Jupiter Medical Center- Pinnacle Fall 2021

Pinnacle

FALL 2021

WORLD-CLASS HEALTH CARE IN PALM BEACH COUNTY

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DISTINCT COMMUNITIES, I N T H E H E A R T O F PA L M B E A C H G A R D E N S

Alton embraces innovative living with modern homes, community parks, a private Residents only Club and adjacent Town Center.

New gated community in Palm Beach Gardens featuring Contemporary Home Designs and a resident-exclusive lakeside clubhouse.

AltonLife.com

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Models Open Daily 10am – 6pm 2- to 6-Bedroom Homes

Realtors Warmly Welcomed. Pricing, availability, specifications and amenities are subject to change without notice. CGC1509406

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J.P. MORGAN WEALTH MANAGEMENT IS PROUD TO CONGR ATULATE

Louise Armour for being recognized in 2021: Barron’s TOP 1,200 FINANCIAL ADVISORS 2021, 2020, 2019, 2018, 2017, 2016, 2015

Louise Armour

TOP 100 WOMEN FINANCIAL ADVISORS

Managing Director

2021, 2018, 2017, 2016

Wealth Partner louise.armour@jpmorgan.com

Forbes TOP WOMEN WEALTH ADVISORS 2021, 2020, 2019, 2018, 2017 BEST-IN-STATE WEALTH ADVISORS 2021, 2020, 2019, 2018

212.272.6604 jpmorgan.com/armour 3825 PGA Boulevard, Floor 9 Palm Beach Gardens, FL 33410

Awards or rankings are not indicative of future success or results. Published information is generally based exclusively on material prepared and/or submitted by the recognized recipient. To learn about selection criteria, contact the issuing third-party, non-affiliated organization(s).

Top Teams was awarded when Louise was a Managing Director and partner of the TAS Group J.P. Morgan Wealth Management is a business of JPMorgan Chase & Co., which offers investment products and services through J.P. Morgan Securities LLC (JPMS), a registered brokerdealer and investment advisor, member FINRA and SIPC. Annuities are made available through Chase Insurance Agency, Inc. (CIA), a licensed insurance agency, doing business as Chase Insurance Agency Services, Inc. in Florida. Certain custody and other services are provided by JPMorgan Chase Bank, N.A. (JPMCB). JPMS, CIA and JPMCB are affiliated companies under the common control of JPMorgan Chase & Co. Products not available in all states.

INVESTMENT AND INSURANCE PRODUCTS: • NOT A DEPOSIT • NOT FDIC INSURED • NOT INSURED BY ANY FEDERAL GOVERNMENT AGENCY • NO BANK GUARANTEE • MAY LOSE VALUE © 2021 JPMorgan Chase & Co. All rights reserved. 0813-0766-09 #832

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PIONEER LINENS FOR HOME, YACHTS & DESIGNERS 210 CLEMATIS STREET, WEST PALM BEACH, FL. | 561.655.8553 | COMPLIMENTARY PARKING | PIONEERLINENS.COM

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Your heart could not be in better hands.

The Robson Heart and Vascular Institute at Jupiter Medical Center provides the full spectrum of adult cardiac care from minimally invasive heart procedures to our openheart surgery program. Our dedicated team uses the latest techniques and technological advances to deliver high success rates, low complication rates and the best patient outcomes.

jupitermed.com/hearthealth For a better heart sign up for resources and support.

561.263.2200

Ranked #1 for safety, quality and patient satisfaction in Palm Beach County and the Treasure Coast, our state-of-the-art facilities offer a comprehensive array of services and advanced technology including: • Cardiac Catheterization and Electrophysiology • Dedicated Cardiac Surgery Operating Rooms • Cardiac Intensive Care Unit • Cardiac Rehabilitation Center • Vascular Surgery and Advanced Treatments • Joint Commission Chest Pain Certification WORLD’S BEST HOSPITALS 2021

POWERED BY

WORLD-CLASS HEALTHCARE IS HERE.

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CONTENTS Features 26

DOES YOUR HOSPITAL’S RANK MATTER? What rankings and grades can tell you about a hospital’s dedication to care and safety

By Eric Barton

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SMALL WONDERS Advancements in minimally invasive surgery and its myriad of benefits

By K.S. Meyer

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TAILORED TREATMENTS Custom surgical care for breast cancer patients

By Paige Bowers

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LESSONS LEARNED The importance of preventative medicine

By Sandra Gurvis

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LITTLE PEOPLE, BIG EMERGENCIES What parents and caregivers should look for when considering pediatric care and facilities

By Paige Bowers

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GIFTS BEYOND GOLF Jack and Barbara Nicklaus’ unwavering support of children’s health care

By Paige Bowers

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PAYING IT FORWARD Len Abramson donates in honor of his wife

By Michele Meyer

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PLEASING PATIENTS’ PALATES Culinary delights courtesy of Chef Wally and the Tansky Concierge Suites Photography by Alissa Dragun

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A Renewing Ritual

You’ll Fall for This Treatment

Our Ginger Body Ritual is like a warm embrace that nourishes the soul.

It starts with a full-body exfoliation. An oil-infused wrap follows.

And a warming, ginger-root massage leaves you feeling smooth, hydrated and glowing.

What a way to welcome autumn.

90 minutes for $350 For appointments: 855 359 8901 or concierge@eauspa.com

EAU PALM BEACH RESORT & SPA 100 SOUTH OCEAN BLVD. MANALAPAN FL 33462 | EAUSPA.COM

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CONTENTS

22 Departments 12

WELCOME Greetings from Jupiter Medical Center

15 PULSE

Ask the Expert | Prevention | Health Report | Well-Being

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THE PLACE FOR PEDIATRICS Jupiter Medical Center celebrates five years of worldclass pediatric care

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HOLIDAY WELL WISHES The ultimate wellness gift guide for everyone on your list

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IN HER WORDS Faced with a high-risk pregnancy, Cristal Nuñez turned to Jupiter Medical Center

ON THE COVER Photographer: Anton Petrus / Getty Images

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Lawyers are only as good as their team.

The FPH team includes: • Two former federal prosecutors; • Five former federal law clerks; • A former president of the Florida Bar; • A former chair of the Marital and Family Law Board Certification Committee; • Associates from Yale, Harvard, and Stanford law schools; and • Partners who have taken cases with billions of dollars in dispute to trial and judgment.

Fisher Potter Hodas, PL, is a law firm that concentrates its practice on complex, high-stakes divorce and asset recovery cases involving corporate executives, closely held businesses, professional athletes, celebrities, and wealthy families. n

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Visit our website to find out about our qualifications.

fisherpotterhodas.com | 561.832.1005 | West Palm Beach

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1210 S. Old Dixie Highway Jupiter, Florida 33458 561.263.2234 jupitermed.com

Amit Rastogi, MD, MHCM President and Chief Executive Officer, Jupiter Medical Center JUPITER MEDICAL CENTER FOUNDATION, INC. TRUSTEES 2020-2021 Peter A. Lund, Chairman Donald H. McCree, Jr., Secretary Salvatore A. Tiano, Treasurer Jane F. Napier James E. Perrella Joseph M. Petri Katharine F. Plum M. Jude Reyes Mary E. Roff Burton M. Tansky Dennis K. Williams

Leonard Abramson Edward L. Babington Douglas S. Brown George H. Damman Neil S. Devlin Martin A. Dytrych John Healy Richard J. Katz, Jr. William C. Mattison, Jr. Emeritus: Peter O. Crisp

JUPITER MEDICAL CENTER OFFICERS AND TRUSTEES 2020-2021 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 Anthony P. Shaya, MD Andres Suarez, MD

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Pinnacle

WORLD-CLASS HEALTH CARE IN PALM BEACH COUNTY

Publisher Terry Duffy Editorial Director Daphne Nikolopoulos Creative Director Olga M. Gustine Executive Editor Mary Murray Senior Art Director Jenny Fernandez-Prieto CONTRIBUTING WRITERS Eric Barton, Paige Bowers, Chelsea Greenwood, Sandra Gurvis, Shelli Lockhart, Linda Marx, K.S. Meyer, Michele Meyer, Liza Grant Smith CONTRIBUTING PHOTOGRAPHERS Tracey Benson, Alyssa Dragun, Jerry Rabinowitz DIGITAL IMAGING SPECIALIST Leonor Alvarez Maza ADVERTISING Publisher, Naples Kaleigh Grover Advertising Manager Dina Turner Associate Publisher Deidre Wade Account Managers Kathleen Beuttel, Melissa Zolin Schwartz, Meegan Wyatt Advertising Services Coordinators Emily Hauser, Christopher Link PRODUCTION Production Director Selene M. Ceballo Production Manager Kayla Earle Digital Pre-Press Specialist George Davis Advertising Design Coordinators Anaely J. Perez Vargas, Jeffrey Rey Digital Production Coordinator Kassandre Kallen

OPERATIONS Chief Operating Officer Todd Schmidt Process Integration Manager Sue Martel Circulation/Subscriptions Administrator Marjorie Leiva Distribution Manager Judy Heflin Accounting Specialist Lourdes Linares Accounts Receivable Specialist Ana Coronel

In Memoriam Ronald J. Woods (1935-2013) HOUR MEDIA, LLC CEO Stefan Wanczyk President John Balardo PUBLISHERS OF: Palm Beach Illustrated • Naples Illustrated • Fort Lauderdale Illustrated • Orlando Illustrated Palm Beach Charity Register • Naples Charity Register • Florida Design • Florida Design Naples • Florida Design Miami • Florida Design Sourcebook Palm Beach Relocation Guide • Southwest Florida Relocation Guide • Fifth Avenue South • The Jewel of Palm Beach: The Mar-a-Lago Club Traditions: The Breakers • Palm Beach 100 • Naples 100 • Art & Culture: Cultural Council for Palm Beach County Pinnacle: Jupiter Medical Center Foundation • Waypoints: Naples Yacht Club • Naples on the Gulf: Naples Chamber of Commerce Jupiter • Stuart • Aventura • Community Foundation of Collier County Community Report Published by Palm Beach Media Group North P.O. Box 3344, Palm Beach, FL 33480 Telephone: 561.659.0210 • Fax: 561.659.1736 www.palmbeachmedia.com Copyright 2021 Palm Beach Media Group North Inc. All rights reserved.

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WE LOVE JUPITER. IT’S OUR HOME TOWN.

The Ultimate Driving Machine®

We Support and Appreciate Jupiter Medical Center Braman BMW is the only auto dealership in Jupiter, so we feel responsible to help fill the needs of our neighbors and community. We are a proud sponsor of the Jupiter Medical Center Foundation. We also wanted our healthcare heroes to feel appreciated. So we partnered with Chick-Fil-A and delivered a free catered lunch to the hospital staff.

