Jupiter Medical Center Foundation Pinnacle Fall 2023

WORLD-CLASS HEALTH CARE IN PALM BEACH COUNTY

CLINICAL TRIALS RENEW HOPE FOR CANCER PATIENTS

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Features

24

THE IMPORTANCE OF CLINICAL RESEARCH

With the expansion of clinical research at the Anderson Family Cancer Institute, cutting-edge trials are now open to local patients

By Karen Feldman

30

WHEN SLEEP IS A NIGHTMARE

For those su ering from insomnia, lifestyle adjustments and clinical interventions can make a world of di erence

By Kelley Marcellus

36

A NEW ERA FOR KNEE REPLACEMENTS

The Velys Robotic-Assisted Solution is the new gold standard for knee replacement surgery

By Sandra Gurvis

AN ENDURING LEGACY

Don McCree honors the nurses in his family and the memory of his late wife with his philanthropic donations and e orts

By Heather Graulich

47th

Annual

Black-Tie Ball

SATURDAY, MARCH 2, 2024 | 6:30 — 11:30 P.M. THE BREAKERS, PALM BEACH

PROCEEDS WILL BENEFIT THE PATIENT TOWER AT JUPITER MEDICAL CENTER

CHAIRS: JOE AND PATSY PETRI

HONORARY CHAIRS: LEE ANN & JEFFREY H. ALDERTON

Sponsorship and underwriting opportunities for the 47th Annual Black-Tie Ball are currently available –for information or to purchase, call 561-263-3712 or email laura.greene@jupitermed.com

1210 S. Old Dixie Highway Jupiter, Florida 33458 561.263.2234

jupitermed.com

JUPITER MEDICAL CENTER OFFICERS AND TRUSTEES 2023-2024

Martin A. Dytrych, CPA, Chairman

Robert J. Stilley, Vice Chairman

Jack Waterman, DO, Secretary

Rosanne M. Duane, Esq., Treasurer

Mark L. Corry, MD

Henri J. DesPlaines, CPA

Michele D. Deverich

Lee Fox, MD

Harvey Golub

Philippe Jeck, Esq.

Michael Leighton, MD

Peter A. Lund

Thomas Rowe, MD

John Seifert

Anthony P. Shaya, MD

JUPITER MEDICAL CENTER FOUNDATION, INC. TRUSTEES 2023-2024

Peter A. Lund, Chairman

Donald H. McCree, Jr., Secretary

Salvatore A. Tiano, Treasurer

Leonard Abramson

Edward L. Babington

Douglas S. Brown

George H. Damman

Neil S. Devlin

Martin A. Dytrych

Joan Jorgenson

William C. Mattison, Jr.

Emeritus: Peter O. Crisp

Jane F. Napier

James E. Perrella

Joseph M. Petri

Katharine F. Plum

M. Jude Reyes

Burton M. Tansky

Dennis K. Williams

Amit Rastogi, MD, MHCM President and Chief Executive Officer, Jupiter Medical Center

Traci Simonsen Philanthropy Officer and President, Jupiter Medical Center Foundation

WORLD-CLASS HEALTH CARE IN PALM BEACH COUNTY

Publisher Terry Duffy

Associate Publisher Dina Turner

Editorial Director Daphne Nikolopoulos

Editor Mary Murray

Creative Director Olga M. Gustine

Senior Art Director Jenny Fernandez-Prieto

Digital Imaging Specialist Leonor Alvarez Maza

CONTRIBUTING WRITERS

Abigail Duffy, Karen Feldman, Heather Graulich, Sandra Gurvis, Kelley Marcellus

CONTRIBUTING PHOTOGRAPHER

Jerry Rabinowitz

ADVERTISING

National Sales Director Deidre Wade

Account Managers Kathy Breen, Jennifer Dardano, Tanya Lorigan, Meegan Wyatt

Advertising Services Coordinator Elizabeth Hackney

Marketing Manager Rebecca Desir

PRODUCTION

Production Director Selene M. Ceballo

Production Manager Lourdes Linares

Digital Pre-Press Specialist George Davis

Advertising Design Coordinators Anaely J. Perez Vargas, Jeffrey Rey

Production Coordinator Ileana Caban

Digital Marketing Manager Tyler Sansone

OPERATIONS

Chief Operating Officer Todd Schmidt

Office Manager Tanya Gomez

Accounts Receivable Specialist Ana Coronel

Distribution Manager Judy Heflin

Logistics Manager Omar Morales

Circulation Manager Marjorie Leiva

Circulation Assistant Britney Stinson

Circulation Promotions Manager David Supple

IT Manager Keith Gonzalez

In Memoriam Ronald J. Woods (1935-2013)

HOUR MEDIA, LLC

CEO Stefan Wanczyk

President John Balardo PUBLISHERS

IN THIS ISSUE

Expertise. Innovation. Research. Exploration. Professionalism. Philanthropy. Compassion.

When these factors and traits converge in one institution, it is a thing of beauty and pride. It also describes what’s happening at Jupiter Medical Center, where our highly trained and dedicated clinicians and staff continue to deepen our impact on patients and their families in Palm Beach County and beyond by offering and exploring exciting new treatments and technologies.

In this issue of Pinnacle, you’ll discover how women concerned about breast cancer, for example, can access contrast-enhanced mammography (CEM) with our Comprehensive Breast Care Program. This new technology combines two images—a standard two-dimensional mammogram and a contrast-dye subtracted image—thereby enabling oncologists to distinguish tumors more accurately and with more detail.

Furthermore, Jupiter Medical Center oncology patients now have close-to-home access to innovative clinical trials and treatments. Current trials focus on experimental treatments for lung, advanced uterine, head and neck, and colon cancers. To quote Dr. Rogerio Lilenbaum, director of the Anderson Family Cancer Institute: “Every time we can prevent a patient from having to move away from home for treatment, it’s a win for everyone.” In addition to cancer, we are also in the planning stages with the University of Florida on similar clinical trials targeting cardiovascular disease.

Likewise, orthopedic patients experience greater stability, more range of motion, speedier recoveries, and an artificial knee that closely matches their unique anatomy while preserving existing soft tissue with the innovative Velys Robotic-Assisted Solution for knee replacement surgery. It’s now available at the Anderson Family Orthopedic and Spine Center of Excellence.

For care that does not involve surgery or other intensive treatments, Jupiter Medical Center’s primary care experts are always prepared to help patients overcome common, everyday challenges like insomnia. Dr. Gemma Gulati, a hospitalist and sleep medicine expert, offers helpful lifestyle tips for bedtime routines that facilitate sound sleep. Do you avoid caffeine, alcohol, and intense exercise before bed? Are your electronic devices and TV turned off?

Supporting these new initiatives and services are dedicated, determined, inspiring donors like Don McCree of Hobe Sound. His gratitude, along with that of his late wife, Patsy, resulted in two $250,000 gifts to Jupiter Medical Center—a matching gift and an outright donation. The McCree Family Nursing Challenge raised more than $1 million to buttress training, credentialing, bonuses, and other services to support our center’s talented, compassionate, and inspiring nurses.

