongreen@brightoncollectibles.com, or give them a call at 561-333-3558.
St. Jude Children’s Research Hospital and Kya’s Smiles. The Second Annual Kya’s Smiles Charity Golf Tournament. Madison Green Golf Club, Royal Palm Beach. There will be a luncheon, raffles and a silent auction. For additional information, contact Kristin Kapur at 561-305-9411 or kristenkapur@aol.com.
The Brain Aneurysm Foundation. 4th Annual John Assante Memorial Walk. Mizner Park Amphitheater, Boca Raton. Cost to register is $30.00. For additional information, you can visit their website at http://bafound.donorpages.com/JohnAssanteWalk2012/.
October 4
Michelle McCann’s Golf Classic Kick-Off Party benefiting the fight against diabetes. Grand Court of the Gardens Mall, Palm Beach Gardens. Donation is $25.00. For additional information, visit their website at www.michellemccanngolfclassic.com or www.thegardensmall.com.
October 6
American Cancer Society. 2nd Annual PINK BRA Poker Run. Meet up at Greater Yamaha, West Palm Beach. For additional information regarding this event or other motorcycle events, contact Kathryn Edgeworth at 561-859-4834 or at pinkbrapokerrun@gmail.com.
Beyond Blind Institute. Beyond Blind Fest and 5K Walk/Run. The festival is free; however the walk costs $30.00 if you pre-register at www.active.com and $40.00 on event day. Abacoa Town Center, Jupiter. For additional information, you can visit their website at www.beyondblindinstitute.com.
October 12
March of Dimes. Signature Chef Auction – Palm Beach. Enjoy culinary masterpieces along with a plated dessert tasting. Live and Silent Auction. VIP Reception is from 6:30 p.m. – 7:30 p.m. with the Live and Silent Auction beginning at 7:30 p.m. at the Marriott at Boca Center, Boca Raton. Visit www.marchofdimes.com/florida/events/events.html for more details.
October 17
Susan G. Komen for the Cure. Pink Ribbon Luncheon. Woodfield Country Club, Boca Raton. Cost of the luncheon is $125.00. For additional information, visit their website at www.komensouthflorida.org.
October 19
Starlight Children’s Foundation. 10th Annual Starlight Greater Open. The Polo Club of Boca Raton in Boca Raton. Cost is $250.00 for a single golfer and $800.00 for a foursome. For additional information or to register, call 954-318-2178 or e-mail starlightfl@starlight.org.
Alliance for Eating Disorders Awareness. Inaugural Alliance Golf Classic. PGA National Resort & Spa - Squire Course, Palm Beach Gardens. Cost is $175.00 per golfer or a foursome for $675.00. This event is presented by Freeman Injury Law & Futures of Palm Beach. To reserve your spot, call 800-863-2819 and mention you are with The Alliance. Or, visit www.allianceforeatingdisorders.com.
October 20
Cancer Alliance of Help and Hope's 2012 Charity Ball. Boots ‘n Bling Ball. Harriet Himmel Theater. Tickets are $175.00. Silent auction, dinner and dancing. For additional information, call 561-748-7227 or e-mail them at canceralliance@gmail.com. Or, you can visit their website at www.cahh.org.
October 21
Gold Coast Down Syndrome Organization. 18th Annual Buddy Walk. $15.00 - $20.00 to participate in the walk. John Prince Park, Lake Worth. For additional information, contact 561-912-1231 or e-mail gcdso@bellsouth.net.
MISCELLANEOUS
Brighton Collectibles – Wellington and SFRO. For the entire month of October, you can order the new breast cancer awareness bracelet from Brighton’s Wellington location in Wellington Green Mall. If you order a bracelet through that location, please mention South Florida Radiation Oncology (SFRO) as $10.00 from every bracelet will be donated for their new Survivorship Clinic SFRO. For additional information, you can visit ww.wellingtongreen@brightoncollectibles.com, or give them a call at 561-333-3558. Arthritis Foundation. Order your 2012 discount golf book today. Books are $15.00, or buy three books and get one free. Great Florida golf courses with discounted green fees from May through October and some select courses year round. To order your book(s), contact Terri Johnson at 800672-0882 or 941-747-8303 or by e-mail tjohnson@arthritis.org.
Please e-mail us at information@globalhealthtribune.com if you would like to have your event listed in our Upcoming Events section.
WELLINGTON REGIONAL MEDICAL CENTER
REACHING
NEW HEIGHTS IN HEALTHCARE When we opened our doors in 1986, Alan B. Miller, Chairman of the Board and CEO at Universal Health Services, Inc., shared his vision for Wellington Regional Medical Center. That the patient would always be at the center of our care and our hospital would one day be at the center of a thriving community. Since then, we have continued to expand to meet the needs of the growing communities we serve. Throughout our journey, the patient experience has remained a top priority. We are elevating this experience to new heights with the opening of our patient tower.
Introducing The Alan B. Miller Pavilion … A towering achievement in innovative healthcare design, distinguishing Wellington Regional Medical Center from every other hospital in the region. The new Pavilion transforms Wellington Regional Medical Center into a flourishing, 233-bed medical complex. By incorporating the latest breakthroughs in technology, we are increasing staff efficiency, fostering patient engagement, augmenting the healing process and improving the overall patient experience.
PAVILION FEATURES: 3QUARE &EET s !LL PRIVATE 0ATIENT 2OOMS s )#5 3TEP DOWN 5NITS s (ARDWOOD &LOORS s 0ENDANT ,IGHTING 3PA LIKE $ÏCOR &INISHES s #OMPLIMENTARY 7I &I 3ERVICE s &LAT 3CREEN 4ELEVISIONS s 5PGRADED $INING !MENITIES .EW %XPANDED 0HARMACY s .EW ,OBBY AND 2EGISTRATION !REAS 4HOUGHTFUL SPACES FOR FAMILY AND FRIENDS s 3OPHISTICATED 4ECHNOLOGY
Learn much more about the Alan B. Miller Pavilion and how we are elevating the patient experience at www.WellingtonRegional.com/patientexperience.
Alan B. Miller PAVILION
N SOO G N COMI
We l l i n g t o n R e g i o n a l . c o m