As Jupiter’s only hometown dealership, we want to ensure a safe and pleasant shopping experience. We now offer complimentary pick up and delivery for service and sales. We will even bring the vehicle you’re interested in to your home or office for a test drive.

Braman BMW Jupiter, a world-class dealership with hometown values.

Braman BMW Jupiter 1555 W. Indiantown Rd. 561-203-8796 BramanBMWjupiter.com Exclusively distributed by BMW of North America, LLC. ©2021 BMW of North America, LLC. The BMW name, model names and logo are registered trademarks.

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WELCOME

LILA PHOTO

IN THIS ISSUE As the number of Americans getting vaccinated against COVID-19 increases, the time has come to again address that debilitating knee or hip pain, suspicious mole, or nagging chest or abdominal pain. In this issue, Dr. Nichole Corry, a board-certified internist and primary care physician, shares the importance of routine medical care and early intervention to avoid serious disease. Even the extra pounds you may have added in the last year and a half during shutdowns and quarantines can eventually lead to serious health issues if left unchecked.

In our cover story, we share the importance of understanding where your hospital ranks, why it matters, and what measures are used to determine quality, safety, and patient satisfaction. If you live in a community that is fortunate enough to have more than one hospital to choose from, it’s important to understand your local hospital’s scores and rank.

When it comes to caring for children, the same holds true. You should do your research and know which facilities near you offer dedicated pediatric care when your children are sick or injured. We interviewed a local pediatrician and pediatric emergency physician who shared tips on what to look for before that fever strikes in the middle of the night or that fall turns out to be more than a scrape.

In this issue, we also look at women getting hip replacements in their 40s versus their 60s or later to remain active. Our writers share the details on a cutting-edge method used to manage central sleep apnea, they spotlight the advantages to minimally invasive versus laparoscopic procedures, and they discuss advances in the techniques used for mastectomies and the significant improvements in outcomes for women, both clinically and aesthetically.

Once again, we feature some very special philanthropists whose gifts are changing lives in our Donor Profiles section.

Don’t forget to check out our holiday wellness gift guide and the soughtafter recipes from Jupiter Medical Center’s executive chef for the Tansky Concierge Suites.

As we continue to combat COVID, we are proud that Jupiter Medical Center’s evolution as a regional medical center is bringing world-class health care closer to home.

To your health,

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

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WORLD’S BEST HOSPITALS 2021

POWERED BY

Awarded for Excellence in Healthcare in South Florida.

Recognized As One Of The Best In The World.

Already ranked the No. 1 hospital for quality, safety and patient satisfaction in Palm Beach County and the Treasure Coast, Jupiter Medical Center has received these prestigious awards in recognition of our renowned physicians, advanced medical technologies, record of safety and top quality care.

jupitermed.com | 561-263-2200 WORLD-CLASS HEALTHCARE IS HERE.

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Hips, knees, spines and shoulders above the rest.

As the only hospital in Florida to receive Blue Distinction Center + recognitions for Hip & Knee Replacement and Spine Surgery and Joint Commission Certifications in Hip, Knee, Shoulder and Spine, Jupiter Medical Center offers comprehensive orthopedic and spine care to patients with mobility issues. Our highly skilled team of orthopedic physicians and staff provide the expertise and commitment to get you back to your every-day activities.

To find out more about your orthopedic options visit www.jupitermed.com/orthoinfo Please call 561-263-2200

The Anderson Family Orthopedic & Spine Center of Excellence provides the most advanced care, innovative technologies and amenities including: • The Mako™ Robotic-Arm Assisted Surgery System employing CT scan technology, virtual preoperative implantation, and real-time surgical alignment • 30 private patient rooms and state-of-the-art gym for pre and post-operative strengthening and rehabilitation • Two HANA tables designed exclusively for Hip Arthroplasty and Anterior Hip Replacements, providing smaller incisions, less pain and faster recovery times for the patient.

WORLD’S BEST HOSPITALS 2021

POWERED BY

WORLD-CLASS HEALTHCARE IS HERE.

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PULSE Ask the Expert

Why younger women are seeking hip replacements, and the benefits of acting early The options in bariatric surgery, plus details on what the recovery entails

Prevention

Scalp cooling makes it possible to retain hair during chemotherapy

Health Report

Insight into central sleep apnea and its revolutionary treatment

Well-Being

The importance of pelvic floor therapy to strengthen muscles after childbirth

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PULSE ASK THE EXPERT

By Chelsea Greenwood

Shooting from the Hip Why hip replacement surgery may be right for you—even if you’re still in your prime They say 40 is the new 30 (and we have to agree).

Today, women in their 40s are pushing themselves physically more than ever before, winning marathons, dominating the tennis courts, and keeping pace with younger competitors all the while.

But the physical strain that comes along with it all eventually takes its toll, sometimes showing up as hip injuries or pain. Instead of living in pain or undergoing endless rounds of steroid treatments, more and more women in

their 40s are getting hip replacements—and returning to their favorite activities feeling (and performing) better than ever. In fact, there was a 205 percent increase in hip replacements in people aged 45 to 54 between 2000 and 2010, according to the CDC. And for good reason. Today’s hip replacements are light-years ahead of their predecessors, comprising superior materials (a combination of stainless steel, titanium, plastic, and ceramic) and lasting much longer—often for a patient’s lifetime.

“In orthopedics, a hip replacement is the absolute best operation that we do,” says Dr.

Michael Leighton, a board-certified orthopedic surgeon at Jupiter Medical Center.

Leighton discusses with Pinnacle why today’s 40-something women shouldn’t hesitate to get a hip replacement, and what they should know about the surgery beforehand.

Why are more women in their 40s getting hip replacements today?

People have recognized that they don’t have to live with such severe pain, and they can get much better much faster with today’s technology. And they’ll be able to do all of their activities, including yoga, jogging, and water sports.

So that’s a big advantage now.

Which women are good candidates for this surgery?

We’re talking about women who have significant arthritis and significant pathology, and they want to address it sooner, recognizing that today’s technology allows for the longevity of

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the hip replacement. As opposed to the oldschool mantra of a hip replacement that lasts only 10 or 12 years, we’ve shown that, with today’s technology and techniques, that’s no longer the case.

What types of replacement joints are available today, and how are they better than the old technology?

The joint replacements themselves are no longer using cement, for the most part, in younger, more active patients. Patients who have good bone will be able to accommodate a non-cemented or in-growth-type prosthesis.

The gold standard is now a ceramic bearing, which is ultra-hard and ultra-smooth and resistant to wear. You’ve got something that is going to last forever. The expectation for a total joint put in in 2021 is that it should last 40 or 45 years.

What would you say to a woman in her 40s who’s considering a hip replacement but is on the fence?

It’s life-changing for someone who can’t sleep, who can’t get into a booth in a restaurant, who has difficulty getting into a low car—forget

about playing golf or tennis or skiing. What really prompts somebody to have a hip replacement is that their activities of daily living are significantly limited. And I never want to push a patient to have an operation pre-emptively. I think it’s more important that the patient understands that, when they get to the point where it’s substantially adversely affecting their life, that’s the time to do the hip replacement.

What else should female patients in their 40s know about hip replacements?

Right now, there's a substantial amount of marketing out there about doing the replacement surgery from the front or the back, anterior or posterior. There are pluses and minuses on both sides. The reality is that a well-done hip replacement will do extremely well and last basically the rest of this person’s life. «

It is our belief that at the end of the day, everyone should come home to a place that reflects their own unique personality and lifestyle. VISIT OUR SHOWROOM TODAY!

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PULSE ASK THE EXPERT

By Linda Marx

Bariatric Basics

If you’re among the one-third of Americans considered obese, bariatric surgery just may be what the doctor ordered

When diet and exercise aren’t providing the kind of weight loss results a patient is struggling to achieve, bariatric surgery offers hope.

“People who are so severely overweight that it can or will affect their health are likely candidates for bariatric surgery,” says Dr. Jefferson Vaughan, who performs these operations at Jupiter Medical Center. “If your body mass index (BMI) is 35 or higher, the operation is a good tool to facilitate weight loss and decrease calorie intake.”

Vaughan touts two different types of these procedures. The first is sleeve gastrectomy (which requires a week to 10-day recovery) where about 80 percent of the stomach is removed, leaving a long tube-like pouch so patients won’t be able to hold as much food.

The second is gastric bypass (which takes two to four weeks for recovery). Designed to decrease the amount of food you eat at one time, this procedure involves the surgeon cutting across the stomach to seal it off, leaving a small pouch. Then the small intestine is cut and sewn

onto the pouch. Food goes into the pouch, then directly to the small intestine, bypassing the stomach and the first section of the small intestine to enter the middle part of the intestine.

“These are effective procedures, but patients must agree to change their lifestyles and behavior patterns so they last,” says Vaughan.

“The operations are not a quick fix. Patients must be willing and able to follow a long-term plan to achieve their weight loss goals.”

After recovery, patients should not want to eat as much as they did before the surgery, and most are satisfied with a smaller intake of food.

Still, before any surgical decision is made, patients must undergo a rigorous screening process to minimize risks and side effects. In addition to discussions with a surgeon, they meet with a staff bariatric dietician, a mental health provider, their primary care doctor, a cardiologist, and an exercise physiologist. These sessions greatly reduce the chances for adverse issues resulting from the surgery.

“This surgery is not for everyone, which is why we have an extensive screening process,” says Vaughan. “Patients need education and

facts; then the decision to do the surgery is up to them. After 30 years of doing this, I know pretty well who will stick to the diet, lifestyle modifications, exercise, and regular follow-up medical checkups.”

This surgery, which typically takes several hours, offers remarkable benefits, including better heart function and the elimination of type 2 diabetes. These medical and quality-oflife improvements also help decrease depression and other adverse issues that come from carrying too much weight. “After weight loss surgery, the vast majority of patients see a resolution of their comorbid conditions such as high blood pressure, type 2 diabetes, sleep apnea, and others,” says Vaughan. “In addition, most patients report an increase in energy and women who may become pregnant can expect a safer delivery and a healthier infant.”

Many measures improve in a year, “no matter how miserable they were before,” he adds. “For people who have struggled with their weight for many years and have failed at dieting, bariatric surgery will significantly change their lives and personal relationships.” «

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WHO IS THIS GUY ANYWAY?

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His dedicated 20+ person in-house marketing team gives you the competitive advantage.

WANT TO REALLY KNOW WHAT YOU CAN GET FOR YOUR HOME IN TODAY’S MARKET? ASK ROB. HE’LL SHOW YOU!

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PULSE PREVENTION

By Linda Marx

Cool Headed Scalp cooling helps cancer patients retain their hair during chemotherapy

It’s true that not all chemotherapy drugs cause hair loss. But for patients being treated with those that do, scalp cooling can reduce hair loss by nearly 50 percent.