Expertise and generosity of all kinds—academic, professional, personal, financial—know no bounds at Jupiter Medical Center. I continue to remain in awe of the physicians, nurses, support staff, donors, volunteers, and community members who give so much to maintain Jupiter’s standards and reputation for excellent medical care.

I hope you are filled with the same levels of immense inspiration, pride, and possibilities that I experience every day at this amazing medical center.

Amit Rastogi, MD, MHCM President and Chief Executive Officer Jupiter Medical Center

PK2 - 8th Grade

TRANSFORMING THE FUTURE OF HEALTH CARE

At Jupiter Medical Center, we are expanding access to exceptional health care right where it’s needed, close to home. From offering the latest technologies in state-of-the-art surroundings to bringing together multispecialty physician teams of the highest caliber, Jupiter Medical Center continues to be top-rated in quality, safety, and patient experience. Our entire team’s dedication to the highest standard in patient care has again been recognized by The Leapfrog Group, with its top “A” Hospital Safety Grade.

To experience “A” rated health care, visit jupitermed.com

PULSE

Ask the Expert

An introduction to concierge medicine

Contrast-enhanced mammography 101

Well-Being

The triggers, symptoms, and treatment options for severe migraines

Tips and tools to combat hearing loss

Prevention

Insight into how to protect against injury when playing pickleball

Something Personal

PULSE ASK THE EXPERT

By Mary Murray

In recent years, a new model of primary care has grown in popularity: concierge medicine. These subscription-based medical practices provide patients with unparalleled access to their physicians and expert care tailored to them and their health concerns. At Jupiter Medical Center Concierge Care, each provider’s patient load is capped at 400, as opposed to the between 2,000 and 3,000 patients most primary care doctors see. Pinnacle caught up with Dr. Nichole Corry, Dr. Peter Lyn, and Dr. Jessica Schwartz to learn more.

What is concierge medicine and what are some of its unique benefits?

Lyn: Concierge medicine is a model of

primary care in which patients pay a membership fee to receive enhanced and personalized medical services. Some unique benefits of this model include increased access to physicians, extended appointment times, 24/7 availability, expedited appointments, and a focus on preventive care.

Do concierge medicine providers typically accept insurance?

Schwartz: Our practice model is very much like a traditional practice in that if you come in for a visit, that visit will be processed through your primary and potentially secondary insurance. Labs and imaging studies are also run through insurance. The only difference is the annual membership fee, which is not covered

by insurance and does not count toward any deductible.

Members of Jupiter Medical Center Concierge Care receive a personal wellness plan. Please describe these plans and how they guide the care that patients receive.

Corry: Our patients have access to more personalized and comprehensive medical care, which can include preventive measures and wellness plans. Here’s a potential personal wellness plan for a concierge patient:

1. Establish health goals: The first step is to determine what the patient’s health goals are. This could include weight loss, stress reduction, improving sleep, or managing a chronic condition.

2. Nutrition: We can help the patient develop a nutrition plan that meets their unique needs and preferences, sometimes enlisting the help of a nutritionist.

3. Exercise: We work with patients to help create an exercise plan that suits their fitness level and goals.

4. Stress management: Stress can have a negative impact on both physical and mental health. We discuss ways patients could practice stress-reducing techniques such as meditation, deep breathing, or yoga.

5. Sleep hygiene: We work with patients to develop healthy sleep habits and address any underlying sleep disorders.

6. Preventive care: With yearly hour-long visits, we can provide in-depth assessments to catch any health issues early on.

7. Mental health: Mental health is just as important as physical health. We screen for and manage the issues that can arise over a lifetime.

8. Lifestyle modifications: The concierge physician can work with the patient to identify any lifestyle habits that may be negatively impacting their health. What differences will patients notice in terms of testing, lab, and acute treatment capabilities?

Lyn: Jupiter Medical Center Concierge Care offers various testing services that are typically

Three JMC physicians outline the basics and benefits of concierge medicine

available at most primary care offices; the difference is availability and access.

Corry: We have spirometry, phlebotomy, and access to some medications that are more typical of an urgent care to help keep patients out of the emergency room.

Why is there such a focus on prevention and preventive medicine at Jupiter Medical Center Concierge Care?

Schwartz: My philosophy is that prevention is key. Heart disease and cancer are the first and second leading causes of death in the United States, far exceeding any of the other causes. By focusing on measures such as diet, exercise, lifestyle modifications, and cancer screenings, you

can help to prevent many of the causes of premature death.

Corry: Focusing on prevention and preventive medicine is important because it helps individuals avoid illness, injury, and other health problems before they occur. By taking preventive measures, people can reduce their risk of developing chronic diseases such as diabetes, heart disease, and cancer, which are major causes of disability and death worldwide. Preventive medicine also helps to improve overall health outcomes and quality of life. This approach can help individuals avoid the need for costly medical treatments and interventions later in life. Overall, focusing on prevention and preventive medicine is an important aspect of promoting and maintaining good health.

How does the team at Jupiter Medical Center Concierge Care help those with chronic conditions or diseases manage these issues?

Lyn: The team supports patients with chronic health conditions by providing comprehensive management and coordination with specialists. We work closely with patients’ existing care teams to ensure effective communication, medication management, and personalized treatment plans. This collaborative approach helps to optimize the management of chronic conditions and improves the overall quality of care for patients. «

For more information, please call 561.741.5672

PULSE ASK THE EXPERT

By Sandra Gurvis

Advanced Detection

A new high-tech diagnostic tool enhances JMC’s breast care program

Introduced in 2011, contrast-enhanced mammography (CEM) has become an important cancer diagnostic tool at Jupiter Medical Center’s Comprehensive Breast Care Program. “The aim of the breast diagnostic program is to diagnose breast cancer at the earliest-possible stage, which has the highest cure rate, least aggressive treatment options, and, ultimately, the highest rate of survival,” says Dr. Julian Berrocal, a breast surgical oncologist at JMC. “We also aim to make it as stress-free and convenient for our patients as possible.”

Pinnacle recently spoke with Berrocal and Dr. John Rimmer, medical director of the Comprehensive Breast Care Program, about the pros and cons of CEM.

What is contrast-enhanced mammography and what does it involve?

Rimmer: CEM is a combination of a dualenergy mammogram and intravenously administered iodinated contrast material similar to what is used in a CAT scan. After administration of intravenous contrast, two digital views of the breast are taken. The first image is essentially a

standard 2D mammography. The second is a recombined or subtracted image that highlights areas of contrast depicting abnormal lesions, enabling us to see cancers more easily. Because CEM is based on tissue perfusion rather than simply an X-ray image, the diagnostic accuracy of CEM is very similar to a breast MRI in terms of sensitivity, positive predictive value, negative predictive value, and specificity.

Who benefits from CEM?

Berrocal: Anyone with an intermediate to high risk of developing breast cancer, who has a lump or other symptoms, or is in the staging or evaluation portion of diagnosis. CEM can also be used to evaluate treatment response. For example, if a patient

received chemotherapy prior to scheduling surgery, we can tell if the tumor has decreased in size, which may alter the course of the surgery. What are the advantages of CEM?

