REAL ESTATE IN PALM BEACH COUNTY IS ALIVE AND VERY WELL P4 Patricia’s Happy Holidays Are Strokes Story of Trust if You Manage Becoming More and Faith Your Asthma! Prevalent in P 13 Younger People? P 14 P8
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The new study, which was published in The Journal of the American Medical Association, found that routinely using aspirin doubled the odds of developing neovascular macular degeneration, the most severe form of the disease.
Eric Goldman.
Patrick Murphy
Meet Congressman-elect
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Aspirin Use Tied to Rare Eye Disorder
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Central Palm Beach County Chamber of Commerce Medical Networking Event
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Patrick Murphy.
Good Samaritan Medical Center Welcomes Alexander Fernandez as Chief Operating Officer
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The surgical center on the grounds of Wellington Regional Medical Center was the place to be as some of the top physicians and executives gathered together under one roof.
This year the Kravis Center was the place to be as Dr. Jack Zeltzer was honored as the Palm Beach County Medical Society President 2012 and Dr. K. Andrew Larson was welcomed as the President for 2013.
Dreams Do Come True “Dreams Come True” was the theme of the 25th anniversary dinner dance for the Boys and Girls Clubs of Wellington, which was held on December 1 at the Wycliffe Golf and Country Club. P2 GLOBAL HEALTH TRIBUNE P.O. Box 213424 Royal Palm Beach, FL 33421
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Aspirin Use Tied to Rare Eye Disorder egularly taking aspirin may slightly raise the likelihood of developing a degenerative eye condition, a new study found.
Though the increase in the risk of developing the disease, a rare form of macular degeneration, was slight, it may be a potential concern because about one in five adults nationwide take low doses of aspirin regularly, mostly to ward off heart disease. Some doctors have recently started recommending aspirin for the prevention of some types of cancer as well.
The new study, which was published in The Journal of the American Medical Association, found that routinely using aspirin doubled the odds of developing neovascular macular degeneration, the most severe form of the disease. Nonetheless, the condition is rare enough that the increase translated into a negligible risk, rising from about 1 in 200 among older Americans in general to roughly 1 in 100 among older aspirin users.
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A major cause of blindness in
people over the age of 50, macular degeneration is a disease of the retina that slowly blurs central vision, making it difficult to read or see fine detail. Neovascular macular degeneration accounts for about 10 percent of cases but causes most of the vision loss associated with the disease.
The authors of the new report were quick to point out that for most middle-aged and older adults, any potential concerns about visual decline would not be enough to outweigh the hearthealthy benefits of a daily aspirin. Instead, it should be something to keep in mind should any problems with eyesight start to arise, said Dr. Barbara Klein, the lead author of the study and a professor of ophthalmology and visual sciences at the University of Wisconsin, Madison.
“If you’re an aspirin user and your doctor put you on it for cardioprotective reasons, this is not a reason to stop it,” she said. “It’s better to have blurry vision but still be here to complain about it than it is to die of a heart attack.”
Dreams Come True” was the theme of the 25th anniversary dinner dance for the Boys and Girls Clubs of Wellington, which was held on December 1 at the Wycliffe Golf and Country Club.
Chairing the event were two of Wellington’s most distinguished residents, Dr. Edward and Mrs. Maria Becker.
I was fortunate enough to be able to talk with Mrs. Becker that evening and she discussed what’s to come in the year ahead. “Not only are we celebrating the past, but also celebrating the future. We have a new club on the horizon in 2013, the Neil S. Hirsch Family Boys & Girls Club of Wellington. It has 22,000 square feet and three times the size of the current center. It’s such a wonderful thing as the kids in Wellington are going to have a great place to go after school. They do not have to be alone as they have a place where they can be nurtured and grow. It’s an amazing time for us.”
Dr. Klein and her colleagues used data from the long-running Beaver Dam Eye Study, which has followed thousands of Wisconsinites since 1988. Participants in the study, who were all between the ages of 43 and 86, had checkups every five years in which they underwent eye exams and were asked to bring in any medications they were using. They were also
checked for things that can influence the progression of eye disease, like high blood pressure, heavy alcohol use and diabetes. People who were taking aspirin at least twice a week for more than three months were characterized as regular users.
The study found that how long ago a person had started using
aspirin routinely was strongly tied to the risk of macular degeneration. People who reported regularly taking aspirin 10 years before the eye exam had an increased risk of the disease, though it was not clear what the mechanism behind it might be. “It may be like smoking and cancer, where some people who have stopped years and years ago then get cancer,” Dr. Klein said. “It may seem out of the blue, but there’s something about latent exposure that carries forward.” The new findings dovetail with those of a similar study published about a year ago. But in both cases the research was observational, so it could be that other, unknown factors account for the association between routine aspirin use and macular degeneration, said Dr. Robert Cykiert, an ophthalmologist at the New York University Langone Medical Center.
“I would say this brings up a question,” he said. “But it by no means should serve as a warning to patients to stop taking aspirin.”
Dreams Do Come True
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DECEMBER ISSUE • 2012 3
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Poor Circulation
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your feet and legs can be as subtle as the loss of hair on your toes, swelling of the feet and ankles, to something as noticeable 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
By Arthur Hansen DPM, M.S. most sensitive types of cells in
id you know that the arteries in your feet and legs can develop the same pathologies that they do around your heart? While the end result of poor circulation in the legs and feet is not a heart attack, it can be devastating none the less. The chance of death increases each year following the loss of a leg.
As director of the Diabetic Foot Clinic at the Wellington Regional Medical Center Wound Care Center, I am all too familiar with the difficulties and devastating end results of poor circulation not identified early and/or not treated. 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). Indications of poor circulation in
the body and therefore very susceptible to any changes in their environment. Without appropriate nutrients 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 your 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 a result of many different physiological processes, but a lack of circulation will definitely lower the temperature gradient of you 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, of
Conservative & Surgical Treatments Available Whirlpool with every visit!
which is relieved when you stop and rest for a few minutes, it’s 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 are 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 prefer to 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 and therefore, the blood pools in the feet and ankles and swelling is obvious. However, the swelling is usually less in the morning as you have not been on your feet while sleeping. Varicose veins, painful or not, are a common finding especially among women, these represent faulty valves in the veins and could lead to bulging, painful varicosities and even to ulcerations.
However, if any of the signs and symptoms mentioned above are consistent and prevent pain-free standing, ambulation tests to rule out the poor circulation may be indicated.
There are many clinical tests that can be done to determine the existence and extent of circulatory problems. A Doppler, or non-invasive 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.
I cannot stress enough the importance of early detection of poor circulation to the feet and legs.
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.
Get back on your Feet!
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What is Select Specialty Hospital? By Mike Corvaia
hen people ask me, what is Select Specialty Hospital, my response is always the same. Select Specialty Hospital is the most unique hospital in all of Palm Beach County. How so, you might ask?