Most patients who are undergoing chemotherapy designed to treat solid tumors (not those targeted for leukemia or lymphoma) are eligible to opt in. “Scalp cooling is the only effective way to deal with the problem of hair loss for both men and women,” says Dr. Debra Brandt at the Anderson Family Cancer Institute at Jupiter Medical Center. “Women, especially, don’t want to look in the mirror and see a sick person.”

Using a cold cap, scalp cooling reduces the temperature of the scalp to 68 and 72 degrees Fahrenheit during the administration of chemotherapy. By cooling the scalp, the blood flow to this area reduces to 40 percent, meaning

less blood containing the chemotherapy drugs reaches a patient’s hair follicles. The cooling also causes the cells in the hair follicles to become dormant, and they no longer rapidly divide. This way, any chemotherapy drugs that do reach the follicles bypass the cells.

Scalp cooling requires the patient to wear the cold cap before, during, and after receiving each chemo treatment. “Many patients love this treatment during chemo,” says Brandt.

“The only real downside is that you have to use the cap for 30 minutes before the chemo, then leave it on another one to two hours after each treatment. It requires a moderate to long wait, but is definitely worth the effort because it saves the hair.”

Based in the United Kingdom, the globally respected Paxman Scalp Cooling System is a leader in this field for breast cancer patients. Their product was created by the company’s CEO, whose mother was being treated for breast cancer in the 1990s. (Scalp cooling has been used in Canada and parts of Europe for years.)

“His mother used an earlier form of scalp cooling which didn’t work, so he developed a better one, and Paxman remains a family business,” says Kathryn Daniel, the company spokesperson. “Paxman has helped more than 100,000 people with 4,000 cooling machines in more than 50 countries.”

In 2015, the Food and Drug Administration approved scalp cooling in the U.S. after clinical trials showed how to best use this method for a reduction in hair loss during chemotherapy for breast cancer. “The amount of hair you do lose depends on how much hair you started with, and how healthy your hair and scalp are,” says Brandt. “Doctors explain everything before the procedure, then the cap is measured to the patient’s head.”

Most patients can tolerate the cold from the scalp cooling procedure, and they report that they are generally happy after completing the treatments—not only were they able to keep much of their hair, but because the cold cap can also help their lost hair return faster. «

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Your First Choice for Cancer Care.

Our experts treat all types of cancer, including complex and advanced stages. Treatment is tailored to meet each patient’s individual needs including: • Minimally Invasive & Robotic Surgery

The Anderson Family Cancer Institute at Jupiter Medical Center sets the bar from South Florida to the Treasure Coast providing patients access to some of the most renowned physician experts and advanced technology rivaling that of any academic medical center.

• CyberKnife M6™

In this state-of-the-art facility, you will find a multidisciplinary team of physicians, including Board certified oncology specialists, nurses and nurse navigators who will care for you every step of the way with a comprehensive treatment plan that is tailored to your needs.

• Chemotherapy & Infusion Services

For more information about our programs and services sign up at jupitermed.com/beatcancer

• Varian TrueBeam™ Radiotherapy System • Intraoperative Electron Radiation Therapy for Breast Cancer • 3T MRI & PET CT WORLD’S BEST HOSPITALS 2021

POWERED BY

561.263.4400

WORLD-CLASS HEALTHCARE IS HERE.

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PULSE HEALTH REPORT

By Linda Marx

Breathing Easy A revolutionary new treatment for central sleep apnea offers patients solutions and satisfaction Central sleep apnea occurs when the brain fails to transmit signals to the breathing muscles during sleep, causing breathing to stop and start erratically. This condition is different from the more common obstructive sleep apnea—a disorder marked by the inability to breathe normally during sleep due to upper airway obstruction.

Most common in males aged 65 and over, central sleep apnea could plague sleepers due to medical conditions like stroke or heart failure, reaction to medications, or even high altitudes. It’s a neurological condition that occurs when the brain does not communicate with the diaphragm. “This condition is when the brain forgets to tell the body to breathe,” explains Dr. Matthew Kolek, a specialist affiliated with Jupiter Medical Center. “It makes breathing difficult.”

When the diaphragm does not move properly, the lungs move in an inconsistent rhythm, and breathing becomes irregular. If left untreated, the disorder results in low oxygen levels, which can be linked to high blood pressure, abnormal heart rhythm, heart attack, and death.

Patients should see a doctor when they experience a shortness of breath that awakens them from sleep, intermittent pauses in breathing during sleep, trouble staying asleep, and excessive daytime drowsiness.

For those suffering with this affliction, there’s good news: Doctors are touting the new Remede® System for central sleep apnea. It improves sleep, enhances well-being, and reduces daytime exhaustion.

The Remede System is a breakthrough implantable device that safely and effectively treats moderate to severe cases in adults. It includes a battery-operated device implanted under the skin during an outpatient procedure.

“The device actually works as a pacemaker placed under the right collarbone,” says Kolek. “When breathing becomes disrupted during sleep, the device signals one of the main nerves (the phrenic nerve) inside of the chest to stimulate breathing in the same way that the brain signals breathing. It is cutting-edge technology.”

The system turns on automatically at night when a person is falling asleep. It helps the breathing throughout the night and does not require anything to be worn on the face. After four to six weeks, the device actually learns the particulars about the patient. “We see patients who are desperate when they come in because they feel tired during the day and are always fatigued,” Kolek says. “They come seeking a solution.”

Since Jupiter Medical Center is the only hospital on the east coast of Florida that offers the Remede System, Kolek gets lots of referrals from Miami and other cities. Many referred patients have cardiac diseases.

The procedure takes about two hours, and the patient has a one-night hospital stay with a short recovery time. Many are back to work in two to three days.

“Before this system, there was nothing to help these patients because the CPAP machines (continuous positive airway pressure) do not work for this specific condition,” says Kolek. “The Remede System is safer and more successful because it treats the underlying cause. It doesn’t force air down the lungs.”

The device battery lasts about four to five years and is monitored with a sensor and computer for efficacy. When it is time to replace it, there is a simple outpatient procedure. “I cannot stress enough that this is a lifechanging procedure,” says Kolek. “It opens new possibilities for patients.” «

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SHOP LOCAL , SHOP UNIQUE

Roe Green Uniquely Palm Beach Store Gifts crafted by local creatives

Presented by:

Robert M. Montgomery, Jr. Building 601 Lake Avenue, Lake Worth Beach, FL 33460 Tuesday – Friday, First Saturday of Each Month I 12 – 5 p.m.

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PULSE WELL-BEING

By Sandra Gurvis

Pelvic Floor Panacea Millions suffer from pelvic floor disorders, but there’s no reason to suffer in silence if you’re one of them

It’s something that more than half of new (and second- and even third-time) mothers are dealing with, but few want to talk about: injuries to their pelvic floor that occurred during delivery. Factors such as episiotomies, use of forceps, surgical complications of C-sections, and general overall strain on the body during pregnancy and birth can combine to alter the function of a woman’s pelvic floor.

“Along with interfering with sexual function, pelvic floor issues affect the bowel, bladder, and even the lower back,” observes Charly Felty, a physical therapist at Jupiter Medical Center who specializes in pelvic floor therapy. Problems may include urinary incontinence, urgency, and frequency; bowel issues such as constipation and fecal incontinence; pelvic organ prolapse in which organs descend or droop; lower-back pain; and complications from surgery.

“Giving birth is like an ankle sprain; if you have a bad one, you’re going to need physical therapy,” Felty says. “Yet far too often, women are told to ‘just do Kegels’ if they complain to their doctor.” But even with Kegel exercises—specific movements designed to strengthen and train the pelvic floor—Felty notes that “research has shown they are often done improperly.” While pelvic floor muscle training (PFMT) is the standard of care for postpartum women in Europe, the United States has lagged behind, despite studies reported in the Cochrane Library and other medical journals touting its efficacy in terms of improved patient comfort and quality of life.

The U.S. is finally starting to catch on. “The Academy of the American Physical Therapy Association changed what it formerly called ‘women’s health’ to ‘pelvic health,’” Felty points out. “And especially in the last 5-10 years, the profession has really grown, with expanded education, training, and research and wait lists

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not only for patients, but also for PTs wanting to take postgraduate continuing education so they can specialize in the field.” And along with being named “Best Place to Have a Baby” by The Palm Beach Post, Jupiter Medical Center also offers pelvic health physical therapy with Felty and three other specially trained PTs on staff.

While the idea of pelvic floor therapy may sound unsettling to some and embarrassing to others, the reality is actually routine. “We do an internal examination with most patients to make sure the muscles are working correctly,” explains Felty. This includes the abdomen, lower back, pelvic girdle, hips, and pelvic floor muscles. The therapist assesses the source of the tension and diagnoses how to best address each issue through exercises and/or physical manipulation to help loosen up or retrain the muscles. Biofeedback, electrical stimulation, and vaginal weights may also be used. “The

focus is on habit and activity modification as well as instructions for how and when to do these exercises at home.”

Felty cautions that there’s no “one size fits all” here. Each patient is treated privately and holistically. “Many of the women are also dealing with anxiety and depression, and emotional health is a big component of our program,”

says Felty, adding that it was issues with her own pregnancy that brought her to this field.

Pelvic floor therapy isn’t just limited to women, either. “We treat men who’ve had prostate issues due to cancer or other illnesses, as well as adolescents and children with bowel or bladder problems or deformities,” Felty adds. “We are just getting started.” «

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Does Your Hospital’s

Rank Matter?

Yes, say doctors when it comes to quality of care, patient safety, patient satisfaction, and outcomes

By Eric Barton

From pediatrics to emergencies, a hospital’s rank reflects its dedication to care and safety.

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man recently came into Jupiter Medical Center after passing out while weightlifting. He had a blood clot in one of the arteries supplying his brain, and the prognosis wasn’t good. Time was crucial. Dr. Juan Gomez, a Johns Hopkins–trained neurointerventional radiologist at Jupiter Medical Center, ordered a series of imaging studies. Not long ago, the doctor would have had to wait for the studies to be interpreted before they were available for selfinterpretation. Thanks to the hospital’s commitment to providing the

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best quality and the latest technology, the actual images of the studies performed were directly sent to all members of the stroke team via phone in a fraction of the time. After seeing the images, Gomez knew

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he needed to intervene immediately.

Those minutes saved by using the advanced software might have been the deciding factor in saving this man’s life.

Two days after his intervention, the patient went home and was able to resume all his daily activities.