Rimmer: Patients prefer CEM because it’s more comfortable, faster, and more easily available than an MRI. CEM uses the same equipment as standard mammography, making it more convenient for the patient as compared to a breast MRI, which is usually at a different location. Though its accuracy is equivalent to MRI, CEM can be used on people who can’t

tolerate or aren’t good candidates for breast MRI because of body morphology, claustrophobia, allergy to gadolinium [the contrast material], back pain, or a noncompatible pacemaker.

What are the risks associated with CEM?

Rimmer: It’s a very safe procedure, similar to having a mammogram. The radiation in CEM is slightly higher, but generally a very safe level of radiation. A patient who has an allergic reaction to the contrast material would not be able to tolerate it.

What does the future hold for CEM?

CEM provides a more sensitive and specific view of the breast through (from left) 2D, tomosynthesis, and contrast imaging.

Rimmer: Because it is based on tissue perfusion, CEM may be very beneficial for women with dense breast tissue and higher-risk women who must have breast screenings every six months. For example, for women who have a digital mammogram and ultrasound, then six months later have an MRI, we could do a contrast enhanced mammogram [in lieu of the digital mammogram and ultrasound], which could be more convenient and more effective. It could also be used for problem-solving when we have difficulty diagnosing a breast cancer, and for evaluating response of a cancer to chemotherapy. «

For more information, please call 561.263.7104

Head Start

PULSE WELL-BEING

By Karen Feldman

A spot behind your right eye pulsates with pain. Simple tasks prove overwhelming. And the only sensation the sound of your favorite song conjures is nausea. These are just some of the painful symptoms of a migraine headache, a condition that afflicts 39 million Americans, according to the American Migraine Foundation.

Lasting anywhere from 4 to 72 hours, a migraine attack can include some or all of the aforementioned symptoms and often others, such as seeing auras, vomiting, and fatigue. Women are three times more likely to have migraines than men.

There are many triggers, including lack of sleep, dehydration, stress, hormonal changes,

diet, weather shifts, and medication overuse. Managing migraines requires sufferers to determine their triggers and avoid them, if possible.

“It is important to realize that some triggers may not be avoidable,” says Dr. Kathie Kowalczyk, a neurologist certified in headache treatment and a neurohospitalist at Jupiter Medical Center. “You have to live your life, and certain things like stress or weather are out of our control.”

Furthermore, triggers may be impossible to figure out, adds Kowalczyk. “They can also increase anxiety or lead to anticipation of migraine attacks. And triggers do not always address the underlying cause. That’s why it’s important to see a neurologist who can evaluate you, diagnose which headache subtype you have, and help you formulate a treatment plan.”

The good news is there is a broad range of treatments available, from non-medication options to prescription injectables and oral and nasal medications.

Kowalczyk believes Botox injections into areas around the nerves that cause pain can be extremely effective in reducing migraine frequency and intensity. Approved by the Food and Drug Administration (FDA) in 2010, this treatment is generally recommended for adults who have frequent, chronic migraines, meaning 15 or more a month. The series of injections must be repeated, although usually with less frequency after the first two or three rounds, done three months apart.

Over-the-counter pain relievers such as aspirin and ibuprofen or a migraine-relief medication (Excedrin Migraine, for example) that combines caffeine, aspirin, and acetaminophen can relieve mild migraines. Triptans are prescription drugs that block pain pathways; they come in injections, pills, and nasal sprays. Some common ones are Imitrex and Maxalt. Calcitonin generelated peptide receptor antagonists (CGRP/gepants) are the “next generation” of drugs being used to treat more intense migraines, notes

Migraine sufferers have an arsenal of treatment options at their disposal

Kowalczyk. Many people know them by the brand names Ubrelvy and Nurtec ODT.

Another treatment option is neuromodulation, a technology that alters nerve activity by directly delivering electrical or pharmaceutical agents to nerves. Methods cleared by the FDA include: tSNS (transcutaneous supraorbital nerve stimulation), which uses low-level electrical current to stimulate the upper branches of the trigeminal nerve; sTMS (single pulse transcranial magnetic stimulation), which delivers brief magnetic pulses to the back of the head; nVNS (noninvasive vagal nerve stimulation), which helps block pain signals by stimulating the vagus nerve when held against the neck; REN (remote electrical neuromodulation), an app-controlled device that stimulates upperarm peripheral nerves; and eCOT-NS (external concurrent occipital and trigeminal neurostimulation), another smartphone-enabled device that stimulates occipital and trigeminal nerves to relieve pain.

Lifestyle modifications can also help reduce migraine frequency. Relaxation training, cognitive behavior therapy, and biofeedback (a mind-body therapy wherein people learn how to control automatic bodily functions) may o er benefits on their own or in conjunction with some of the above treatments. Kowalczyk also stresses the importance of a healthy lifestyle, including regular aerobic exercise, healthy sleep practices, a consistent meal schedule (no fasting or skipping meals), and adequate hydration. Some people also supplement with nutraceuticals, although research has shown only modest benefit. These include magnesium, riboflavin/vitamin B2, feverfew, coenzyme Q10, and butterbur. Because there are so many choices available, Kowalczyk and her colleagues at JMC prioritize a multipronged approach when shaping a treat-

ment plan. “The reason I love treating headaches is because it really is a shared decision process when selecting the best option for patients,” she says. “Now, with the next-generation medications, we have even more options. Many of the medications have a synergistic e ect with Botox injections for chronic migraines. There is really something to fit everyone’s needs and lifestyle.” «

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Botox injections have been clinically proven to alleviate severe migraine symptoms.

PULSE WELL-BEING

By Kelley Marcellus

I Heard That

When asked about the first signs of hearing loss, Dr. John Li, an otolaryngologist and neurotologist with Jupiter Medical Center, has a simple response: “What?”

“The first sign of hearing loss is finding yourself asking ‘What?’ frequently,” Li explains. “Or you turn the TV louder, thinking the TV is going bad when really it’s the hearing that’s the issue.”

One in five adults experiences hearing impairment, according to the National Health Interview Survey reported by the Centers for Disease Control and Prevention (CDC) in 2018. While hearing loss can be caused by disease or genetics, it’s more often a result of aging; those older than 60 can expect to hear less effectively. Increasingly, however, hearing loss at an earlier age is becoming more common. The cause is largely environmental.

“People like loud music and cars that roar,” says Li, who notes that many of us also use personal audio devices—such as earbuds— too loudly.

If you’re worried about your hearing, the first step is to visit an otolaryngologist, also known as an ear, nose, and throat (ENT) physician. As Li describes, those with minor hearing loss can make small adjustments to compensate, such as changing where they sit in relation to others or cupping their ear to

hear better. His colleague, Dr. Ami Muncy, adds that those with mild hearing loss can consider purchasing an over-the-counter hearing device. Those with greater hearing loss, however, will require a customized aid.