First off, Select Specialty Hospital provides acute care like any other major hospital in the area, but the key difference is that Select Specialty does not have an emergency room. We often see patients who have been admitted though an ER and have been stabilized, yet who are not ready to be discharged from acute care. The vast majority of our patients are referred to us directly from the intensive care unit or ICU. Select Specialty Hospital is not a short term acute care hospital, or STACH, even though our licensure is the same. Instead, we are considered a long term acute care hospital or LTACH. In essence, we see the same patients that require acute care but we are designed to treat those medically complex patients for a few weeks rather than a few days.
So, you’re like a rehab hospital?
name just a few procedures, as well as an intensive care unit.
No, we are not a rehab hospital, but we do provide extensive rehab with a full staff of physical, occupational, and speech therapy specialists which are available to every patient. Well, then you’re like a skilled nursing facility, right?
We are actually much more than that. Physicians and case managers alike are continually impressed with the varying levels of acuity we handle here at our facilities. Select Specialty Hospital is an acute care hospital, and any patient requiring critical care nursing, intensive respiratory services, and rehabilitation therapy would benefit greatly from our hospital.
A typical patient at Select Specialty is one who requires acute medical care for their disease or illness, and who is not medically stable enough to allow transfer to a lower level of care, such as a skilled nursing facility, rehab hospital, nursing home, or in-home care. Make no mistake, our goal at
Select Specialty is to get you or your loved one to your desired destination: a stable, healthier level of care. We help to fulfill that goal in a clean, safe environment that is fully staffed with professional healthcare providers at every level. At Select Specialty, we only employ highly trained critical care Registered Nurses. Our nurse to patient ratio is better than what is offered at most hospitals and at every level of lower care such as a skilled nursing facility or rehab, where the ratio is 1:15 or more. Our ICU is staffed with a 2:1 ratio for the sickest patient(s) we admit to our hospital. We have physicians in our facility around the clock. Respiratory therapy is available 24 hours of
every day, and pharmacists are present seven days a week. Our staff features specialist physicians available for consult, whose areas of medicine include pulmonary, nephrology, cardiology and infectious disease, ear-nose and throat, neurology, internal medicine, and pain management. Our staff also includes general and trauma surgeons, as well as a designated wound care team. In addition to the more than 150 physicians on staff at Select Specialty, we also offer CT scan, a full rehab gym, an operating room for tracheostomy placement, percutaneous endoscopic gastrostomy or (PEG) placement, complex wound care debridement and skin grafts to
We encourage you to tour our facilities in person, so feel free to come by for a visit. We are centrally located in Lake Worth, just minutes from Palms West, St. Mary’s, Palm Beach Gardens, West Palm, and Delray, to name just a few hospitals within miles of us. Or, if you’d prefer to see us right now, log on to selectmedical.com, click the location icon and type in “Lake Worth, FL” to take a virtual tour of our hospital. We hope that you and your loved ones won’t require a stay within any hospital, but should you need specialized acute care, we at Select Specialty would like to reassure you that we are a hospital with a proven record of exceptional patient outcomes, with a family of physicians and healthcare professionals that genuinely care about your wellbeing. Select Specialty Hospital of Palm Beach 3060 Melaleuca Lane, Lake Worth, FL 561-357-7200 (Main line) www.selectmedical.com
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DECEMBER ISSUE • 2012 5
Real Estate in Palm Beach County is alive and very well ’m told by the banks and mortgage brokers that interest rates, though still low, are inching up. The Fed said they would keep rates as they are until the unemployment rate drops to 6-6.5%. Though new jobs are increasing, we have a ways to go.
Twelve Health and Safety Tips for the Holidays
Give the gift of health and safety to yourself and others by following these holiday tips. You can sing along to The 12 Ways to Health Holiday Song, listen to a holiday health podcast, and send the song to your friends and family in a holiday health-e-card!
1. Wash hands often to keep yourself from spreading germs and getting sick. Wash your hands with soap and clean running water for at least 20 seconds. 2. Bundle up to stay dry and warm. Wear appropriate outdoor clothing: layers of light, warm clothing; mittens; hats; scarves; and waterproof boots. 3. Manage stress. Don't overcommit yourself and prevent holiday anxiety and pressure. Get enough sleep.
4. Don't drink and drive or let others drink and drive. Whenever anyone drives drunk, they put everyone on the road in danger.
5. Be smoke-free. Avoid smoking and secondhand smoke. There is NO safe amount of tobacco or secondhand smoke. Breathing even a little secondhand smoke can be dangerous.
6. Fasten seat belts while driving or riding in a motor vehicle. Always buckle your child in the car using a child safety seat, booster seat, or seat belt according to his/her height, weight, and age. Use a seat belt on every trip, no matter how short the trip.
But I can verify that house prices are inching up. Arissa Place in Wellington, a condo conversion across Greenview Shores from
By Bob Wolff
remarkable increase and should be noted.
Wellington High School, last year the 2 Bedroom units were selling as low as $65,000. Currently these same homes are up to $125,000. That’s a
Homes in Pinewood are selling quickly from the mid $400’s to well above $500,000. Clearly, prices are increasing as is demand. Now is the right time to act as your monthly housing costs are certain to increase due to higher mortgage rates and higher home prices. Palm Beach County is hot and in demand.
PALMS WEST HOSPITAL INCLUDED IN “UNIVERSAL DECOLONIZATION” STUDY OF ICU PATIENTS THAT REDUCES BLOODSTREAM INFECTIONS BY 44 PERCENT Loxahatchee, Florida (November, 2012) – HCA (NYSE:HCA), one of the nation's leading providers of healthcare services, announced that a comprehensive new study, conducted exclusively at 43 HCA-affiliated hospitals, and the only designated Palm Beach County facility being Palms West Hospital, concluded that using antimicrobial soap and ointment on intensive care unit patients reduces bloodstream infections, including Methicillin-resistant Staphylococcus Aureus (MRSA), by 44 percent.
The use of antimicrobial agents on an entire patient population is referred to as universal decolonization. The study, known as Randomized Evaluation of Decolonization Versus Universal Clearance to Eliminate (REDUCE) MRSA, was conducted in conjunction with investigators at Harvard and several other academic institutions, and research programs at two U.S. Department of Health and
compared the results of three approaches in ICUs:
• Screen all patients and isolate MRSA carriers • Targeted decolonization after screening
Human Services agencies, the Agency for Healthcare Research and Quality (AHRQ) and the Centers for Disease Control and Prevention (CDC).
The findings suggest a major change in healthcare practice that could save lives. HCA is rolling out universal decolonization in its adult intensive care units, and implementation is expected to be completed at virtually all HCA affiliates in early 2013.
“We are thrilled that our hospital in Western Palm Beach County was able to participate on such a large-scale study, partnering with Harvard Pilgrim’s Health, the Center for Disease Control, and other HCA sister facilities to demonstrate true improvement in patient care,” said Silvia Stradi, Chief Nursing Officer. “Our world-class staff in our Intensive Care Unit, Laboratory, and Microbiology Department collaborated in the study to further patient care.
The study, which involved nearly 75,000 patients and more than 280,000 patient days in 74 adult ICUs located in 16 states,
• Universal decolonization
Investigators found that using universal decolonization reduced the number of patients harboring MRSA by 37 percent. Patients harboring MRSA are not sick because of it, but they are at risk for later illness and for spreading it to others. All bloodstream infections decreased by 44 percent. The researchers noted that this trial took place in HCA facilities, mostly in community hospitals, rather than academic institutions and was conducted by hospital personnel rather than specially trained research staff. Therefore, unlike some clinical studies, these results are likely to be applicable to nearly all U.S. hospitals.