Artificial intelligence software like this is one of several measures that can improve quality and patient care—and one of many reasons certain hospitals perform so impressively in national ranking systems. Dr. Jack Waterman, a kidney specialist who sits on the board of trustees at Jupiter Medical Center, says the hospital’s dedication and commitment to continually review procedures has assured it remains at the top of the rankings. “We’re always improving our processes to cre-

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We’re always improving our processes to create better outcomes and provide a better patient experience.” —Dr. Jack Waterman

ate better outcomes and provide a better patient experience,” Waterman says. “It’s paramount to provide the safest and most effective treatment.”

While hospital rankings are not often something patients monitor closely, they should always be part of a decision on where to seek care, says Dr. Charles Murphy, Jupiter Medical Center’s Chief Quality and Patient Safety Officer. A heart surgeon trained at Duke University

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School of Medicine, Murphy is constantly looking for ways to improve processes at the hospital.

“You want to constantly be reviewing your structures and practices to make sure you provide the best care,” Murphy says. “It’s about looking at the evidence and trying to do the things that will provide the best outcomes for your patients.”

Analyzing and improving processes is a major factor why Jupiter Medical Center continually lands at the top of hospital rankings, Murphy says. Waterman adds that success in how a hospital performs in the hospital ranking systems allows it to attract better candidates for open positions. During the hiring process, doctors and other staff members often ask about a hospital’s success with safety, so that they know they’re taking a position with an institution that will provide them with the best technology, processes, and support possible, enabling them

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to provide great patient care.

Of the two main hospital ranking systems, Leapfrog Hospital Safety Grade bases its results 50 percent on hospital processes and 50 percent on the outcomes of procedures, using up to 27 performance measures.

Formerly known as Hospital Safety Scores, Leapfrog assigns rankings twice a year to the nation’s 2,700 hospitals. Hospitals receive ranks from A to F, with A being the best rank possible. There are only a few hospitals in the area with an A rating for patient safety, an important rating to consider when researching and comparing hospitals. Jupiter Medical Center has achieved six consecutive A grades.

Leapfrog evaluates metrics including how effectively hospital staff members wash their hands between procedures, the overall level of infections in patients, whether there’s adequate staffing associated with safety, and whether there’s an intensive care expert available 24 hours a day.

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Another factor in the Leapfrog rankings is whether hospitals have a barcode system for medications. The system means caregivers can scan medications and coordinate with the patient’s chart to make sure they’re administering the correct medication each time.

“I think everyone would want to go to a hospital that is very safe,” Murphy says. “I think the public assumes any hospital they go to is going to be the best, and that is unfortunately not the case. Patients should know the hospital they go to has the correct processes in place to help keep them safe.”

The Centers for Medicare & Medicaid Services, commonly called CMS, also produces a hospital ranking system, which examines 57 measures across five key areas: mortality, patient experience, safety of care, readmissions, and timely/effective care. The top rank hospitals can achieve is a five-star rating. The CMS ranking system’s review of hospital safety looks at many factors, including whether an institution has a rapid response team to handle emergencies. One area where this is crucial is for mothers who have a postpartum hemorrhage after delivery, something that’s not uncommon. This bleeding following childbirth can put the new mother’s life in danger. Jupiter Medical Center has a dedicated rapid response team to react quickly to such cases. The members on the team are trained to handle certain aspects of emergency procedures necessary to stop the bleeding. If the mother needs a blood transfusion, for instance, staff involved in the transfusion procedure will be standing by in case they’re needed. Simply put, a process

like this can help improve outcomes and save lives.

The hospital ranking systems also look at how well an institution responds to bloodstream infections, which can occur from urinary tract infections caused by catheters. Patients have a one in five chance of dying from such an infection. Hospitals that invest in analyzing issues like this by conducting reviews of staff response times and procedures can result in improved efficiency, while ensuring staff is better equipped to give optimum care.

In the aforementioned case of the patient with the blood clot, Murphy says the time saved by the text-message system helped the doctor save a life. “Dr. Gomez can see the scan immediately and know that he needs to get underway right away. It’s all about avoiding delay,” Murphy says. “What’s critical there is the time. It’s very important to have a system in place to allow that patient to get the appropriate therapy in a timely fashion.”

While hospital rankings were traditionally not something many patients followed, Waterman says that’s changing. “More and more these days, people are paying attention to the rankings of hospitals,” he says. “I’m really impressed with the number of patients who do searches online and look at quality measures. I had a patient the other day who had the statistics on the hospital. They even had handwashing figures.”

A hospital’s successes achieved in their rankings allow its staff to feel more confident about the institution where they work. «

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Small

WONDERS

With laparoscopic and robot-assisted minimally invasive surgeries, smaller incisions have big advantages

By K.S. Meyer

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urgery has long been considered a method of last resort in treating illnesses or injuries. Even with today’s stronger anesthetics, higher-precision instruments, comprehensive sterilization measures, and advanced imaging technology, surgery still comes with considerable risk. This is especially true of abdominal surgeries for digestive, urological, and gynecological operations, among others. But ongoing developments in minimally invasive surgery—specifically laparoscopic and robotic-assisted surgery—are significantly lowering risk to patients while also reducing recovery times and improving overall outcomes.

“Open surgery,” explains Dr. Bassam Sayegh, vascular surgeon with Jupiter Medical Center, “is basically going to do a major procedure. But you have to sacrifice or cut through so many layers of the abdomen—skin, fatty tissue, all the layers of the muscles. Then you have to use retractors to get visual access to the area. Then, after retracting all those muscles and traumatizing them, you start closing everything you have opened—all those four or five layers. All of that is a major trauma to the body.”

The size of the incision required for this is, of course, considerable. “It’s not only about ending up with a big scar,” Sayegh clarifies. “The big scar is the least of the problems. A major problem with open surgery is wound complications—wound infection and wound incisional hernias.”

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“I can increase the accuracy of my hand by using sophisticated instruments, but I’m doing every single motion.” —Dr. Bassam Sayegh One of the surgical measures that surgeons can use to avoid doing this kind of collateral damage (while still achieving the surgical objective) is laparoscopic surgery. “Laparoscopy is making a small incision and inserting a camera into the abdomen through a little tube,” explains Dr. Donna Pinelli, medical director for gynecologic oncology and robotic surgery at Jupiter Medical Center. “Once the tube is in there, you can look around the belly, or you can put more tubes in.” These additional tubes then allow the surgeon to enter, via mechanical hands and other tools controlled from outside the body, into the abdominal cavity and avoid the trauma described by Sayegh. “You can often do that with a very small incision—5 mm, about a quarter of an inch,” says Pinelli.

Since its development in the late-twentieth century, laparoscopy has become the preferred method of treatment for many abdominal procedures, from ovarian biopsies to appendix and gall bladder removals.

However, there are times when laparoscopy may not offer the degree

of precision required—or there simply may not be enough space for the laparoscopic tools to maneuver effectively. “If you’re just looking for a quick diagnosis or to take a quick biopsy, you might do that laparoscopically,” Pinelli says. “But if you want to do a little more sewing, or if you want to do procedures that require finer manipulation or dissection, that’s where the robotics really are advantageous.”

Sayegh is quick to dispel a common misconception about robotic surgeries: “The big myth about the robot—and some patients are really apprehensive about it—is that ‘the robot is doing my surgery.’ The way I like to describe it is I’m putting an extension to my hands, so that my hands can reach further, and I can increase the accuracy of my hand by using sophisticated instruments, but I’m doing every single motion. My hand is moving every single joint in that instrument of the robot. The robot is not acting on its own. The robot’s calculations—thousands per second—are just to increase the ability of my hand doing the task that

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my brain is asking my hand to do.”

In other words, the robotics assisting surgeons have more in common with a calculator—a technological device that can perform complex mathematical operations faster than the human mind, but can’t do a thing without a human mind to operate it—than with the robots we see in movies or read about in science fiction tomes. Instead, robots in the surgery suite are an enhancement to a surgeon’s own capabilities, enabling procedures that used to be impossible.

“You can do the task with the robot at a very tight, inaccessible angle because of the angle the scope’s at,” explains Sayegh. “You can reach very difficult to reach areas in the body.”

Pinelli says many surgical devices now available have specialized uses. “They have devices that can staple, devices that are used for resecting a part of the bowel and putting it back together, anastomosis.”

So how does a surgeon choose between performing a laparoscopy versus a robotic-assisted surgery? Pinelli says it depends on the patient and the available technology. “Sometimes the robotic instruments have just a bit more articulation available, and a bit more maneuverability for the type of procedure,” she notes.

“Vision and wristed instruments are the main thing that differentiates robotic from laparoscopic,” continues Sayegh. He says that one of the major advantages of robotic surgeries is that the surgeon has nearly a 3D image of the treatment area. “The visual ability when using the robot surpasses that of laparoscopic many times,” Sayegh says.

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While laparoscopic and robotic-assisted surgeries definitely make a surgeon’s job easier and more efficient, both Pinelli and Sayegh say that the benefits a patient experiences—both during and after the surgery—are what make them such a technological wonder.

“When you go laparoscopic or robotic, you have avoided cutting all this tissue, all this mass of muscles,” says Sayegh. “You’ve avoided retracting and doing all this trauma to the tissue of the body, so your infection rate is much less, and your incisional hernia rate is much less.

Add to that, now, the result of that—faster recovery—and you can go back to your normal life faster.”

This reduction in recovery time can be more than just a matter of convenience, though—for some patients, it can be lifesaving. “When we take [a cancer] patient to surgery,” explains Pinelli, “these patients may have already undergone some type of treatment to make their cancers more amenable to surgical removal. Sometimes instead of having to do a big radical surgery, you can do a more minimally invasive surgery,” she says. “Or you can get them on to the next phase of therapy much quicker, because they don’t have to have several weeks to heal from the big open surgery. … It’s not just getting back to their life. For some of these patients, it’s just getting to the next phase of treatment.”

“The [decreased] need for opioids is [another] major advantage,” Sayegh adds. “Most of our robotic surgery patients end up not using any opioids— Tylenol and Ibuprofen will be more than enough for them, actually.”

With the greatly reduced pain and suffering, quicker return to daily life, and lower potential for pain-medication addiction, minimally invasive laparoscopic or robotic-assisted surgeries can be ideal. Sayegh says when available, they should be a top treatment option. “You should not go for conventional surgery unless there is a difficulty doing minimally invasive,” he concludes. «

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Tailored TREATMENTS

New strategies for treating breast cancer give patients better outcomes—both physically and emotionally

By Paige Bowers

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n the wake of a breast cancer diagnosis, it is overwhelming for a woman to decide what’s next; she may feel powerless or be unaware of her options. Jupiter Medical Center is aiming to help women through the process with successful outcomes custom-tailored to each case.

“One of the ways that Jupiter excels as a breast cancer program is by providing highly individualized care based on the patient and their diagnosis,” says Dr. David Lickstein, medical director of cutaneous oncology at Jupiter Medical Center.