Li equates over-the-counter hearing devices with picking up drug store reading glasses versus seeing an eye doctor for a prescription—helpful but not necessarily ideal. “An audiologist will fit you with an aid that is exactly right for you,” he explains.

Today’s hearing aids are typically small, overthe-ear devices. Many are Bluetooth-enabled and adjustable via a phone app. They tend to have long-lasting batteries or be rechargeable, and many are waterproof. Artificial intelligence (AI) has also come into play. “For someone who loves travel, an AI device will translate a foreign language to English,” Muncy says. “Others have a built-in fall alert, which can sense if you fall and alert a contact.” In addition to Bluetooth and AI, today’s hearing aids provide specific digital programming for hearing loss, allowing for automatic processing of noise reduction and speech intelligibility.

Some hearing aids can be deeply implanted in the ear, such as the Lyric by Phonak, which is invisible from the outside. The Envoy Esteem can restore hearing for those with loss caused by nerve conditions. For deaf individuals, a cochlear implant converts sound to electrical impulses that allow the brain to interpret sounds. Bone-conduction hearing aids such as the Baha implant can restore hearing to people with outer- or middle-ear damage to one ear by conducting sound through the skull bone.

The biggest objection Li and Muncy encounter when treating patients is cost, a fear that’s often unfounded. “In my experience, about 60 percent of patients have at least some coverage,” Muncy says. Furthermore, patients should look at hearing aids—many of which last for at least five years—as an investment, one with dividends beyond personal health. Improved hearing can restore your quality of life and improve your social interactions, mental health, and even employability. «

Hearing loss has become more common, but cutting-edge technology offers more solutions than ever before

IMAGE COURTESY OF COCHLEAR AMERICAS

The Baha implant is a boneconduction hearing aid.

Dr. John Li

Ace Out

A combination of tennis, badminton, and table tennis, pickleball was invented in 1965 using ping-pong paddles, a badminton net, and a plastic ball with holes. Since then, it has grown into a phenomenon; according to the Association of Pickleball Professionals (APP), some 48.3 million Americans have played at least once. More than half of players are 55 or older, an age group more susceptible to injury.

As pickleball gains popularity, emergency departments are seeing a variety of injuries. These include sprains and strains in the elbow, shoulder, ankle, and back, as well as dislocations and fractures. Emergency physicians often come across head or hip injuries, skin wounds needing stitches, rotator cuff injuries, tendonitis, Achilles heel tears, and wrist fractures. Although less common, dislocations or fractures that require sedation and splinting in the emergency department are also treated.

PULSE PREVENTION

By Sandra Gurvis

“know your flexibility, stability, strength, and coordination,” advises Gulati. “Understand your limitations and take a self-inventory to make sure you play with those of similar age and skill.” Attempting to play with someone faster and younger may result in overexertion and injury.

Get the proper equipment. Beyond selecting a pickleball paddle—of which there are many types and sizes—your choice of shoe is also very important. For example, running shoes lack support for the side-to-side movement of pickleball, increasing the chances of an ankle sprain. Several manufacturers offer shoes designed for pickleball. If necessary, add braces and other support equipment for problem areas such as knees, elbows, and back while playing.

Pickleball uses a different set of muscles than tennis and golf,” says Dr. Vishal Gulati, medical director of emergency services at Jupiter Medical Center. He explains that, because pickleball courts are smaller than tennis courts, there is more starting, stopping, and turning. Furthermore, pickleball courts are concrete, rather than the softer, more body-friendly clay of some tennis courts. In addition, golfers turned pickleball players “may find themselves prone to back and side injuries and fractures from falling,” Gulati notes, simply because they are not use to the types of fast movement pickleball requires and fail to warm up properly.

And in Florida, athletes exercising outside must also be aware of the risk of heat exhaustion.

Individuals can take many steps to avoid injury when playing pickleball. Before you pick up a paddle, consider the following:

Do a baseline assessment.

Along with consulting your physician before taking up pickleball or any new sport,

Warm up and stretch before and after. Gulati recommends 5 to 10 minutes per session and doing stretches appropriate for pickleball, such as lunges, arm circles, and torso twists. Knowledge of yoga, tai chi, and qigong—which is related to tai chi but focuses more on breathing and general wellness—can add an extra level of fitness when playing this and other sports, says Gulati. Hydrate before and during play. “This is especially important when it’s hot, even if you don’t feel like drinking,” says Gulati. Also be sure to eat beforehand and take breaks in shaded areas. «

With the right precautions, pickleball is a great way to get fit

TRANSFORMING THE FUTURE OF HEALTH CARE

At Jupiter Medical Center, we are expanding access to exceptional health care right where it’s needed, close to home. From offering the latest technologies in state-of-the-art surroundings to bringing together multispecialty physician teams of the highest caliber, Jupiter Medical Center continues to be top-rated in quality, safety, and patient experience. Our entire team’s dedication to the highest standard in patient care has again been recognized by The Leapfrog Group, with its top “A” Hospital Safety Grade.

To experience “A” rated health care, visit jupitermed.com

THE IMPORTANCE OF Clinical Research

By Karen Feldman

Jupiter Medical Center has long been a regional pioneer in clinical research, having participated in clinical studies and trials with national research organizations for more than a decade. Now, with the recent expansion of an oncology clinical research program at JMC’s Anderson Family Cancer Institute, cancer patients in Palm Beach County and Martin County have access to cutting-edge trials close to home.

Since opening in 2020, the Anderson Family Cancer Institute (a Comprehensive Community Cancer Program accredited by the Commission on Cancer) has quicky earned a reputation as the region’s premier destination for oncology. Operating under the belief that no one should wait for cancer care, the institute offers next-day appointments for those newly diagnosed with cancer.

Dr. Rogerio Lilenbaum, the institute’s director and chief physician executive, leads a multidisciplinary team that collaborates to create individualized patient care plans. This care team is with patients for each phase of the cancer journey, providing everything from diagnostic services to state-of-the-art radiation modalities, advanced treatment options, and holistic follow-ups. Clinical research is a key component of this care model.

Clinical trials underway at JMC include ones focused on lung, advanced uterine, head and neck, and colon cancers.

The Anderson Family Cancer Institute expands access to clinical trials and renewed hope for cancer patients

In mid-2022, JMC formed a partnership with UF Health, Florida’s premier comprehensive academic health center, that includes a robust collaboration in clinical research, explains Lilenbaum. Clinical trials are defined as research studies that involve people. Cancer researchers design them to

identify new ways to treat, find, diagnose, prevent, and manage symptoms of the disease as well as the side effects from its treatment. Trials are conducted in phases, with the number of participants increasing in each phase. Contrary to common misconceptions that trials are reserved for the sick -

Lilenbaum points to immunotherapy as a cancer treatment that started in clinical trials and is now widely available.

est of patients, the National Cancer Institute (NCI) states that: “Trials are available for all stages of cancer. It is a myth that they are only for people who have advanced cancer that is not responding to treatment.” In many cases, patients may receive conventional treatment while also participating in a clinical trial.