7. Get exams and screenings. Ask what exams you need and when to get them. Update your personal and family history. 8. Get your vaccinations, which help prevent diseases and save lives.
9. Monitor the children. Keep potentially dangerous toys, food, drinks, household items, and other objects out of kids' reach. Dress warmly for outdoor activities. Develop and reinforce rules about acceptable and safe behaviors including electronic media.
Wishing all our friends Happy Holidays and a Very Successful New Year 2013! From Bob Wolff and Bill Tavernise
10. Practice fire safety. Most residential fires occur during the winter months, so be careful to never leave fireplaces, space heaters, stoves, or candles unattended. Have an emergency plan and practice it regularly.
11. Prepare food safely. Remember these simple steps: wash hands and surfaces often, avoid crosscontamination, cook foods to proper temperatures, and refrigerate promptly.
12. Eat healthy, and get moving. Eat fruits and vegetables. Limit your portion sizes and foods high in fat, salt and sugar. Be active for at least 2½ hours a week and help kids and teens be active for at least 1 hour a day.
Bill Tavernise 561-209-8304
BillTavernise@keyes.com
The Leading Brokerage Company in Florida since 1926
www.keyes.com
Bob Wolff 561-352-0620
BobWolff@keyes.com
6 DECEMBER ISSUE
• 2012
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One-on-one with Eric Goldman, CEO of Palms West Hospital
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By Deborah Lynn
had the pleasure of sitting down with Eric Goldman to discuss his views on the vision for Palms West Hospital and what’s to come within the healthcare industry. Having taken over for Bland Eng in March, Eric Goldman had moved into the position of CEO of Palms West Hospital seamlessly. How has the transition been for you? It has been wonderful. Having lived in South Florida for eight years while working at the former Columbia Hospital, now West Palm Hospital, I was thrilled to come back. I had been in Jacksonville for the past several years and this felt very much like coming home. My wife, Jennifer, is from Hollywood, and while we enjoyed living in the Northern parts of Florida, being closer to her family once again was a wonderful bonus. What immediate changes did you have to make coming on board? My predecessor did an outstanding job and made great strides at Palms West, so there were not a lot of immediate changes that had to be implemented when I came on board. Upon arrival, there was a major expansion project underway that I had to focus on. This is an exciting year for Palms West with this 32-bed expansion. Expected to be completed in March, we anticipate the additional beds will allow us to continue our growth and momentum, serving more patients in the Western communities.
What do you think about Hospitalists Programs? Patients’ initial reaction inevitably is, “what do you mean that the doctor that I have been going to for 20 years isn’t going to follow me in the hospital?” Despite that doubt and fear, these programs have helped us to
provide better care because physicians can be more focused on the patient at hand, since they are not running back to an office full of patients. Physicians can spend more time offering specialized care to the patients. As the government continues to raise the bar and hold hospitals accountable for the quality of care, I think that it’s nearly impossible in this day and age to continue without Hospitalist Programs. Additionally at Palms West, we have been able to work collaboratively with these physician groups to improve the skills of our nursing staff and drive the quality outcomes that this community deserves.
What are your thoughts on the Health Care Reform Act? I have mixed emotions, as it is too early to tell. There are certain aspects that are absolutely wonderful. Before the health care law, insurance companies could remove enrolled children usually at age 19, sometimes older for full-time students. With as many kids that are coming out of college and finding it challenging to get jobs and health benefits, I think it is incredible for them to be able to stay on their parents’ insurance policies until they are 26.
Not being able to exclude preexisting conditions is another necessary change. I have a ten year-old niece that was diagnosed with juvenile diabetes. My sister-in-law is a school teacher and my brother is a small business owner. If she ever lost her job and that clause wasn’t in there, my brother would probably never be able to purchase insurance because of her condition.
Certainly there are points that are absolutely outstanding; however, the challenge continues to be how we are going to pay for it. The direction that things could go is really too up in the air at the moment. With the recent natural disaster in New York, how is
approach to patient care. We are a thriving, comprehensive, acute care community hospital offering a full complement of specialty services.
With that said, I certainly believe that not just our healthcare, but also pediatric care is second to none in all of South Florida. We are routinely the fifth largest pediatric hospital within the HCA network. What we see now is that patients are starting to recognize our excellence, and are choosing us as their choice medical destination throughout the entire county.
Eric Goldman.
Palms West Hospital prepared for such an event? What you see on TV was horrific, and our thoughts and prayers go out the people that were and continue to be affected. Living in Florida, our municipalities are infinitely better equipped for hurricanes from the standpoint of water in a relatively short period of time. That being said, I think Palms West and other HCA facilities have spent a lot investing in our hospitals after the year we had Frances, Jean and Wilma. We are equipped with hurricane windows and shutters in all of the hospitals. In addition, we have emergency generators that are equipped with additional capabilities to have air conditioning running during a storm so that the patient care experience is not compromised. As evidenced by when hurricane Katrina hit New Orleans, HCA was uniquely qualified to have its other sister hospitals help. While aid was scarce for those suffering, we had a team of helicopters standing by and
flying into the city to not only evacuate hospitals that we owned, such as Tulane Medical Center, but also other hospitals in the area. I feel an unparalleled level of comfort being an executive at Palms West Hospital, knowing that not only do we have a facility that has been built to withstand the storms, but that we have the backup and supplies needed to be able to ride out the storm as best we can in the worst case scenarios.
What do you want our readers to know about Palms West Hospital, your physicians, and why should they choose your hospital? I believe Palms West has been a bit of a hidden gem, certainly not within the Western Communities, but in Palm Beach County at large. When I first came into town in 1998, it used to be much more challenging to physically get to this area. Our location is actually very central to most of Palm Beach County. A major focus is to spread awareness of where we are, and our unique
Palms West offers exceptional care for not just the patients, but their families as well. The patient experience includes the family, the communication as well as the follow-up care. We strive to provide an exceptional experience to everyone that walks through our doors. In many situations, our patients are undergoing a difficult time in their lives and we want to make them as comfortable as possible.
With the expansion, are you looking to hire more people, if so, how can they apply? Certainly, healthcare is very fluid. We always have a variety of positions that are open at any point in time – both skilled and unskilled. I have been with HCA for eighteen years and have experienced limitless opportunity, and we are fortunate to offer that same thing to nurses, radiology techs, housekeepers, and so on. Positions are available on our website at www.palmswesthospital.com. We also regularly hold job fairs, and much of what we receive in terms of applicants is through word of mouth from current employees. It’s quite interesting that we find that about a third of the people in our orientation are former employees that have realized that they cannot get what they get at Palms West elsewhere. We have something really special here.
Good Samaritan Medical Center Appoints Kimberly Elyanow as Chief Financial Officer West Palm Beach, FL. (Nov. 2012) – Good Samaritan Medical Center is proud to announce the appointment of Kimberly Elyanow as the hospital’s new Chief Financial Officer. In this role, Elyanow will be responsible for overseeing the financial operations of the hospital and all of its departments.