Individualized care wasn’t always the norm. In the 1970s, radical mastectomy was the course of treatment for every breast cancer diagnosed, no matter the size and spread of the cancer. It was a solution that took away breast tissue, muscle, and lymph nodes underneath a patient’s arm, and left behind scar tissue that was a constant reminder of the cancer that was once there. Recoveries could be difficult, not just physically but emotionally, in part because there was no reconstructive surgery offered.

“It’s hard to move past a diagnosis if you wake up and have a constant reminder of the cancer that was once there,” says Dr. Tihesha Wilson, medical director of the comprehensive breast care program at Jupiter Medical Center.

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As researchers studied the outcomes of radical mastectomy in clinical trials, they discovered that it didn’t necessarily improve outcomes for patients in the advanced stages of the disease. Going forward, doctors incorporated elements of chemotherapy, radiation, hormone therapy, and surgery—either full mastectomies or lumpectomies—for the best solution. Not all breast cancer cases are the same, after all.

Still, surgeries altered breast symmetry, which posed problems for women shopping for clothes, wearing bathing suits in public, or simply trying to enjoy their lives because a flat chest or visible scar made them feel self-conscious, Wilson says.

Sparing the skin on the breast became important, especially once doctors determined that the chances of recurrence were no higher than with a regular mastectomy. With skin-sparing mastectomies,

Wilson says, only a small ellipse of skin is removed, which led to further advances in nipple- and areola-sparing surgeries as well. Wilson studied nipple-sparing techniques in Scotland with Dr. J. Michael Dixon, a pioneer in the field, and has performed countless surgeries since learning from him.

After the cancerous tissue is removed, breast reconstruction is the next important element of a patient’s treatment, Wilson says, adding that many of the advances have been made within the past five years.

Lickstein says two of the most natural options available to patients right now are a nipple-sparing mastectomy followed by either implants or a reconstruction using tissue from the upper thigh and stomach.

“The result is softer and more natural, and can be fashioned and shaped a little more than an implant can,” Wilson says. “Plus, when

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Breast cancer patients are now privy to more natural surgical options, including skin-, nipple-, and areola-sparing mastectomies.

you take tissue from the abdomen, it gives women a little tummy tuck too.”

Wilson and Lickstein admit these procedures aren’t for everyone. When patients are first diagnosed, they meet with a team of specialists to determine the surgery and chemotherapy they will receive and the timeline and type of reconstruction that is best for them. It’s a comprehensive conference, Lickstein says, one that looks closely at a woman’s case, lifestyle, and the size and shape of her breasts. Patients can get overwhelmed by all of the information they receive, but Lickstein says it’s important to take the time to learn about all their options so they can make the decision that’s best for them.

“If she is a 40-year-old woman with kids who is working full-time, she may not have the luxury of a long recovery time,” says Wilson. “So it might be better to get her past the mastectomy, and then get implants and have the faster recovery.”

Ultimately, Lickstein says, all parties walk away from this conference with a clear sense of how to treat the cancer safely and make the end result look good. Whether it’s a lumpectomy or mastectomy, the result of that initial treatment allows reconstructive surgeons like Lickstein to proceed with the rebuild. The timing on reconstruction depends on the patient, Lickstein adds. Although the majority of women opt for reconstruction while they are getting a mastectomy or lumpectomy, women can also choose to have it done later and still have a good outcome.

Recovery time depends on the operation. Patients with implants can feel better in one week and resume their usual activities three to four

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weeks after that. Recovering from a reconstruction with tissue can take four to six weeks, Lickstein says. Overall, Wilson says patients experience less pain and discomfort with these surgeries and have a better post-operative experience.

After surgery, Wilson says it’s important to talk to your doctor about any alternative therapies you might be considering. One study showed that 60 percent of patients seek alternative therapies and don’t discuss it with their physician.

“I like to have an open and honest discussion with all of my patients about treatments they might be considering—like reiki, for example— and help guide them toward modalities that might be safe and proven to get good results,” Wilson says. “Our goal is to make things better.”

While reconstruction is a plastic surgery, Lickstein says when you consider the factors at play for most breast cancer patients, it’s not at all superficial. “We’re living in a world where a lot of people’s impression of plastic surgery is what they see on social media or television,” Lickstein says. “It’s important to keep providing reconstruction for breast cancer patients. It’s one of the most fulfilling things I do because it takes a dark time for women and gives them a bright spot by restoring their sense of self.” «

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Lessons Learned How the COVID-19 pandemic is fueling new emphasis on the importance of disease prevention

By Sandra Gurvis

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accines from a handful of manufacturers are making great strides in reducing the number of cases and deaths from COVID-19. And while higher-risk activities such as dining at restaurants and attending social gatherings are on the uptick, “people are still hesitant about going to their physicians for routine checkups,” observes Dr. Nichole Corry, a board-certified internist at Jupiter Medical Center. “Going to your doctor’s office is one of the lowest-risk things you can do, considering health

care workers continue to remain masked and, according to a June 2021 statement from the American Medical Association, 96 percent of physicians are vaccinated. Some patients are still concerned about catching COVID from surfaces at doctors’ offices, although that’s proven to be extremely rare since COVID is a respiratory disease.”

The pandemic has initiated an onslaught of conversations about health care in the U.S.—and has shaken up traditional ideas of how it should be managed. The emphasis on mask wearing, handwashing, and social distancing has forced many Americans to make prevention part of their everyday routines.

“Nearly half of our health-burden costs are due to things that could have been prevented,” points out Corry. According to the medical journal Lancet, some 16.9 percent of the gross domestic product (GDP) in the U.S. is spent on health care, twice that of the E.U. and the U.K., and more than the total GDP of 171 countries around the world. “A high proportion of illness and death is preventable, and a lot of money is spent on treatment because we [Americans] do not do a particularly good job of preventing disease,” the article states.

More importantly, the consequences of failing to seek routine medical care can be deadly. As of August 2021, COVID mortality of nearly 618,000 is on par with cancer, the No. 2 killer of Americans. (Although it’s important to note that both COVID and cancer are eclipsed by the 868,000-plus annually claimed by heart disease and stroke, according to the National Center for Chronic Disease Prevention and Health Promotion.) But there is also a host of potentially less fatal but also manageable conditions to consider, like obesity, diabetes, arthritis, and tooth decay/gum disease.

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“There’s nothing glamorous about going to the doctor for a routine checkup or annual test,” admits Corry. “But if you catch something early on, you can treat it right away and, in some cases, even reverse the course of the disease.”

“People will say things like, ‘I feel fine,’” she continues. “But many conditions such as high blood pressure and cholesterol and even cancer can be asymptomatic. By the time you start feeling pain and discomfort, you may be seriously ill.”

The facts bear it out: Prevention works. According to the American Cancer Society, a large study of more than half a million women found that regular yearly mammograms greatly reduced mortality rate.

“Women who skip even one scheduled mammography screening before a breast cancer diagnosis face a significantly higher risk of dying from the cancer,” states the society’s website.

Ditto for colon cancer. A study of endoscopies published in the medical journal Gut found a 65-75 percent decrease in death from rectal cancers. And an estimated 80 percent of cardiovascular diseases, including heart disease and stroke, are preventable, according to the American Heart Association. Heart conditions can be easily diagnosed through simple, noninvasive tests such as electrocardiography (ECG or EKG), exercise stress tests, echocardiography/stress echocardiography (ultrasound), and many others.

Vaccine hesitancy—including the vaccines that protect against COVID-19—throws up another major roadblock to prevention.

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“Putting off vaccines can be extremely detrimental, especially for children,” remarks Corry.

Not only can kids easily catch diseases from one another or get illnesses that were previously almost eradicated, “in most cases, there is no way to know beforehand if a child will get a mild or serious (lifethreatening) case,” according to the CDC’s “Vaccines for Your Children” fact sheet. Diseases that are still around, and for which there are vaccinations, include measles, whooping cough, chicken pox, certain types of meningitis, and the flu. Adults should be vaccinated for the flu as well, continues the CDC’s “Vaccine Information for Adults,” as well as for hepatitis B (lowers risk of liver cancer), HPV (lowers risk of cervical cancer), and, especially for those 60 and older, shingles. “About one out of every three people in the United States will develop shingles in their lifetime,” states the CDC “Shingles” fact sheet. Not only does risk of getting shingles increase with age, but it can result in severe, longterm pain and, in some cases, blindness.

Visiting your physician once a year (or more, if necessary) to undergo routine, recommended tests can not only help identify potential problems but can also address fears. “Having regular conversations with someone you trust who can advocate for you will not only help you make informed decisions but also allay misinformation,” Corry emphasizes. “Even basic things such as eating healthy, avoiding smoking and excessive alcohol, learning how to manage stress, and regular exercise can help prevent many diseases.” «

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Little People

Big Emergencies Wondering where to seek help when your child is hurt or sick?

Our experts have the answers.

By Paige Bowers

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t’s the moment every parent dreads: A child wakes up feverish in the middle of the night, or gets injured playing sports, or comes to you feeling ill but not being able to articulate why. No one wants to see their child suffering; but in those moments it can be difficult to assess the ailment and then determine what to do—and in serious cases, where to go next.

With children, the most important thing to consider is who has the right services for your child. In the heat of the moment (and no matter the time of night), it can be best to start with a call to your pediatrician.

“Medicine doesn’t stop because we leave the office at 5:00 or 6:00 p.m.,” says Dr. Samuel G. Barsky, a board-certified pediatrician and medical director of pediatrics at Jupiter Medical Center. “You can always reach out to your pediatrician and get information from them about what’s happening with your child and whether you need to go to a hospital.”

Some of those consultations can involve telemedicine calls, where doctors can assess the child over video and then tell parents whether they need to take them somewhere specific to be evaluated in person. Ideally, a pediatrician will steer families toward an environment that’s child-friendly with the appropriate specialists and resources.

“You don’t want to go to a place that doesn’t have pediatrics,” Barsky says.

“And you don’t want to go to a place that’s too far away if you have to be there

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on and off. Care encompasses a lot of things, but in this case there’s a physical and emotional component.”

Why not just go to any old emergency room? For starters, Barsky says pediatrics is its own specialty. It’s not like treating small adults, because children have their own physiology and their own medical needs.

You’d handle a small child differently than a teenager, for example, and sometimes there can be multiple caregivers weighing in on their care.

“It’s a complex situation,” Barsky adds. “Doctors can treat kids to a certain point if it’s an emergency, but you really want a pediatrician treating a child, or a pediatric specialist in a field like surgery or cardiology.”