“I like to remind patients and their families that every standard cancer treatment they receive nowadays was, at one point, the subject of a research study,” Lilenbaum says. “It wasn’t long ago that immunotherapy was only available in the context of clinical trials because it was still considered investigational. Those patients had exhausted other options, signed up

to receive treatment with a new class of drugs, and many did very well and lived many more years. The research process is what eventually made immunotherapy a standard option for cancer patients.”

Lilenbaum, an experienced research scientist who earned a master’s degree in clinical investigation from Harvard and has published more than 100 manuscripts/abstracts, credits advancements developed through clinical trials, such as targeted therapy drugs, for changing patients’ perspective. “People know these treatments went through all the stages of research before they became available. When they join a research study, the hope is that

they too will have access to a drug that may become the next best thing.”

Among the trials underway at the Anderson Family Cancer Institute are those focused on lung, advanced uterine, head and neck, and colon cancers. Up until now, there have

been a limited number of clinical trials available in the region, and none with the scope and expertise available at the Anderson Family Cancer Institute. The benefits of JMC providing patients with access to clinical trials extend far beyond being treated with the

Every standard cancer treatment ... was, at one point, the subject of a research study.”

—Dr. Rogerio Lilenbaum

Cancer care is best provided close to home.”

newest and most cutting-edge therapies.

“The mission of the cancer institute is to serve our community. Cancer care is best provided close to home and close to loved ones and support systems,” Lilenbaum says. “Every time we can prevent a patient from having to move away from home for treatment, it’s a win for everyone.”

Other advantages of clinical trials, accord-

—Dr. Rogerio Lilenbaum

ing to Johns Hopkins Medicine, include: closer monitoring, as care providers generally follow trial participants more closely because the studies often require a certain number of imaging tests and in-person appointments; reduced cost, as participants usually don’t pay for clinical trial drugs, which are covered by the research project; and a chance to help others, because participating in trials presents an opportunity to contribute to science and help make new discoveries.

While cancer is the research team’s first focus for clinical trials, JMC has plans to introduce cardiovascular clinical trials in other disease states as well.

“We will soon launch clinical trials in the heart and vascular space,” says Dr. Amit Rastogi, JMC’s president and CEO. “We have tre-

mendous expertise within Jupiter Medical Center including clinical cardiologists, interventional cardiologists, electrophysiologists, and experts in structural heart disease. These are all fertile areas for cardiovascular clinical research. The doctors are excited about this.”

Lilenbaum also envisions conducting trials sponsored by pharmaceutical companies. He notes that such trials are very common and

often lead to enhancements in the standard of care.

“We have great physicians, nurses, and advanced practice providers, and our research team is growing to meet this new challenge,” Lilenbaum says. “It’s another commitment we have made to this community.” «

For more information, please call 561.263.4400

One benefit of participating in a clinical trial is closer monitoring and more frequent scans, tests, and appointments.

IS A NIGHTMARE When Sleep

Insomnia is a common complaint, but at-home lifestyle adjustments and clinical help can provide relief

By Kelley Marcellus

There’s nothing quite like hitting the sheets after a long day. For many people, however, the restorative eight hours of sleep that are the hallmark of a healthy lifestyle are anything but a guarantee.

The inability to fall asleep or stay asleep is considered insomnia, and it’s something most people experience at some point in their lives, according to Dr. Gemma Gulati, a hospitalist and sleep medicine specialist with Jupiter Medical Center. “At least one time in their lives, two-thirds of Americans have suffered from insomnia,” Gulati says. “It’s very common.”

Insomnia presents as difficulty falling asleep and/or difficulty staying asleep. It can be acute, or short-term, lasting less than three months and often associated with a secondary cause, like an illness, a medication, a stressful event, or recovery from a sur gery. Insomnia is considered chronic when a person is unable to sleep at least three nights a week over a period of greater than three months. Left unaddressed, the sleep disorder can cause profound health complications. “Insomnia can have long-term health effects,” Gulati says. “It affects everything.”

The majority of Americans will experience insomnia at some point. It can be acute or chronic, occurring at least three nights a week for more than three months.

checklist. The organization now recommends seven to nine hours of daily sleep as a key factor in preventing cardiovascular disease, in addition to abstaining from nicotine exposure, increasing physical activity, balancing diet, and management of weight, blood glucose, cholesterol, and blood pressure.

Gulati explains that untreated insomnia can alter cardiovascular health by causing systemic inflammation that can lead to increased blood pressure, heart disease, or stroke. In 2022, the American Heart Association added sleep to its cardiovascular health

Hormone dysregulation also comes into play. Insomnia can affect levels of leptin and ghrelin, leading to intensified cravings for carbohydrates and sugars and, potentially, obesity. Glucose regulation becomes impaired, which contributes to the development of diabetes. Lack of sleep can increase cortisol levels, which can manifest into a depressive or stressed state. Cortisol can reduce naturally occurring melatonin levels too, which

can further affect your sleep. Insomnia can increase your sympathetic nervous system activity, which uses the body’s resources to induce a fight-or-flight response that can lead to anxiety, high blood pressure, heart arrythmias, trouble digesting, and even worsening insomnia. It can also lead to mental fogginess, which affects daily life, such as the safe operation of an automobile or the ability to focus on work. Women can experience insomnia during menstrual cycles, pregnancy, and menopause, but insomnia affects male hormones and nonreproductive hormones as well.

“Fortunately, sleep medicine is becoming more widely recognized,” says Gulati. Jupiter Medical Center is now home to a cutting-edge sleep center, where physicians can evaluate and treat all kinds of sleep disorders, including chronic insomnia. The first step, however, may begin at home.

“A lot of insomnia has to do with lifestyle,” Gulati explains. A sedentary lifestyle, for

example, is a contributing factor. “When you’re not using your energy throughout the day, your sleep homeostasis, or drive to sleep, is decreased.”

Consuming caffeine close to bedtime can lead to poor sleep, as can using a computer or cell phone right before bed. “The blue light suppresses your natural melatonin,” Gulati notes. Other factors include not keeping a regular sleep schedule, certain medications and other stimulants, and age. “Neurologically, as you get older—after 65 or 70 years old—your stage three and REM sleep, which are your deeper periods of sleep, decrease,” Gulati continues. “If you’re spending more time in a lighter stage of sleep, you wake easier.”

To combat insomnia, many people turn to sleep aid medicines and over-the-counter supplements. Gulati says that this tactic is often unsuccessful. “People love to jump to medications, but really it’s just putting a Band-Aid over the issue and not treating the main cause. A lot of sleep aids do help you fall asleep but decrease your REM sleep and therefore prevent a complete restful sleep.”

Gulati recognizes that melatonin taken a few hours prior to bedtime can be helpful, as can herbal supplements such as ashwagandha and valerian root. She cautions patients to carefully research so-called natural products by reading labels, reviewing research on the internet, and consulting a physician, as some products contain few natural ingredients and may even worsen certain conditions.

A better tactic might be to establish a sleep hygiene routine. “Sleep hygiene is one of the best methods of treatment,” Gulati explains. “It is teaching yourself to sleep better, as you did when you were a child.”