“Ms. Elyanow brings to Good Samaritan her many years of
experience in healthcare finance, her ability to effective manage in the very complex insurance and reimbursement environment, her leadership abilities with regards to manage change, and Good Samaritan is very fortunate that she will be our next CFO,” says Mark Nosacka, chief executive officer.
Kimberly Elyanow.
Prior to joining Good Samaritan Medical Center, Elyanow served as the Chief Financial Officer at
Coral Gables Hospital. She was responsible for all daily financial operations for departments including finance, materials management, information services, patient access, patient accounting and case management. Before joining Coral Gables Hospital, she served as the Associate Chief Financial Officer at Palmetto General Hospital where she was responsible for conducting financial and operational reviews for different
departments to assess financial procedures. Elyanow began her career as a controller, assistant administrator and accounting manager within the healthcare industry.
Elyanow received her Bachelor of Arts in Government from Smith College. In addition, she holds a Masters in Business Administration with a dual concentration in Accounting and Marketing.
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DECEMBER ISSUE • 2012 7
Central Palm Beach County Chamber of Commerce Medical Networking Event
he surgical center on the grounds of Wellington Regional Medical Center was the place to be as some of the top physicians and executives gathered together under one roof. It was a night of letting go - just a bit, while honoring those that have done such an amazing job over the past year.
Now Let the Experts in Breast Cancer Treatment Take Care of You. The American Cancer Institute predicts that, despite a healthy lifestyle, more than 200,000 women in the U.S. will contract breast cancer this year. That’s why at South Florida Radiation Oncology, our team of radiation oncologists renders the most technically advanced treatments in the field, including protocol based, IMRT, TrueBeam™ and partial breast irradiation. Our medical staff — together with you, your specialist and primary care physician — will collaborate and select the best treatment option for your particular diagnosis as well as your personal requirements. At South Florida Radiation Oncology, we recognize that every patient is an individual, with unique treatment needs and a distinctive lifestyle. Call South Florida Radiation Oncology and let us take gentle, compassionate and effective care of you today so you can get back to taking care of yourself tomorrow.
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10 DECEMBER ISSUE
• 2012
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Meet Congressman-elect Patrick Murphy
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By Deborah Lynn
fter a contentious campaign and subsequent election ballot debacle, Patrick Murphy was elected to represent the 18th district in Florida defeating incumbent, Allen West. As Florida has been plagued with polling and voting issues, the one thing that stood clear is the dignity and class that Congressman-elect Murphy exhibited throughout the entire election and continues to display. Having met Congressman-elect Murphy at an after-election event, I quickly learned that he is quite charming, personable, and has such positive energy that surrounds him. When I contacted his office regarding an interview, he was happy to oblige. The following is a brief insight into his thoughts as he embarks on his new role in the political arena. What made you decide to run for public office?
Well, I was 27 and tired of complaining. I worked at an accounting firm and became increasingly frustrated by all of the excessively burdensome government regulations that I dealt with on a daily basis. I have always felt that our leaders should be doing a better job. So, I started an environmental company, working on the BP oil spill and even went to New Orleans for six months to help with the clean up. That opened my eyes to the role the government can play in all of our lives. With my frustration mounting; I wanted to do something. When the tea party came along and Allen West was elected, I knew I had to do something. I thought to myself, who am I to sit here and complain and yet not do anything. I felt that I could do a better job. Our country is in serious debt and our Medicare system needs to be strengthened and improved as those issues will be affecting my generation more so than my parents or grandparents. As an example, I don’t want my generation to be without Medicare when I get older and therefore decided to be part of the solution. What were the first steps that you took to begin your political aspirations?
Once I knew that I wanted to make a difference and make the government actually work for the people for a change, the first thing that I did was talk with another moderate, former Republican, Charlie Crist to get his advice. I also spoke with Congressman Harold Ford, Jr. of Tennessee. After talking with them, I reached out to others that were elected into various offices and got their opinion as well. I wanted to know the steps I had to take to start making a change.
From my time in the private sector, I knew that any successful operation would require the most amazing team. The first hire was Eric Johnson who was recommended by Charlie Crist. From there, I started to build the rest of my team and found such an incredibly dedicated group of people and I could not have done this without them.
incredible opportunity by continuing to improve economy and fiscal health, by reducing our long-term debt, increase revenues due to sustainable recovery and, yes, reach across the aisle and compromise. I don’t like the Medicare and Social Security cuts that Speaker Boehner and some Republicans are pushing, and I don’t like the tax hikes that some Democrats are pushing. But deficit reduction isn’t easy, and the American people expect results. They expect their representatives to make some tough decisions and compromise. I’m optimistic that a deal can be reached.
What are your thoughts on the Affordable Care Act?
It isn’t perfect, but it’s a big step forward for our country. When you look at it, we basically have personal health care which is the most expensive way possible because when people go to the ER, we have to treat them. Unfortunately, many people wait until it’s an emergency to get treated. Therefore, what we decided to do was try to come up with a more complete health care plan – although not universal, it is a step in the right direction. We need to address the costs that plague healthcare. We spend 18% of our GDP (Gross Domestic Product) on health care, but yet we rank 35th or 36th in the world and that says something. We are not doing something right.
Our specialists are the top in the world and people travel from all over to get treated here and yet, we fall short in key metrics like access to care and minority health disparities. We have to address the costs in our country. I believe that we need the government to start negotiating costs with pharmaceutical companies, just like the VA (Veterans Administration). I think we need to look into the fraudulent and abusive practices that plague Medicare and Medicaid. Current studies show that those abusive behaviors represent 25% of the money spent. We need to find a way to not only eliminate that type of behavior, but to also install stricter penalties on those that continue to abuse the system.
When I was an auditor, my job was to find waste in Fortune 500 companies. I am hopeful that I can translate that knowledge to our government. It comes down to bringing down our costs in comparison to the rest of the world and making Medicare more efficient. And it will take a bipartisan solution to resolve such an issue. Since there is not one single solution, we will have to see what happens with the Affordable Care Act and efforts at reducing cost in the system. The Affordable Care Act already added eight years to Medicare. A lot of that was simply by eliminating overpayments to providers. The beneficiaries are not affected at all, but it’s the fraud, waste and abuse that we need to tackle as we continue to go down that path to lower costs. In a year or two, when we are in a better position to see how the reforms have progressed, we can
What is the first thing that you would like to accomplish while in your new role?
Patrick Murphy.
sit down and see what works and what doesn’t and make the necessary improvements.
From the business aspect, restaurants and businesses are being adversely affected. Small business owners that I have spoken with and those who have a chain of restaurants may have to close down their sole business or a few locations. It doesn’t make sense to me that businesses need to close their doors because of health care. We need to make tweaks in the laws for restaurants, small business owners and hotels that could be adversely affected. Every employee should have access to affordable coverage, but if wellintentioned efforts end up closing businesses, everyone loses. How do you feel about the Health Care Exchanges?