Jupiter Medical Center’s pediatric program, in affiliation with Nicklaus Children’s Hospital, not only has the staff equipped to treat and interact with children, but they have equipment sized appropriately for them and medicine dosed to their weight. They’re equipped to handle anything that might happen to a kid, whereas other hospitals are more limited in what they can provide.

“Pediatrics is a seasonal sport,” Barsky says. “In winter, kids are admitted for respiratory problems like flu or pneumonia. In the summertime, there are a lot of traumas, like bike accidents and things like that. There are also a lot of stomach viruses and dehydration at that time of year too.

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Children have their own physiology and medical needs, which is why it’s important to seek care at an ER with pediatric capabilities.

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GETTYIMAGES | OWEN FRANKEN

Because we know about this seasonality, we’re better prepared to handle these illnesses or injuries. We make sure we’re ready to go at all times.”

Barsky admits he’s biased toward pediatric hospitals because he works at one. But he also says not all ailments require a trip to the ER. A scratch or a scrape can be treated at home or at an urgent care facility.

“At a pediatric hospital, you get the kind of complete care where if you do have a certain type of broken bone, a doctor knows whether you need an orthopedist right now or can wait a day or two and get outpatient care. While there are definitely times when you don’t need this level of treatment, a child’s health can change by the hour. A kid can look fine at 4:00 p.m., and by 7:00 p.m. not be doing well at all.”

Barsky says doctors in non-pediatric settings should reach out to a child’s clinician for assistance and be mindful of the way they communicate with young patients.

“You have to be gentle with the words you use,” he says. “Treatment works best when you explain something to a kid before you do it to them, for example. That way you give them an expectation about what’s going to happen. Kids are visual and experiential. You have to take the time to explain things to them or else you won’t be successful.”

Sometimes if it’s really an emergency, it doesn’t matter where you go. If a child is stable after falling and hitting their head, you can take them to any hospital. But with more nuanced things, parents need to ask themselves whether a hospital has what they need.

“You can call 911 and they can give you advice on what to do and get your child where they need to go,” says Dr. Cristina Pirez de Cardenas, a specialist in pediatric emergency care and chief of pediatrics at Jupiter Medical Center. “With children, you can think it’s one problem and then find out it’s something else. So, it’s not wise to spend a lot of time

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WHAT TO PURSUE IN A PEDIATRICS FACILITY It is essential to look for the highest quality care with the best available practices and protocols in pediatric medicine.

When considering health care options for your children, it is vital to find a facility that specializes in pediatrics. Comprehensive, compassionate care for kids should offer focused treatment in a family-friendly environment close to home.

The hospital should include:

• Pediatric specialists who can treat a wide range of

health concerns

• State-of-the-art equipment sized for children • Inpatient pediatric rooms • Pediatric surgery suites • Children’s play areas • Child life specialists

“

Kids are visual and experiential.

You have to take the time to explain things to them or else you won’t be successful.” —Dr. Samuel G. Barsky

waiting. If you truly have an emergency on your hands, you want to go where they take care of kids because it will be a better environment for your child, with the specialists you need.”

If your child has chronic medical problems, it makes sense to go to the hospital where your doctor has privileges. Pirez de Cardenas also says parents should arrive at the hospital with an open mind, instead of a fixed idea of what problem your child might have.

“Don’t assume,” Pirez de Cardenas says. “Sometimes it almost becomes a power struggle for doctors to get what information they need to do right by kids. Always give them all the information they ask for and let them sift through it to figure out what to do next.”

Pirez de Cardenas says most pediatric hospital stays tend to last a day or two because most issues can be resolved quickly. But sometimes health issues can change rapidly in children—one of the main reasons why it’s important to have them seen right away—and short stays can become longer.

“If the stay becomes longer, you can always ask why that is and whether something else is going on,” Pirez de Cardenas says. “For example, you can ask whether this is a normal course for a disease to take or whether there are complications. You can also ask after diagnosis whether a doctor thinks you’d be better off in a facility with more pediatric resources or in a more academic setting.”

Doctors need to realize that they are not only taking care of a sick kid, but a worried parent too. Pirez de Cardenas says the hospital should make sure parents have a food tray and bed, as well as a child life specialist who can provide them with a break.

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Also, be sure to look for a medical center that has the subspecialties that are tailored to your child’s specific needs.

Certain situations may call for an emergency department. Find a facility that has dedicated pediatric physicians and nurses available 24/7, with medical equipment designed specifically for smaller patients. Regardless of whether you interact with a pediatric paramedic, specialist, subspecialist, or child life specialist, the entire staff should be trained to treat and interact with children. This will ensure that younger patients get care that is tailored for their small bodies from people who are specifically trained to care for children.

If you are expecting, an important first step is visiting your local hospital’s labor and delivery suites. If you are at an elevated risk for complications or are having multiples, seek a facility that has a Neonatal Intensive Care Unit (NICU) that can give specialized care to babies born prematurely. A NICU provides infants with specialized care from health care professionals who are specifically trained in neonatology, including warmth and temperature regulation, feeding issues, and proper nutrition and fluids. It should also offer specialized treatment rooms, regular lab tests, and a range of advanced equipment and procedures tailored to their specific needs. Private areas for families, such as a lounge, infant feeding space, and private nesting rooms to foster bonding make the time you spend at the hospital more comfortable for everyone. There are a lot of things to consider, but the difference is in the details.

If your child plays sports or has chronic health issues, it’s best to have your emergency plan mapped out before a crisis occurs. You don’t want to be in the bleachers or half-awake in the middle of the night trying to figure out where to go.

“Reasoning goes out the door when your kid gets hurt,” Pirez de Cardenas says. “So, before an accident happens, know where you can go, so that when you’re in a panic, you don’t have to figure it out.” «

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DONOR PROFILE

Gifts Beyond Golf Jack and Barbara Nicklaus’ charitable foundation is changing the face of pediatric medical care in South Florida

By Paige Bowers | Photography by Jerry Rabinowitz

J

ack and Barbara Nicklaus haven’t forgotten the day in 1966 when their 11-month-old daughter Nan suddenly started choking and struggling to breathe.

By this time, Jack, then 26, had been a wildly successful professional golfer for five years. He had already won the Masters Tournament three times and landed on the cover of Time magazine. But he was a dad first—more teddy bear than Golden Bear—and nothing could have prepared him for this. He and Barbara rushed Nan to the doctor, who urged them to take her to the hospital where they could run more tests. At the hospital, doctors found the culprit: a blue crayon that the little girl had inhaled.

Then, things went from bad to worse. The crayon broke into pieces, passed into Nan’s lung, and caused pneumonia. As doctors and nurses fought to save Nan’s life, the Nicklauses sat in the waiting room, anxious about their daughter’s fate.

“We said if we were ever in a position to do so, we would like to be able to help children,” Jack recalls.

To the relief of her parents, Nan survived. But her childhood health scare served as the inspiration for the Nicklaus Children’s Health Care Foundation (NCHCF), which the couple established in 2004. In 2015, the foundation pledged $60 million to the Miami Children’s Hospital, which changed its name to the Nicklaus Children’s Hospital (NCH) as a result of the gift. Since then, the hospital has opened a network of 20 outpatient centers extending from southern Miami-Dade to Martin County and an affiliated hospital at Jupiter Medical Center that is setting the standard for pediatric care in Palm Beach County.

“Jupiter is where we live and we wanted people to be able to see a doctor or specialist without having to travel too far,” Barbara says. “You want to get immediate attention for your child when they are sick, and so to have a comprehensive pediatric program here in Jupiter is fantastic for families in the area.”

Often called “the First Lady of Golf,” Barbara is known for steadily supporting Jack as he became the greatest golfer in history. But when Barbara wasn’t watching him play, she was pouring her heart and soul into charity work, raising millions of dollars for causes that include cancer research, families, and, of course, children.

When the Nicklauses moved to the area 51 years ago, UPS didn’t deliver packages north of Northlake Boulevard, and PGA Boulevard was going by another name. Palm Beach and its environs were an escape for winter residents, not a haven for settled young families. There wasn’t the level of need for a pediatric facility; but there is now that the region has grown and its demographics have transformed. As the area grew and Jack retired from golf in 2005, the couple decided to act on that pledge they made to each other in a hospital waiting room nearly 40 years before.

“It all sort of came together,” Barbara says.

Families used to take their ailing children to Miami for specialized treatments or complicated diagnoses. Now that NCHCF gifts have empowered Jupiter Medical Center to offer top-flight care to children in the area, there is no longer any need to go elsewhere. Barbara said a teary-eyed woman approached her in the grocery store a couple of years ago to tell her what having a pediatric hospital nearby has meant to her family, who no longer needed to trek so far back and forth for one child’s care.

Jack and Barbara recognize the importance of being able to spend time with loved ones at home, after all. They’re the parents of five kids, and have 22 grandchildren with two great-grandchildren on the way.

Shortly after the pediatric hospital opened at Jupiter, Barbara said their grandson Stevie wound up in the unit.

“Someone there joked, ‘Jeez, I know you want to see how we’re handling things, but this is ridiculous,’” Barbara says.

The couple’s foundation has not only made its mark in South Florida, but around the country too. The countless stories the Nicklauses hear about children who have benefited from their help have touched them deeply.

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“I think of the twins Teegan and Riley, who were born in Minnesota,” Jack says. “Riley was born perfectly healthy, but Teegan was born with one lung and half a heart. The doctor told Teegan’s mother to take her home and love her because she wouldn’t be there long.”

After a couple of months, Teegan was still alive, and Jack said her mother called pediatric hospitals around the country to see what they could do for her. None of the hospitals she called would take on Teegan’s case, Jack says, because they didn’t want a death on their record. But Dr. Redmond Burke at the Nicklaus Children’s Hospital told Teegan’s mom to bring her down to Miami.

“He told her mom that the word ‘inoperable’ was not in his vocabulary,” Jack says. “After open-heart surgery and many months in the hospital, Dr. Burke told Teegan’s mother to bring her home to grow up with her sister. She went home, and we just got a video of her

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learning to ride a two-wheeled bike.”

Barbara says she and Jack want to keep helping families like this, and to ensure that facilities like Jupiter Medical Center are able to grow with the needs of its surrounding community. She has also enjoyed seeing Jack transformed by this charity work, which includes visiting young patients to see how they’re doing. He admits that some of these visits move him to tears.

“We were down in Miami for a reunion for cardiac patients,” he says.

“There were 20 of these kids running up to doctors and hugging their legs and telling them about how they saved their lives. You know, Barbara has supported me for 60 years of our lives, and now that we’ve started the foundation, it’s my turn to support her. I think I enjoy it as much, if not more, than she does. Watching these kids is more important to me than any four-foot putt I’ve made.” «

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DONOR PROFILE

Paying it

FORWARD

Len Abramson’s passion for innovative health care and love for his wife form the foundation for an extraordinary gift

By Michele Meyer

F

rom Philadelphia to Jupiter, theirs was a 65-year love story.