Gulati suggests establishing a good sleep schedule—going to bed and waking up at the same time each day. Maintaining the waking time is especially important when

“Sleep hygiene is one of the best methods of treatment. It is teaching yourself to sleep better.”

—Dr. Gemma Gulati

falling asleep is the issue, because it helps to ensure that you will be sleepy come bedtime. Physical activity during the day can help expend energy and induce sleep, though research indicates that it’s best to stop exercising at least 90 minutes before one plans to sleep in order to allow plenty of time for the body to cool down and heart rate to slow down. Naps should be limited to 30 minutes or less and shouldn’t be taken in the second half of the day. Avoid caffeine after 1 p.m., as well as heavy meals, alcohol, and screen time before bed. Skip the pre-bedtime hot shower too. “A hot shower may feel relaxing, but it increases your body temperature, which can make it harder to fall asleep,” Gulati notes.

And what to do if you get into bed and can’t sleep? Or you wake after a couple hours of sleeping?

“Don’t toss and turn,” Gulati advises. “Get out of bed so that your brain doesn’t associate your bed with the anxiety of not being able to sleep.”

Instead, she suggests going to a dimly lit, quiet part of the house and doing something relaxing, like reading a boring book. “When you feel sleepy, then go to bed,” but avoid worrying about not being able to sleep, which can become a self-fulfilling prophecy.

Keeping the bedroom as a place exclusively for sleep and intimate relations can help prepare your body for sleep as well. The room should be dark, cool, and relaxing—free from tempting electronic distractions such as the TV, phone, and computer. Even the glow of an alarm clock can deter sleep.

If at-home remedies fail, Gulati recommends bringing concerns to your primary care physician. She suggests keeping a sleep diary documenting sleeping, waking, and factors that contribute to disruptions. The doctor may suggest some sleep aids for short-term relief, but patients should advocate for help in treating the root cause of insomnia, which might include a referral to a sleep specialist, who will likely order a sleep study.

The Jupiter Medical Center Sleep Center uses advanced sleep-monitoring technologies to pinpoint why sleep disruption is occurring. Sleep studies often take place in the center, which has the ability to mimic nighttime sleep, including providing comfortable private rooms. The center’s board-certified medical professionals can determine if snoring, sleep apnea, restless leg syndrome, or other disorders are at play. They can fit patients with devices or methods to address issues, as well as provide education and follow-ups for improving sleep.

When other issues are ruled out, Gulati says that cognitive behavioral therapy is often the most effective and enduring course of treatment for people suffering from chronic insomnia. “Cognitive behavioral therapy for insomnia can help resolve so many types of insomnia,” Gulati says. “Anxiety, depression, post-traumatic stress disorder, and childhood trauma can make sleeping difficult.”

Finding an experienced therapist can be a challenge, but the Jupiter Medical Center Sleep Center can help. Therapy is customized for each patient and geared toward helping individuals resolve the underlying causes of their sleep disorder. Many patients can improve their sleep with relatively short-term treatment—five to 10 sessions—while also learning beneficial relaxation techniques. Some patients require more sessions or occasional maintenance cognitive behavioral therapy for insomnia sessions lifelong.

“Solving insomnia takes a lot of homework and training yourself for better sleep,” Gulati says. “It’s not an overnight fix.” «

For more information, please call 561.744.4478

A holistic approach to treating insomnia may include herbal supplements such as ashwagandha, meditative practices like yoga, and therapy.

A NEW ERA FOR KNEE Replacements

The state-of-the art Velys RoboticAssisted Solution is revolutionizing this common surgical procedure

By Sandra Gurvis

As with many body parts, we rarely think about our knees until something goes wrong. When that happens, even the simplest movements—walking, climbing stairs, getting in and out of a car— can become excruciatingly painful.

Caused primarily by osteoarthritis and less frequently by rheumatoid arthritis, knee issues can be progressive, often worsening with age. According to the Journal of Pharmacy and Bioallied Science, an estimated 20 percent of Americans—some 70 million people— will develop osteoarthritis by 2030. With all forms of arthritis “the normal smooth joint surfaces are worn away, and over time this may result in boneon-bone contact, pain, and stiffness,” explains Dr. Gavin Hart, an orthopedic surgeon at Jupiter Medical Center.

The cartilage wear that develops in osteoarthritis often manifests in a number of common symptoms. The sensation of your knee twisting side-

The Velys Robotic-Assisted Solution for knee replacement surgery

to-side, buckling under your weight, or popping, locking, or catching that occurs when you try to move it may greatly impact your quality of life. Initial treatment for osteoarthritis frequently consists of conservative remedies (such as medications, injections, ice packs, and therapeutic exercise). As with any arthritis, there comes a time with knee osteoarthritis when conservative treatments are no longer effective. The good news, says Hart, is that advances in knee replacement allow patients with severe knee osteoarthritis to obtain pain relief and get back to the activities they desire.

Previously a daunting process that involved heavy anesthesia, imprecise instrumentation, and varying degrees of success, traditional knee replacement surgery required a lengthy hospital stay, weeks in a rehabilitation center, and sometimes frustratingly long recovery times. Historically, “10 to 15 percent of patients have not been completely happy with their results,” says Hart. Even after healing, “the implant didn’t necessarily match the soft tissues and native alignment of the patient’s knee, so movements could feel stiff and unnatural.”

The introduction of robotic-assisted knee replacement systems looks to improve the outcomes of patients. While robotic equipment has been a part of some knee surgeries for many years, the Velys system, now available at JMC, is the newest generation of robotics. Introduced in 2021 by DePuy Synthes, the orthopedics branch of Johnson & Johnson, the Velys Robotic-Assisted Solution works in three ways, according to the organization’s website:

•Proprietary technology maintains the saw cut plane to help execute precise, reproducible cuts, allowing the surgeon complete control of the device and procedure, including implant position and fit.

•The clear user interface, adaptable workflow, and fast information processing provide specific data on the anatomy of each patient’s knee in real time.

•The easily maneuverable robotic-assisted design utilizes an integrated operating platform for placement of the Attune knee replacement.

Since launching in 2011, Attune knee replacements (also manufactured by DePuy Synthes) have been utilized in more than a

Dr. Gavin Hart (left) notes that the Velys Robotic-Assisted Solution offers increased precision and is also less invasive.

million surgeries worldwide. “Unlike previous designs which didn’t really move like a normal anatomical knee, the Attune more closely mimics the native knee,” says Hart. In addition to providing stability and a wider range of motion, the Attune’s flexible design “allows for a more natural motion and may also reduce the stress and wear on the implant.”

Robotic total knee replacement allows for the precise matching of the position of the knee and preserves existing soft tissues, explains Hart. “Because these systems cut with a greater amount of accuracy, [the replacement] is as close to the patient’s native knee anatomy as possible. [Robotic surgery] is also potentially less invasive with regards to the release of soft tissue such as ligaments and tendons,” leading to shorter recovery times.