The health care exchanges have not been discussed enough. It’s a way to create competition and spread the risk. There’s a reason why large companies can offer their employees insurance at a lower cost, as thousands of employees absorb the risk. You can’t do that on the individual market, where insurance has become prohibitively expensive for the middle class and working families are priced out of the market altogether. That’s where the exchanges come in. Every state now will have something set up along the lines of a travel website. For example, if you want to travel from point A to point B, you can review all the different options. The same thing will happen with health care. You will have options and be able to choose between Plan A, B, or C. Plan A may state – here you are 29 years old, your history is such and this is your cost. It’s more transparent as we create more competition among the insurance companies and therefore bring down the cost for
the beneficiaries. As I learned in new member orientation, this is just like the Members of Congress get. Private insurance run through a marketplace for people to choose. If this system is good enough for Congressmen and federal employees, it’s good enough for all Floridians. It’s state-to-state and therefore allows for specific plans that cater to those individual benefits that one state may need and others don’t. In Florida, we may have different needs than those in Minnesota when it comes to maintaining the health of our residents. What are your thoughts on the Fiscal Cliff?
Some will argue that it’s not really a cliff, but the expiration of former President Bush’s tax credits and tax cuts, the AMT and the sequestration, which basically takes an axe where we need a surgical scalpel. Since our government couldn’t reach a compromise last year or this year, we came up with cutting $500 billion from health, education, research and food safety, also known as discretionary spending, and $500 billion from defense. Congress figured that such arbitrary and dramatic cuts, combined with a $4 trillion tax hike would leave no choice but to compromise before we actually arrive at that point. Sure enough, Congress didn’t come up with an answer. So, here we are with 28 days to go and nothing has happened. To me, it’s laughable and an embarrassment to our country. How could Washington put us in such a position by not doing anything until the last minute? We have an opportunity now as other countries are slowing down. Look at Asia and South America or even parts of Europe, which are back in a recession. America is still the world’s economic leader and we have an
I want to sit down with Republicans and find some legislation that we can agree on and create jobs. That is still such a huge issue. We often talk about the economy and debt, and how to keep the economy going. I think the focus should be local to see what we can do for our residents. Part of that may be in the high-tech industries we have here along the coast, which is in my district. We need to continue to explore that and find those high paying and long-term jobs. I want to continue that source of growth as we get more of those companies to expand. I have already had the opportunity to discuss those issues with other Members of Congress and it seems like the rank and file members are willing to compromise, but their parties are holding them back. With the help of the other freshmen that were elected on the basis of bipartisanship, I can only hope that we send a strong message to the leadership of Congress and to all the people that these existing problems are not going to be solved unless we work together. You can’t just allow Republicans or Democrats to resolve issues – it needs to be done together!
What would you like for people to know about you?
I want to be their voice – it doesn’t matter if they are Republican or Democrat, whether they supported me or not – I am here for them as their voice. I am looking forward to working on their concerns and issues and if they have a question or concern, they can always call or e-mail me and let me know what’s on their mind. I am here working for you. If you have any questions for Congressman-elect Murphy, please contact his campaign office at 561-847-4105 or visit his campaign website at www.patrickmurphy2012.com. Congressman-elect Murphy will have updated contact information for his Congressional offices after his official swearing-in on January 3, 2013.
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A Holiday Cabaret Gala and Installation
he Palm Beach County Medical Society hosted their Annual Installation of the PBCMS leadership at the Kravis Center. Dr. Jack Zeltzer was honored for his outstanding efforts as the 2012 President and Dr. K. Andrew Larson was welcomed into his new role as the President for 2013. In addition, Dr. Alan B. Pillersdorf, was also honored by receiving the 2012 Excellence in Medicine Award.
Marcy & Jack Zeltzer, M.D.
Ivy and Dr. Andrew Larson.
Dr. Hatem Abou-Sayed
Michael Larson and Dr. Andrew Larson.
Dr. Maureen Whelihan and Dr. Alan Pillersdorf.
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DECEMBER ISSUE • 2012 11
Knowing Your Breasts Can Save Your Life
By Deborah Lynn
n a continuing effort to educate women regarding breast cancer, Dr. Yvette LaClaustra, a physician whose primary focus is that of treating patients with breast cancer and other breast related issues, explores the risk factors associated with such a devastating disease. In last month’s issue, we discussed the importance of selfexams, mammograms and ultrasounds. Dr. LaClaustra is a huge advocate of women being proactive with their health and has graciously invited every woman to come into her office as she will personally show you how to properly examine your breasts. According to Dr. LaClaustra, “every woman should examine their breasts after the age of 20. You should do this on a monthly basis and it’s also important to know your cycle and the tenderness of your breasts.” “Women are at a greater risk for breast cancer due to their age and gender. However, if you are diagnosed at a younger age, in general the cancer is going to be more aggressive.” “Cancer smaller than 1cm is localized, however, if the tumor is larger than 2cm, that would change your diagnosis from stage one to stage two.” stated, Dr. LaClaustra. There are several factors associated with an increased risk for breast cancer: - While both men and women can get breast cancer, it’s more
Dr. Yvette LaClaustra.
prevalent in women. - Your family history plays an increased role in breast cancer cases. - As you get older, your risk of breast cancer increases. - Certain gene mutations put you at a 10% increase the risk of breast cancer that can be passed on from parents to children. The most common mutations are BRCA1 and BRAC2. Those genes put you at greater risk for developing not only breast cancer, but other cancers as well. If you feel something that is not quite right, please contact Dr. LaClaustra. If you do not have insurance, she will not turn you away as her focus is on your health and well-being. If in fact it’s determined that you have cancer, she will help you find a way to afford your treatment.
If you would like to meet with Dr. LaClaustra, you can visit her office at 3319 State Road 7, Suite 105 in Wellington. To make an appointment, please call 561-965-1100.
12 DECEMBER ISSUE
• 2012
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Testimonials from our patients Over the years, Dr. Shekhar Sharma has been such an integral part of the western communities. Our practice has garnered numerous testimonials that are a tribute to Dr. Sharma's skills as a highly competent and caring physician by those that have been with him through the years - his patients. Below are just a few of the many that have been received by our office. Shekhar V. Sharma, M.D. Board Certified in Internal Medicine
PALM BEACH PRIMARY CARE ASSOCIATES, INC. Dr. Sharma is a Board certified Internist that has been in practice for the past 19 years. His office is accepting new patients: Palomino Park, 3347 State Road 7 Suite 200, Wellington, FL 33449 and for an appointment please call
(561) 795-9087
Dr. Sharma's office in Belle Glade is at 1200 South Main Street, Suite 100 (opposite the Old Glades General Hospital). He will be seeing patients at this location along with Ebonee Johnson ARNP. He is currently accepting New Patients and the office accepts most insurances. We accept Florida Medicaid Call
561-996-7742 for an appointment.
DECEMBER ISSUE • 2012 13
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CALL FOR NOMINATIONS FOR 2013 HEROES IN MEDICINE:
Happy Holidays if You Manage Your Asthma! from Asthma, the holiday season can bring increased triggers and breathing difficulties. To minimize such problems and truly enjoy the holidays, management of your Asthma is a must. Now is not the time to “forget” to take your medicine. Following are some tips for minimizing triggers and managing an effective medicine schedule.