Leonard Abramson—or Len, as he prefers to be called—first met Madlyn Kornberg when he was a college student studying pharmacology. His roommate had taken Madlyn to the prom but declared her and Len a great match.

“He introduced us, and he was right,” Len says.

Like Len, Madlyn was an only child born in Philadelphia. A dentist’s daughter, she attended the private Philadelphia High School for Girls and earned bachelor’s and master’s degrees in education from the University of Pennsylvania.

Len graduated with a pharmacy degree from University of the Sciences in Philadelphia and earned a master’s in public administration from Pennsylvania State University.

He was 24 and she was 21 when they wed in August 1957.

“I married up,” says Len, 88, who drove a taxi to pay for his expenses during pharmacy school. “Marriage to Madlyn was the defining moment of my life because

I wanted to prove to her that I could be worthy of her. That’s why I became as successful as I became.”

Madlyn taught at public schools, while Len pioneered a path in medical management. After working as a pharmaceutical salesman for a year, retail pharmacist for seven years, and vice president of corporate development for five years at a small public hospital firm, he launched one of the first health management organizations, U.S. Healthcare, in 1975. Known for doorless offices at its headquarters, it proved to be a successful formulary: Aetna bought the company for $8.9 billion in 1996.

Len chokes up when speaking of his beloved wife, who died from stroke complications in April 2020. He uses the term “we” for his present and future.

“She’s been gone over a year and it still hurts to talk about her,” says Len, who’d lived with her in Jupiter for 30 years.

In Madlyn’s honor, Len recently donated $10 million to establish an endowed chair of cardiac surgery at Jupiter Medical Center. He says, “I knew she’d like that.”

This wasn’t his first gift to the center, “and I don’t expect it to be my last,” says

the JMC Foundation board member of more than two decades. “I’m very impressed with their leadership, and I’d like to help the hospital grow.”

To recognize his generous gift, the new main entrance to the hospital has been named Madlyn K. Abramson Plaza, with a water fountain in her honor—befitting, since water drew the boaters to Jupiter 30 years ago.

Their 14,600-square-foot home on Admiral’s Cove sits on the Intracoastal Waterway, where Len docks his 40-foot, four-engine boat, Appleseed, named after a successful program Len created at U.S. Healthcare.

A second boat, a 42-foot sloop, Madlen, a mashup of their two names, awaits at his second home in Camden, Maine.

“I golf, I sail, I go deep-sea fishing with my grandchildren, and many of my oil paintings hang in my children’s homes,” he says.

But don’t mistake him for being retired.

The philanthropist invests in banks, residential construction, and other businesses, and he manages his family’s wealth with a staff of lawyers and accountants through The Maine Merchant Bank, which he formed in Portland, Maine.

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Most importantly, Len continues the couple’s pattern of paying it forward.

Over the years, they donated hundreds of millions of dollars to cancer centers and children’s hospitals to lure top scientists and free them to work exclusively on research. “Having been in the pharmaceutical industry, I’m aware of how vital research is to saving lives,” he says.

Among their gifts is more than $140 million to the Hospital of the University of Pennsylvania, where Madlyn got her bachelor’s degree in 1957 and master’s in 1960 and was treated successfully for

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breast cancer in 1985.

They also made sizable donations to create an endowment for Alzheimer’s, Parkinson’s, and other neurodegenerative diseases at Johns Hopkins University School of Medicine, where Len served on the board for 14 years.

In 2013, the Abramsons gave $10 million to Temple University’s dental school, which was renamed after Madlyn’s father, Maurice H. Kornberg, an alumnus.

Giving back is a tradition the couple inherited from their parents. “They were of modest means but always charitable,

helping those who had less,” Len says.

That is a legacy he’s passing down to their three daughters and nine grandchildren. Daughter Nancy Abramson Wolfson joined her mother in 2015 to launch Philly Fights Cancer, which has since raised more than $39 million to benefit clinical trials to power the next generation of cancer cures.

“I believe in humility, integrity, and loyalty,” Len says. “Many of my employees at U.S. Healthcare remain close friends. I’d like to be remembered as a pioneer in health management organizations and for helping finance phenomenal medical cures.” «

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Pleasing Patients’

PALATES IF HOSPITAL FOOD SOUNDS LESS THAN INSPIRING, CHEF WALLY IS HERE TO CHANGE YOUR MIND Photography by Alissa Dragun

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MENU Shrimp, Scallop, and Crabmeat in a Tomato Pernod Sauce Roasted Beets and Goat Cheese Salad with Orange Segments Herb-Crusted Lamb Chop, Wild Mushroom Risotto, and Zucchini Roasted Garlic Au Jus Pan-Seared Sea Bass and Roasted Butternut Squash Raspberry Shortcake

Seafood Appetizer 1 large shrimp 1 large scallop 1 oz. crabmeat

M

Tomato Pernod

2 tbsp. olive oil

3 large tomatoes (seedless,

1 tbsp. butter

skinless, and diced)

3 tbsp. tomato Pernod sauce

2 garlic cloves

¼ fresh avocado and mango

3 tbsp. white onion (diced)

(diced, for garnish)

1 tbsp. Pernod

Directions: In a medium-sized

2 tbsp. olive oil

saute pan, using the olive oil,

Directions: In a medium-size

ost of us don’t equate a hospital stay with a resort

cook the shrimp and sear the

saucepan, saute garlic and onion

getaway, especially when it comes to the food.

scallop. In a small saute pan, melt

in olive oil until a light tan brown.

Jupiter Medical Center understands that nutrition plays a

the butter and add crabmeat;

Add tomatoes and cook for 15

powerful role in our health. That’s why it aims to offer concierge

cook until crabmeat gets hot.

minutes on low heat. Add Pernod

patients a five-star experience, trading Jell-O for gelato and

and let the sauce cook for 3 min-

clinical cuisine for chef creations, when approved by a physician.

utes. Let sauce cool, then transfer

Here, Executive Chef Waleid Mohamed shares the recipes

to blender. Blend until smooth.

from some of his signature dishes so you can try them at home.

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Goat Cheese Salad 1 medium red beet 1 small golden beet Cherry tomatoes 1 small red onion (sliced) 3 orange segments 2 oz. goat cheese 1 tbsp. olive oil 2 garlic cloves 3 sprigs of fresh tyme Directions: In a foil wrap, roast beets with olive oil, garlic cloves, and thyme. Cook in oven at 350 degrees until tender but remaining firm. Peel the beets. Let cool and slice.

CHEF WALEID MOHAMED cooking methods. He remembers his dad could create

stints at private

the Rita and Burt Tansky Concierge Suites at Jupiter

all the flavors of an outdoor barbecue using a single

country clubs and

Medical Center. Chef Wally (as he is affectionately

piece of charcoal—and no grill. Eager to test his own

resorts, including

known) brings 25 years of culinary art experience to

creativity, Chef Wally attended The Culinary Institute

the Four Seasons

patients staying in the luxury, resort-style rooms. He

of America in Hyde Park, New York.

Resort Palm Beach, Bear Lakes Country Club, and The

Chef Waleid Mohamed is the executive chef for

is driven to deliver beautifully presented, high-quality cuisine.

Born in Cairo, Egypt, and raised in New York, Chef Wally was influenced by his father’s innovative

He is inspired to create dishes that exceed anything

Stanwich Club in Greenwich, Connecticut.

patients would expect at a hospital. His mission to

Patients at Jupiter Medical Center will delight in

revolutionize the hospital’s offerings into healthy,

Chef Wally’s signature dishes, including Chilean sea

vibrant, made-from-scratch meals is supported by his

bass, herb-crusted lamb, and wild mushroom risotto.

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Herb-Crusted Lamb Chop For the herb crust and lamb

and cremini mushrooms

saucepan and stir in the onion.

Parsley, mint, and rosemary

½ onion (finely diced)

Cook for 1 minute. Add the rice

Panko breadcrumbs

1 cup Arborio rice

and cook for 2 minutes. Add the

Directions: Finely chop herbs

½ cup dry white wine

wine, stirring constantly until the

and mix with breadcrumbs. Coat

3 tbsp. butter

wine is fully absorbed. Add ½

lamb in crust and then pan sear.

2 tbsp. chopped chives

cup chicken broth and stir until

Finish in the oven, cooking for

¼ cup Parmesan cheese

the broth is absorbed. Continue

about 10 minutes for a medium

Directions: Warm chicken broth

adding broth and stirring until the

rare temperature.

over low heat. In a large sauce-

liquid is absorbed and the rice is

pan, warm olive oil and stir in the

al dente (about 15 to 20 minutes).

For the wild mushroom risotto

mushrooms and cook until soft

Remove from heat and stir in the

3 cups chicken broth

(about 3 minutes). Remove the

mushrooms and liquid, butter,

3 tbsp. olive oil

mushrooms and liquid; set aside.

chives, and cheese. Add salt and

½ lb. portobello mushrooms

Add 2 tbsp. olive oil to the

pepper to taste.

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Pan-Seared Sea Bass For the fish

and a pinch of cinnamon.

tsp. of fresh grated ginger

Directions: Season the fish

Roast in oven for about 7

and 1 tsp. of curry. Blend

with salt and pepper. In a

minutes until tender (but

well.

saute pan, sear the fish on

remaining firm).

For the pureed peas

both sides. Finish cooking it in the oven for 8 minutes.

For the pureed carrots

Directions: Blanch about 1

Directions: Cook the car-

cup of peas in hot water for

For the butternut squash

rots in boiling water with 2

about 2 minutes. Drain the

Directions: Peel the outside

tbsp. of sugar until they are

water and transfer the peas

skin. Cut the squash into

very soft. Drain the water

to a blender and puree.

1-by-1-inch pieces. Mix

and transfer the carrots to

Then add 1 tbsp. of truffle

with ½ tbsp. brown sugar

a blender and puree. Add ½

oil and salt to taste.

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Raspberry Shortcake For the cookie dough 2 ½ cups flour 1 tsp. salt 3 tbsp. sugar ½ lb. butter (unsalted) ¼ cup cold water Directions: In a mixing bowl, mix flour, sugar, and salt. Grate the butter over the flour mix, then add cold water. Mix the dough by hand. Don’t over mix it!

Stretch the dough to 1/8-inch thickness.

Cut the dough into a round shape and bake at 350 degrees for about 12 minutes or until it turns light brown in color.

For the filling ¼ cup fresh raspberries 1 lb. cream cheese 2 tbsp. almond paste ¼ cup sugar Directions: Mix all in an electric mixer. Mix well and make sure that there are no lumps.