In 2019, approximately 3 million knee replacements were performed worldwide, according to data analytics firm GlobalData. The surgery itself is fairly straightforward; it

involves resurfacing the end of the shin bone (tibia), thigh bone (femur), and/or back of the patella. In general, replacement parts for the damaged femur and tibia are metal, while plastic liners are placed in between and on the back side of the patella. During the surgery, the surgeon removes damaged cartilage and some bone from the surface of the knee joint, then attaches the artificial parts to the bones, providing knees with new, smooth surfaces.

The rules for recovery are pretty much the same for both robotic and traditional surgery, to include working with a physical therapist for two to three weeks with a focus on maintaining consistent, constant movement of the

knee joint using a controlled range of motion. However, “robotic knee replacement systems help to more quickly normalize activities such as walking,” Hart adds.

While experiences can vary, patients who undergo a knee replacement with the Velys Robotic-Assisted Solution are often able to walk unaided just six weeks post-op, according to DePuy Synthes. After 12 weeks, they are often able to return to all activities such as golfing, yoga, and swimming. Some 90 percent of Velys patients report overall satisfaction with their new knee, along with a reduction or elimination of pain and improvement in their ability to perform everyday activities as well as in overall quality of life.

“Our goal is to get patients back to normal as quickly and safely as possible,” concludes Hart. “Utilizing robotics, we are able to offer patients better outcomes than ever before.” «

For more information, please call 561.798.6600

“Utilizing robotics, we are able to offer patients better outcomes than ever before.”

—Dr. Gavin Hart

DONOR PROFILE

An LegacyEnduring

Don and Patsy McCree established the McCree Nursing Challenge in support of Jupiter Medical Center’s nursing community

By Heather Graulich | Portrait photography by Jerry Rabinowitz

In early 2019, Hobe Sound resident Don McCree was an extremely proud grandpa. His granddaughter, Andrea McCree, had recently graduated from the University of Virginia with a nursing degree. She was buoyant, ready to take her skills and carefree personality to Memorial Sloan Kettering’s bone marrow transplant division, a dream job.

Then, a global pandemic arrived.

“She ended up treating COVID patients,” Don recalls, his voice quiet. “It was a tremendous mental strain, and it just showed us how important these first responders are.”

Statistics show that while nursing remains the most trusted profession in the United States, one in four nurses left the field during the physically and emotionally draining pandemic. But Andrea McCree found a silver lining in her experience. She is enrolled at the University of California San Diego to pursue a master’s degree in executive nurse leadership, knowing she would be able to use what she learned during the crisis to help new nurses. And now another granddaughter, Elizabeth McCree, is also in nursing school at the University of Virginia.

This fills Don with pride, but also a profound

sense of awe. When his wife of nearly 65 years, Patsy, was nearing the end of her long fight against heart disease in early 2023, it was his granddaughters who dropped everything to fly to Florida and tend to her. “To watch the two of them care for my wife was just amazing,” Don says.

For Don, the compassion and dedication shown by his granddaughters, as well as by the Jupiter Medical Center nursing staff who treated Patsy over the years, reinforces his family’s decision to focus their charitable giving on the hospital in support of nurses. In fact, it was mostly Patsy’s idea, Don notes, to consider ways to ease the burdens on nurses, support that would ultimately benefit patients.

The result was the McCree Nursing Challenge, held in 2022 and launched with a $250,000 matching gift from the McCree family. The match was met, as was a second $250,000 gift from the McCrees, leading to more than $1 million in total funds raised from community donors.

“Proceeds from these collective efforts will go toward continuing nursing education and credentialing, conferences, retention bonuses, nursing week celebrations, and the national Daisy Awards, where nurses receive ongoing recognition for their outstanding and compassionate care,” says Pamela Canter, JMC’s chief nursing officer.

“I think it’s made a real difference and we felt it would be a wonderful way to support the hospital” says Don.

Don and Patsy met in 1958 at her cousin’s

Don McCree with his late wife, Patsy

wedding and married the following year. Eventually they settled in Chappaqua, New York, to raise their three sons while Don worked in banking in New York City.

During a visit to Florida, they fell in love with Loblolly Club. Nearing retirement, they purchased a lot in 1990 and built their winter home the following year. They summered in Vermont and kept active with golf, tennis, and gardening. They especially reveled in traveling together—something that had been difficult during Don’s hectic career. Their adventures would take them to all seven continents.

Through the Loblolly Community Foundation and Hobe Sound Community Chest, the McCrees also stayed active in philanthropy. In 2007, Don joined the Jupiter Medical Center Foundation’s board at the urging of his late friend and Loblolly neighbor, Guy Fiske.

In the years since, Don has enjoyed taking part in the evolution of the hospital, from a

small community medical center to a soughtafter regional medical center that will soon unveil a $100 million–plus, 90,000-squarefoot premier surgical institute (the Johnny and Terry Gray Surgical Institute). He credits the vision of prior leaders, as well as current foundation and hospital leadership—including JMC President and CEO, Dr. Amit Rastogi; Hospital and Foundation Board Chairs, Martin Dytrych and Peter Lund; as well as JMC Foundation Chief Philanthropy Officer, Traci Simonsen—for fostering an enhanced relationship between the two boards. This, he believes, has allowed for more cohesive strategic planning and organization.

“The next step we’re all involved with is adding more patient beds and a parking garage, which is sorely needed,” Don says.

“When I first joined the board, we aimed at a $50 million campaign, and now we’ve just completed a $300 million campaign. During

the last 10 years of expansion the hospital has won many quality and safety awards and was named one of the world’s best hospitals by Newsweek in 2021 and one of 148 best hospitals in America by Money magazine in 2022. It is a joy to be involved.”

Don is adjusting to life without Patsy’s feisty and fun-loving presence, but he’s determined to stay engaged in ways she would have appreciated. After a family memorial service for Patsy in June, Don spent the summer with his family, especially his three great grandchildren, and took a solo cruise to Norway in the High Arctic. He intends to sustain his involvement with Jupiter Medical Center, sharing his view of charitable giving as an essential element of a life well lived.

“You have to ask: ‘What are you doing to better your neighbors and make a difference?’ When you’ve been successful and have the opportunity, give some of that success back.” «

EVENT PHOTOS

BLACK-TIE BALL

March 3, 2023

The Breakers, Palm Beach

Jayne and Tim Donahue

Randell and Rebecca Doane, Drs. Elizabeth and Facundo Davaro

Lanae Mierley, Nico Rodrigues, Steven Mierley, Jody Oliver

Lynn and George Bovenizer

Virginia and Richard DeAgazio

Danielle and Vahan Gureghian

James and Azza Kennedy

Alan and Penny Murphy

Lee Ann and Jeffrey Alderton

Dr. Amit Rastogi, Martin Dytrych

Heather Albu and Noel Martinez

LOST TREE COMMUNITY RECEPTION

March 8, 2023

Lost Tree Club, North Palm Beach

Cathy and Tom Ryan

John and Mary Barnett

Gib Harris, Charlotte Nau, Philip and Linda Lader

Harold and Catherine Finn

Mark and Caprice Baun

Gail and Paul Jones

Heidi and Bernard Baldwin

Ellen and Joe Wright

Bob Goergen, Steve Fredericks

Tom and Sarah Neff

EVENT PHOTOS

JUPITER HILLS COMMUNITY RECEPTION

March 14, 2023

Jupiter Hills Club, Tequesta

Joseph Onstott, Susan Stevens, Robert Castle

Mary Anne and Kevin Mulvey

Kathy and Joe Petri

Carol Griffin and Mark Kasten

Dr. Rogerio Lilenbaum, Drs. Grace and Andrew Vollman

Sally and George Stradley

Janince and Lawrence Landry

Kathy Rold, Bob and Christine Shookus

Dr. Amit Rastogi, Richard Derbes, Martin Dytrych

ANNUAL DONOR RECEPTION

March 30, 2023

PGA National Resort, Palm Beach Gardens

Frank and Anne Palopoli

Bill and Eleanor Cohen

Gerard and Brenda Ciccio, Karen Cohen, Dr. George Brener Alan and Penny Murphy, Teresa and Henry Desplaines