10th Annual Awards Luncheon to Be Held on May 9th
West Palm Beach (December 12, 2012) – Palm Beach County Medical Society Services recently announced its call for nominations for the 2013 Heroes in Medicine Awards. Finalists will be recognized at the 10th Annual Heroes in Medicine Awards luncheon on Thursday, May 9th at the Kravis Center in West Palm Beach.
The 2013 Heroes in Medicine categories are: Community Outreach Hero, Bruce Rendina Professional Hero, Health Care Provider Hero (Non-Physician), Physician Hero (Local/National), Physician Hero (International), Student Hero, Health Care Educator Hero and Health Care Innovation Hero. Descriptions of the awards categories are available on Palm Beach County Medical Society’s website, www.pbcms.org/heroes. Anyone in the community can nominate an individual, group or organization. The deadline for nominations is February 14, 2013 at 3pm. “Heroes put the needs of others before themselves, and Palm Beach County has no shortage of individuals, groups and organizations that have done so much for this community and beyond,” said Chairwoman Sally D. Chester, RN. “Now is the time to shine on them.”
Proceeds from Heroes in Medicine benefit Project Access, a community-based program to increase access to health care for the uninsured.
To nominate a Hero or to learn more about sponsorship, visit www.pbcms.org/heroes or call 561-433-3940.
Stress, Depression Linked to Raised Stroke Risk in Seniors
Stressed out? A new study suggests that learning to deal effectively with life's challenges may help you reduce your risk of stroke, especially as you age. Researchers found that people over 65 with the highest levels of psychosocial distress -- including depression, a negative outlook and dissatisfaction with life -had triple the risk of death from stroke as compared with those who had lower levels of stress. According to the U.S. Centers for Disease Control and Prevention, stroke is the fourth leading cause of death in the United States and a leading cause of long-term disability.
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.
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any happy things happen during the winter holiday season. There is family to visit, parties to attend, and baking and decorating to be done. However, if you suffer
If a live tree is to be decorated in your home some preparation will help eliminate mold and pollen associated with pine and cedar trees. While the tree is still outside and away from the home, wipe the trunk thoroughly with a solution of luke warm water and diluted bleach (1 part bleach to 20 parts water). This will eliminate any mold on the tree. Then, either leave the tree outside (in water) for a few days to dry out the boughs or blow it off with a leaf blower. This will remove any pollen grains still on the tree. Some evergreens pollinate even in the winter, especially Junipers and Cedars. An artificial tree can be a good substitute for a live tree, but must not have sprayed-on snow or contain pine-scented oils or other such additions. Also, artificial trees can gather dust and mold while stored, therefore clean and
shake or blow off trees well away from the house before decorating.
When decorating the home (and tree) use plastic, metal, or glass decorations that cannot trap dust mites. If fabric decorations must be used, wash them first in hot soapy water before displaying. If artificial snow is to be sprayed
which can cause discomfort for people with Asthma. Although a happy time of year, there can still be much stress in visiting relatives and friends. Even happy stress can trigger an Asthma attack. Excitement, crying, laughing, and anger can trigger an Asthma attack. Practice deep breathing to help reduce stress and excitement.
on windows or other surfaces, follow directions on the container and wear a mask easily obtained from a local home and garden center. These sprays can irritate your lungs if they are inhaled especially if your lungs are already irritated from Asthma. Also, you may wish to eliminate scented candles, potpourri, air fresheners, aromatic plants and even holiday baking with its strong odors
Asthma attacks during the holidays can range from mildly irritating to life threatening. By taking precautions, such attacks can be minimized greatly and allow everyone in the family to fully enjoy the holiday season. For more tips, contact the American Lung Association or go online to their website. May your holiday season be merry and bright… and safe!
Stick to your regular exercise routine, eat healthy, and get plenty of rest. Take your breathing medication before visiting friends and family who may have decorated with Asthma triggering items. Also bring along your rescue medication and the equipment needed to deliver it. If your stay is to be extended bring any medications that are timed to be delivered while you are gone from home.
Keep Your Dog Safe During Hectic Holiday Season: Expert
Christmas can be a stressful and dangerous time for dogs, according to the American Kennel Club.
The holidays are also not a good time to bring a puppy into your home. In fact, many responsible breeders do not breed litters with a Christmas delivery date, according to one expert. "Bringing a puppy into your life
in the 'off-season' is a safer alternative than exposing a new puppy to holiday dangers in the home. Consider gift wrapping
dog toys or supplies such as a leash or food bowl to symbolize the gift of a puppy to come," AKC spokesperson Lisa Peterson said in a club news release. The AKC offered some tips to keep your dogs safe and happy during the holidays: • Make sure that visitors know to keep doors closed to prevent dogs from escaping.
• Don't use food such as popcorn or cranberry strands when decorating your Christmas tree or home. If dogs eat them, they can cause blockages that may require surgery to remove.
• Place anything shiny -- such as ornaments, tinsel, glass bulbs - higher up on your tree where your dog can't reach them.
14 DECEMBER ISSUE
• 2012
Good Samaritan Medical Center Welcomes Alexander Fernandez as Chief Operating Officer
West Palm Beach, FL. (Nov. 2012) – Good Samaritan Medical Center is proud to announce the appointment of Alexander Fernandez as the hospital’s new Chief Operating Officer. As Chief Operating Officer, Fernandez will be responsible for overseeing the daily operations of the hospital, direction of operations for ancillary departments, the development of hospital service lines and ensuring compliance of all policies and procedures.
“Alex is an operational leader with a strong finance background, and as we move into the new healthcare with all of the changes to our
Alexander Fernandez.
reimbursements, Alex’s knowledge and leadership skills will be vital to our ability to continue to raise our quality of service, improve patient outcomes and drive healthcare efficiencies,” said Chief Executive Officer Mark Nosacka. “With his strong leadership and track record of success, Alex is a wonderful addition to our team.”
Prior to his appointment as COO at Good Samaritan Medical Center, Fernandez most recently served as the CFO of North Shore Medical Center in Miami where he oversaw all the financial operations of the hospital. Fernandez has a rich history with Tenet. He started his career at St. Mary’s Medical Center as a staff accountant, which was followed by a promotion to assistant controller at Good Samaritan Medical Center before becoming a CFO at North Shore.
Fernandez has been recognized in Becker’s Hospital Review List of 25 Healthcare Leaders Under 40 in acknowledgment of his accomplishments and was named one of the 2012 Modern Healthcare’s Up and Comers. Fernandez received his Bachelor of Science in Finance and Multinational Business from Florida State University. He continued his education at Florida Atlantic University where he received his Master of Business Administration. He is a member of Alpha Kappa Psi.
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Are Strokes Becoming More Prevalent in Younger People? By Deborah Lynn
Actor Frankie Muniz recently made headlines, but not for a new movie role or his band going on tour. At 27, the actor and musician recently suffered a mini stroke.
Although this may seem strange to most, according to The Centers for Disease Control and Prevention, in 2010 approximately 664,000 Americans between the ages of 18 and 44 have suffered strokes.