Diane Simowitz, Father Aidan Lacy

Gil and Judy Grand, Eleanor and Bill Cohen, Gail and Charles Zugerman

Betty and Dr. Richard Esack

Barry and Renee Brandeis, Dr. Amit Rastogi

Lorie and Abros Abel

Barbara and Lawrence Green

TRACEY BENSON PHOTOGRAPHY

THE CLUB AT ADMIRALS COVE CHECK PRESENTATION

BENEFITING THE MARGARET W. NIEDLAND BREAST CENTER

February 28, 2023

The Club at Admirals Cove, Jupiter

EVENT PHOTOS

TURTLE CREEK CLUB CHECK PRESENTATION BENEFITING

THE KRISTIN HOKE BREAST HEALTH PROGRAM

February 14, 2023

Turtle Creek Club, Tequesta

JONATHAN’S LANDING GOLF CLUB CHECK PRESENTATION BENEFITING THE KRISTIN HOKE BREAST HEALTH PROGRAM

February 21, 2023

Jonathan’s Landing Golf Club, Jupiter

JUPITER MEDICAL CENTER AUXILIARY CHECK

PRESENTATION BENEFITING THE LEVEL II DE GEORGE NEONATAL INTENSIVE CARE UNIT

April 18, 2023

The Club at Admirals Cove, Jupiter

ALL SAINTS CATHOLIC SCHOOL CHECK PRESENTATION

BENEFITING THE ANDERSON FAMILY CANCER INSTITUTE

May 16, 2023

Anderson Family Cancer Institute, Jupiter

STEVE MARTINE

TRACEY

Traci Simonsen, Ted Strelec, Theresa Disque

Traci Simonsen, Maria Eden, Susan Bechtold, Carole Lee de Jong

Victoria, Ava, Lucy, Angelia Palahunik, Giovanna, Lucy, Theresa

Traci Simonsen, Fred Lissauer, Mary Roff, Dr. Amit Rastogi

Cathy Fuge, Traci Simonsen, Carolyn McQuade

Aging Gracefully

Ten ways to maintain your well-being, independence, and quality of life after 65

By Abigail Duffy

to make empowered choices about their health and wellness. Here, Sirvaitis shares her top 10 tips for living well as we age.

1. Stay Active

“It’s very important to keep your body moving,” says Sirvaitis. This includes engaging in regular exercise that is appropriate for your fitness level. Sirvaitis’ most recommended activities are walking, swimming, yoga, and strength training.

There’s an art to aging well and Dr. Skirmante Sirvaitis, an internal medicine specialist at Jupiter Medical Center, is helping her patients uncover it. For patients aged 65 and older, Sirvaitis is both advisor and advocate, providing them with the necessary information

2. Maintain a Balanced Diet

Fresh vegetables, fruit, whole grains, and healthy fats are requisite for any healthy body, especially for seniors. Sirvaitis advises her patients to avoid sugary snacks and drinks as well as processed foods. She also notes that research is uncovering information about the

negative impacts of inflammatory oils, like sunflower, soybean, and canola. Try substitutes such as avocado and olive oils for cooking and coconut oil for baking. Finally, drinking lots of water is vital, especially in Florida.

3. Have Regular Checkups

“It’s important to monitor your health because it changes with age,” says Sirvaitis. “We should see our primary care providers at

least once per year and more often if needed.” She emphasizes the importance of preventive care, like making sure you are up-to-date on age-appropriate cancer screenings, such as colonoscopies and mammograms, in addition to vaccinations and bone density screenings for osteoporosis.

4. Stay Connected

As we age, socializing and establishing connections can fall to the wayside, but Sirvaitis stresses the importance of engaging with family, friends, and the community to support mental and emotional well-being. “I advise all of my patients to maintain strong social connections with their family and friends, and I encourage them to join social clubs or volunteer at their local communities.”

5. Sleep Well

“Healthy adults need seven to nine hours of sleep per night,” says Sirvaitis. “And this is quality sleep, meaning uninterrupted sleep.” Our regular sleep routine has a tremendous impact on our overall health, affecting our hormones, brain function, and mood.

6. Manage Stress

Chronic stress can negatively impact our mental and physical well-being. To combat these effects, Sirvaitis recommends meditation and mindfulness practices as well as relaxation techniques like deep breathing. She also believes in surveying the factors in life that we cannot control and encourages instead to focus our energy on what modifications we can make to optimize our daily well-being.

7. Keep the Mind Active

“Patients over 65 should stimulate the mind daily with puzzles, learning new skills, and keeping socially active,” says Sirvaitis. “This will optimize and maintain cognitive function and help with memory.”

8.

Safeguard Against Falls and Injuries

Ensure that your home is a safe environment by eliminating tripping hazards, such as loose rugs and slippery floors. For people with balance issues or gait instability, assistive devices like walkers and canes, as well as regular physical therapy, can support balance and stability.

9.

Connect with Nature

“Spending time outdoors has been widely studied and linked to improved mental health, stress reduction, and improved cognitive function,” says Sirvaitis. “The latest research has shown that just being by a large body of water or spending time in the forest can decrease feelings of anxiety and depression and increase sense of happiness.” She recommends taking advantage of what’s nearby, to include visiting local beaches or tending to a home garden.

10. Prioritize Prevention

Sirvaitis recommends quitting smoking and limiting alcohol, two vices that have been linked to increased risks of dementia and cancer. And Sunshine State residents, beware: “Wearing sunscreen in Florida is very important to prevent melanomas and other skin cancers.” «

Excellence in Pediatric Specialty Care is Always Close By

As part of our commitment to bring world-class, compassionate care to where the children are, Nicklaus Children’s has further expanded in Martin and Palm Beach counties. We provide specialty appointments, diagnostics and imaging services, rehabilitation and walk-in urgent care (services vary by location).

For locations near you please visit nicklauschildrens.org/locations

Locations in Boynton Beach, Palm Beach Gardens, Palm City and Wellington

Nicklaus Children’s Hospital and Jupiter Medical Center are proud to partner to bring you the best in pediatric inpatient, neonatal intensive care services and pediatric emergency care in Palm Beach County.