Equally as interesting, in the April 2009 issue of Neurology Today, younger stroke victims are often misdiagnosed. Unfortunately, when someone arrives in the emergency room after having a stroke, there is a three-hour treatment window which quickly fades as they are often thought to have vertigo, alcohol intoxication or something else other than a stroke.
Take Elizabeth (Beth) Farrara, a local woman who suffered a stroke at the age of 50, of which is still considered young for a stroke victim. As an avid swimmer, she swam a mile a day, every day, as well as walk four miles a day. Her blood pressure and cholesterol were both normal. She had no family history of stroke and appeared to be in perfect health.
On March 4, 2012, she awoke at 2:00am as she was feeling a bit nauseous. When she tried to go to the bathroom, she fell on the floor and could not get up. Her husband recalls that she had felt like dead weight. He
DEAR DEBORAH: I met the nicest man at a local establishment a few months ago. We spoke on the phone, which led to going out on a couple of dates. We both enjoyed the time we spent together and he mentioned that he would like to continue dating me. The problem is, he doesn’t contact me on his own, however, he does respond when I text or call him. I really like this man and am hoping for a relationship. I know that he is busy with work and other obligations, but I am feeling slighted. What could I do to make him contact me more often? - I Want More
Dear I Want More: First of all, you cannot force someone to contact you more often. Second, you have to stop making excuses for him. No matter how busy a man is - if he is truly interested in you, he will contact you. It’s just that simple!!! He really has nothing invested and is apparently just being nice by returning your calls or text messages. Take a step back and stop putting
immediately looked up the symptoms on WebMD and informed her she was having a stroke.
The paramedics arrived and took her to a local hospital. The medical staff eventually asked her husband if they had a priest. There was also discussion of transferring her to a nursing home as she was in a vegetable state.
According to Beth, “the standard of care for people that have massive strokes is to do nothing,
Dr. Ali Malek and Elizabeth Farrara.
to simply let that person die. That was just not acceptable to me. To leave my son without a mother. To leave my husband. I lost 90% of the blood flow to my brain for three days. Like I said, they said to just let her die – that was their answer.”
Beth’s break came when the head of neurology knew Dr. Ali Malek at St. Mary’s Medical Center in West Palm Beach. Dr. Malek is the head of the neurology department and truly a pioneer in terms of the latest technology feelings into something that you may be trying to create – a relationship in your mind. Women tend to “feel” and become emotionally attached so quickly without using logic and common sense. I recommend that you not contact him and allow him to reach out to you. If he is really interested – he will contact you. Remember, you cannot force someone into a relationship.
DEAR DEBORAH: Since I don’t cook, I frequent a neighborhood restaurant a lot. There are two waitresses that work the same shift, that give me extra attention. I am single and would like to ask one of them out to dinner, but I am not sure if I should pick one over the other. It’s obvious that they both like me and both are equally as nice and attractive. How do I decide which one to ask out, or should I just ask them both out? - Like Them Both Dear Like Them Both: You basically have two choices. First, you can ask them both if they would like to go out with
and advances in neurology. She was transported to St. Mary’s.
Beth recalls, “I was in a place where I was kind of aware, but not really aware. I was in a great place. I had no knowledge, no anxiety and was put in an ambulance and didn’t care. I felt as though I was at peace and nothing bothered me. It was very cerebral. I was not aware that I was so ill. My family didn’t tell me.” Dr. Malek explained, “Beth is not your typical case. Her case
was very unique as she came in with an abnormality of the blood vessel. For an unknown reason both of her main arteries were severely blocked. We had to be very aggressive. We took some pretty big risks when trying to repair her carotid arteries.” “The most important thing to know is that there are some things that we can control and there are some things we cannot. We can’t control our gender, we can’t control our age and we can’t control our family history.
The things that we can control and focus on are the things that we can change, like our lifestyle and blood pressure” continued, Dr. Malek.
Having been away from home for 35 days, Beth realizes just how lucky she is to have been transferred to St. Mary’s and into the more than capable hands of Dr. Malek. Had she stayed at the other hospital, perhaps I would not have had the good fortune of meeting and interviewing her and in doing so, seeing what a lovely woman she truly is. Although she is on a lot of medication to keep the blood flowing and every day is a learning experience. She is currently retraining her right side after being paralyzed after the stroke. She has had to learn how to walk all over again and also lost part of her brain function. Having gone through such a traumatic experience, Beth has a new look on life. “Dr. Malek said that I had a better chance of getting struck by lightning, so now I walk outside in the rain because I am not worried about getting struck. I know one thing for sure; God left me behind for a reason.”
St. Mary’s Hospital is on the cutting edge of technology and treatment in their stroke center. They continue to strive to be the leader in technological advances through their educational programs and neurology stroke center. If you would like additional information regarding St. Mary’s Medical Center, you can visit their website at www.stmarysmc.com.
Dear Deborah you as friends, therefore all three of you would be together. In doing so, you can see how you relate to both of them and determine if you would like to continue to see them as friends or are more interested in one over the other. Your other choice is to simply not ask either of them out. Since they work together and are both interested in you, by asking one of them out it may cause tension with the other. You have to remember, you are a patron of a restaurant where they both work and that is their source of income. DEAR DEBORAH: With the holiday season right around the corner, I have been invited to several dinners, parties and events. When the event is at a private residence, I like to bring the hostess a gift. While it is generally customary to bring a bottle of wine, this year a few of the homes are alcohol free. What do you recommend that I bring to those events? - No Alcohol Home
Dear No Alcohol Home: What a wonderful time of year to spend with family and friends. I am a firm believer in bringing a gift to a host or hostess, especially if it’s the first time that you are visiting their home. As for gifts in a dry home, you can bring a plant, flowers, or even a food item to be enjoyed later (chocolates or a pre-wrapped gift box). If it’s a dinner party, I would not recommend bringing something that you prepare – such as an appetizer or dessert. The reason for this is that the host would feel obligated to put your creation out and as the menu is generally set, it could disrupt their plan. If you are visiting a family member’s home, you can bring them something a bit more personal and in that case – perhaps a prepared item.
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.
DECEMBER ISSUE • 2012 15
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Coping with Stress
The Centers for Disease Control and Prevention (CDC) would like to provide the following information to help cope with stress following a traumatic event. Strong emotions like fear, sadness, or other symptoms of depression are normal, as long as they are temporary and don’t interfere with daily activities. If these emotions last too long or cause other problems, it’s a different story. Symptoms of Stress Common reactions to a stressful event include: • Disbelief and shock • Tension and irritability • Fear and anxiety about the future • Difficulty making decisions • Being numb to one’s feelings • Loss of interest in normal activities
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• Loss of appetite • Nightmares and recurring thoughts about the event • Anger • Increased use of alcohol and drugs • Sadness and other symptoms of depression • Feeling powerless • Crying • Sleep problems • Headaches, back pains, and stomach problems • Trouble concentrating
Tips for Self-Care The best ways to manage stress in hard times are through selfcare:
• Avoid drugs and alcohol. They may seem to be a temporary fix to feel better, but in the long run they can create more problems and add to your stress—instead of take it away.
• Find support. Seek help from a partner, family member, friend, counselor, doctor, or clergyperson. Having a
sympathetic, listening ear and sharing about your problems and stress really can lighten the burden.
• Connect socially. After a stressful event, it is easy isolate yourself. Make sure that you are spending time with loved ones. Consider planning fun activities with your partner, children, or friends.
• Take care of yourself. - Eat a healthy, well-balanced diet - Exercise regularly - Get plenty of sleep - Give yourself a break if you feel stressed out—for example, treat yourself to a therapeutic massage - Maintain a normal routine
• Stay active. You can take your mind off your problems by giving— helping a neighbor, volunteering in the community, even taking the dog on a long walk. These can be positive ways to channel your feelings.
Santa Claus came to town to bring joy to local kids battling childhood cancer ore than 300 local children battling cancer and their families were be treated to a visit from Santa Claus on Saturday, December 15th at the South Florida Fairgrounds from 9:30 am to 12:30 pm. This annual event was sponsored by the Kids Cancer Foundation and was a very festive and fun event for all thanks to the successful toy and gift card drives organized by many local benefactors including; Angry Moon Cigars, Inc., Aeropostale, Bonefish Mac’s, Guanabanas, Rotary International of Royal Palm Beach, American Heritage High School’s Medical Magnet students, Everglades Elementary School, IBM Credit Union, Morikami Park Elementary School, Ruth’s Chris Steak House, Wellington High School
Upcoming Charity and Medical Fundraising Events
December 20, 2012 – January 31, 2013
DECEMBER 29
Red Cross Beach Bash. Beach Club in Palm Beach. For additional information, contact Alison Freeman at 561-650-9133 or e-mail her at Alison.Freeman@redcross.org.
JANUARY 5
Palm Beach Police Foundation. Eighth Annual Policemen’s Ball. Mar-a-Lago Club, Palm Beach. Tickets are $500.00 per person. If you have any questions, please contact info@pbpf.us or 561-820-8118. Or, to purchase tickets, visit www.palmbeachpolicefoundation.org.
JANUARY 9
Mental Society of Palm Beach County. Annual Bell Society Dinner. The Colony Hotel in the Royal Room Cabaret, Palm Beach. Individual tickets are $500.00. For additional information, please contact Maryann at 561-832-3755 or e-mail at info@mhapbc.org.
JANUARY 11
Caron Hanley Treatment Center. Annual Gala at The Breakers, Palm Beach. Individual tickets are $500.00 or $250.00 for a junior ticket (under 40). For additional information, contact Kelly Colamarino at 561-841-1048 or visit www.hanleycenter.org.
JANUARY 12
Komen for the Cure. Third annual Perfect Pink Party- A Walk in the Park. Mar-a-Lago Club, Palm Beach. For additional information, contact Donna Ross Dodson at 561-3078000 or e-mail her at dross@komen.org.
JANUARY 17
Palm Beach Police Foundation Tennis Tournament. Breakers Tennis Center in Palm Beach. For additional information, contact info@pbpf.us or visit their website at www.palmbeachpolicefoundation.org.
JANUARY 19
Cheerleaders, Woodlands Middle School’s Medical Academy, a number of generous individuals and the continued annual support of the Professional Firefighters and Paramedics of Palm Beach County and the Fraternal Order of Leatherheads Society (FOOLS). Families were treated to a breakfast buffet made possible by Once A Month Charities and Starbucks of Wellington. Everyone had the opportunity to
have their picture taken with Santa, make a special holiday craft sponsored by Home Depot of Royal Palm Beach, decorate gingerbread men, see Santa ride in on the fire truck and best of all enjoy a morning far removed from the doctor’s office and the hospital. In addition, to every child receiving an Aeropostale Bear from Santa, each family also received gift cards and a bag filled with age-appropriate toys and games for their children.
Free Arthritis Support/Education Groups 2013 Schedule: Evening Meetings:
Monthly EVENING meetings are held on the Third Tuesday of t he month.
Tuesdays at 7:00 to 8:30 p.m. (Please arrive by 6:45 pm.) January 15th, February 19th, March 19th, April 16th, May 21st, June 18th, July 16th, August 20th, Sept. 17th, Oct. 15th, Nov. 19th, Dec. 17th
Where: Fair Oaks Pavilion
5440 Linton Blvd. (just west of Military Trail) in Delray Beach. Fair Oaks is located to the rear of Delray Medical in the 1st Floor Conf/Classroom. Meetings sponsored by the Arthritis Foundation & Delray Medical Center
Free Arthritis Support & Education Groups DAYTIME MEETINGS Meeting always held on Wednesdays. Time: 2:30 to 4:00 pm
2013 Dates: January 23rd, Feb. 27th, March 20th (Note: 3rd Wed of month due to Passover) April 24th, May 22nd, June 26th, July 24th, August 28th September 25th, October 23rd, November 20th, (3rd Wed of month due to Thanksgiving) December 18thth (3rd Wed. of Month due to Christmas)
Where: Weisman Community Center 7091 West Atlantic Ave (just west of Jog Rd, next to Temple Anshei Shalom ) in Delray Beach.
INFO: Ms. Terry Fleishman 561-742-5805 (Please call between 10 am and 7 pm, Mon – Sat. or send e-mail to tfleish@aol.com)
Leukemia & Lymphoma Society. Annual Gala, Cirque du Palm Beach II – Encore! The Mar-a-Lago Club, Palm Beach. Individual tickets are $650.00 or a junior ticket for $400.00 (under 40). For additional information, contact Nancy Klein at 561-775-9954 or visit the website at www.LLScirquegala.com.
JANUARY 20
Palm Beach County and Treasure Coast MDA Muscular Dystrophy Association (MDA) Muscle Walk and 5k Run. The walk takes place at The Palm Beach Zoo in West Palm Beach and registration begins at 8:00 am. The 5k run takes place at Dreher Park in West Palm Beach and registration begins at 6:30 am. For additional information, contact 561-742-3748 or e-mail southpalmbeach@mdausa.org. Visit their website at www.mda.org/palmbeachfl.
JANUARY 24
Food for the Poor. Fine Wines & Hidden Treasures. The Mara-Lago Club, Palm Beach. Individual tickets are $450.00. For additional information, contact Carol Collins at 954-427-2222, ext. 6585 or by e-mail to carolc@foodforthepoor.org.
JANUARY 26
March of Dimes. 75th Anniversary Gala. Mar-a-Lago Club, Palm Beach. For additional information, call 561-290-0905 or email jwhitaker@marchofdimes.com.
JANUARY 27
Ryan Licht Sang Bipolar Foundation. Eighth Annual Dinner Dance. Club-Colette, Palm Beach. For additional information, call Liz Kores, (888) 944-4408 or visit questforthetest.org.
H.O.W. Hearing the Ovarian Cancer Whisper. Time is of the Essence Luncheon & Lecture. Flagler Museum, Palm Beach. Individual tickets are $325.00 and a junior ticket is $150.00 (under 40). To make reservations or for additional information, please contact 561-837-2285 or e-mail dmcgrath@phfpbc.org. Please e-mail us at information@globalhealthtribune.com if you would like to have your event listed in our Upcoming Events section.
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