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The Place for

PEDIATRICS Jupiter Medical Center celebrates five years of treating South Florida’s youngest patients with excellence and care Photography by Tracey Benson

Greg and Myla Mastrangelo, Jack and Barbara Nicklaus, Dr. Amit Rastogi, president and CEO of Jupiter Medical Center

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Nicholas and Jessica Mastroianni, Larry De George, Patty McDonald, Barbara and Jack Nicklaus

F

rom birth to age 5, a child’s brain develops more than at any other time in life, and it has reached approximately 90 percent of its adult size. In the same amount of time, Jupiter Medical Center has added an inpatient pediatric unit, a pediatric emergency department, and a neonatal intensive care unit (NICU), and has partnered with Nicklaus Children’s Hospital to provide young patients with access to worldclass physicians. As the hospital marks developmental milestones like a proud parent would, it also recognizes the philanthropic support that has fueled this phenomenal growth.

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“It takes a village not just to raise a child, but to grow a pediatric program,” says Dr. Amit Rastogi, president and CEO of Jupiter Medical Center. “Our state-of-the-art facilities, technology, and worldclass physicians would not be possible without philanthropy.”

Rastogi says Jupiter’s incredible achievements began with a commitment to provide top-quality pediatric care to families in the region, and an outline of services needed to achieve that goal. In the second half of 2014 the Lawrence J. and Florence A. De George Charitable Trust, represented by their son, Larry De George, and Nicklaus Children’s Health Care Foundation both

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Matthew Love, president and CEO of Nicklaus Children’s Health System; Dr. Amit Rastogi, president and CEO of Jupiter Medical Center

pledged seven-figure gifts to launch pediatrics at Jupiter Medical Center.

The De George Pediatric Unit opened in January 2016. The 12-bed, pediatric inpatient unit features technologically advanced surgical suites with details designed to help children feel safe and relaxed. The partnership between Jupiter Medical Center and Nicklaus Children’s Hospital ensures that even the youngest patients receive the best pediatric care close to home.

The Mastroianni Family Pediatric Emergency Department marked the next achievement, and the 6,300-square-foot facility opened in May 2019.

The pediatric ER offers a child-friendly environment, with pediatric treatment and triage rooms, a dedicated family waiting area, and indoor play areas to alleviate anxiety.

Dr. Marshall Stone joined Jupiter Medical Center just as the growth began. The Johns Hopkins–trained medical director of pediatric surgery has seen the hospital’s transformation from an

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Darren Bardell, executive director of the Frank DiMino Family Foundation, with his wife, AnnieLaurie, and their two daughters outpatient-focused center to the hospital of choice for families seeking pediatric care in the region.

“We are unique,” says Stone. “We have a pediatric ER, so our young patients are separate from the adults. We are the only hospital in the entire county that has two board-certified pediatric anesthesiologists on call 24/7 for patients under age 2. We got here because Jupiter Medical Center and the donors require quality.”

Stone says one of Jupiter Medical Center’s strengths has been the recruitment of experienced physicians and nurses for the pediatric program. The Level II De George Neonatal Intensive Care Unit (NICU) showcases the team’s capabilities caring for premature babies as small as 1,500 grams. Heralded as a new level of service for families whose infants require a higher level of specialized care, the 16-bed unit opened in October 2019, offering advanced monitoring, imaging,

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The Honda Classic team: Kenneth Kennerly, executive director; John Domenico, board president; Andrew George, tournament director

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Larry De George with Roura-Conway twins in the De George Neonatal Intensive Care Unit

Larry and Michael De George

and respiratory technologies, and private nesting rooms where families can bond with their babies.

The next logical step for the thriving pediatric program is the addition of a pediatric intensive care unit (PICU). Jupiter Medical Center has completed the planning process and is now working on a timeline and securing funding. The PICU will allow the center to perform complex surgeries and offer nursing care, therapies, and continuous monitoring for the sickest children.

“We are expanding the depth and breadth of our services to match the population growth in Palm Beach County,” says Rastogi. “Philanthropy makes an impact, not just for those who live here now, but for all the families who are looking to move to South Florida in the future.” «

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Nicholas Mastroianni III with Nicholas Mastroianni IV, and Nicholas Mastroianni II

Audrey Mastroianni, Sara and Anthony Mastroianni, Jessica and Nicholas Mastroianni III with their children at the groundbreaking ceremony for The Mastroianni Family Pediatric Emergency Department

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Holiday Well Wishes Shop for everyone on your gift list with these ideas for wellness, health, and self-care

By Liza Grant Smith

THE INDULGENT

BEAUTY REST Bedhead and sleep creases are no more thanks to Slip’s pillowcase and sleep mask set ($122). Recommended by dermatologists and hairdressers, these silk products help skin retain its moisture and prevent tangled locks.

Bloomingdale’s, The Gardens Mall, Palm Beach Gardens (bloomingdales.com)

FLOAT AN IDEA

SCENTS AND SENSIBILITY With notes of brown sugar, maple syrup, baked apple, and Kentucky’s finest, this Apples + Maple Bourbon soy candle ($25) from Calyan Wax Co. is an alluring harvest festival in a jar. Bonus: Every Calyan purchase raises funds for antitrafficking nonprofits. Simply Simpson Boutique, Jupiter (shopsimpson.com)

HEAVY SLEEPER With research showing that gentle cocooning makes people feel happier and less anxious, Bearaby’s organic cotton Napper weighted blanket (starting at $249, based on weight) embraces the growing cocoon crusade for naptime and nighttime. West Elm, Downtown Palm Beach Gardens (westelm.com)

A 30 percent salt solution allows True Rest Float Spa patrons to experience a relaxing antigravity environment that provides the same regeneration process that transpires during sleep, as well as a drop in the stress hormone cortisol. Purchase gift certificates for a single 60-minute float or multiple sessions with the spa’s buy one gift card, get one free holiday special. True Rest, Palm Beach Gardens (truerest.com)

SUITED TO A TEA Let them drink in the guilt-free decadence of Pinky Up’s sugar-free Matcha Ice Cream loose-leaf tea ($13), which features candied pineapples, almonds, and white chocolate curls. Pair it with a rose-gold heart tea infuser ($12.50) that does double duty as a stir stick. Initial Styles, Jupiter (initialstyles.com)

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THE BEACH BUM COOLER HEADS PREVAIL Swig Life’s Cooli family cooler ($130) makes anyone’s on-the-go libations ice cold in temperature and red hot in style. An adjustable strap and handles, front and back pockets, and wipeable, waterproof exterior fabric are the family-friendly cherries on top of this zippered bag. Prep Obsessed, Palm Beach Gardens (prepobsessed.com)

HAIR-RAISING SITUATION Give their sun-parched locks some welldeserved love with Bumble and Bumble’s Suncare for Hair gift set ($20) that includes Hairdresser’s Invisible Oil Heat/UV Protective Primer and Surf-Styling Leave In for hair hydration, detangling, and frizz reduction. Ulta Beauty, Palm Beach Gardens (ulta.com)

HAT TRICK The perfect travel partner for all their sandy destinations, this Squishee Mita picot-edge bucket hat ($265) from Eric Javits blocks 95 percent of UVA/UVB rays and is more durable, lightweight, and packable than its straw counterpart. Nordstrom, The Gardens Mall, Palm Beach Gardens (nordstrom.com)

WALKING ON WATER From boat to beach, these PFG slack water shoes ($60) from Columbia will help protect against slips, thanks to the wet-grip console, and deliver the traction necessary for fun on land and at sea. West Marine, North Palm Beach (westmarine.com)

PLAY BALL With rules combining four square and volleyball, Spikeball is the highly addictive outdoor game their family never knew it was missing. This set ($60) includes three balls, a round net, and a backpack for easy transport to wherever the day takes them. Target locations (target.com)

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THE FITNESS BUFF

JUST YOU WATCH

BUDDING GENIUS Designed with an athlete in mind, Bose Sport earbuds ($179) are moisture resistant and come with three sizes of flexible silicone StayHear Max tips, which mold to the ear and won’t come out during even the most strenuous of workouts.

Best Buy, North Palm Beach (bestbuy.com)

Rugged yet sophisticated, the multi-sport Garmin Fenix 6S Pro Solar GPS watch ($800) tracks everything from running and surfing to indoor climbing and mountain biking. It can stay performance-ready for weeks thanks to its Power Glass solar charging lens and also boasts smart features such as music streaming. Fit2Run, The Gardens Mall, Palm Beach Gardens (fit2run.com)

ON A ROLL This Lululemon roller set ($58) functions as both an exterior roller, to massage arms and legs, and an interior roller for releasing back tension. Lululemon, The Gardens Mall, Palm Beach Gardens (lululemon.com)

MIX IT UP The fitness fanatics on your list can whip up a nutritious smoothie in under 60 seconds with NutriBullet’s Pro blender ($90). The blades of this 900-watt personal blender are designed to help users get the most nutrition out of every ingredient. Bed Bath & Beyond locations (bedbathand beyond.com)

GOTTA LOVE IT They’ll be the ace of the court with this posh Haute Shore tennis tote ($150), which sports a fabulous navy camo and pink exterior and includes pockets for a water bottle and a can of tennis balls. Palm Harbor Boutique, Jupiter (palmharbourboutique.com)

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THE NATURALIST GRAB BAGS Eco-friendliness meets artistic spirit in this set of three zippered, reusable, dishwasher-safe sandwich and snack bags ($28) from Art of Lunch. Their hometown pride will be on full display thanks to the sea turtle illustration set against a map of the Palm Beach area and surrounding waters. Loggerhead Marinelife Center, Juno Beach (shop-marinelife.org)

MISTY EYED Our mood is everchanging, and so should our essential oils. The 7 Chakras essential oil mist collection ($250)

by La Femme De La Mer offers an array of cultivated scents that can be sprayed in a room or on the body, or used in meditation to please the senses.

Palm Beach Athletic Wear & Yoga Studio, Juno Beach (yogapbaw.com)

WRIST AND REWARD Choose a meaningful jewelry piece from the T. Jazelle collection, such as this amazonite handmade beaded bracelet ($125) that includes a lotus charm symbolizing beauty and rebirth as well as two Pyrite stones that attract good fortune.

Gumbo Limbo Gifts, Stuart (gumbolimbogifts.com)

RAISING THE BAR

SALT OF THE EARTH Season their treatment regimen with a gift certificate for one month of unlimited halotherapy sessions ($199) at Breathe Salt Yoga. Like spending time in salty sea air intensified, this all-natural therapy allows clients to unwind in a controlled microclimate salt therapy room and enjoy the antibacterial, antiinflammatory, and mucolytic effects of their surroundings.

Breathe Salt Yoga, Jupiter (breathesaltyoga.com)

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The Buff’s five best soaps collection ($30) is a bathing bonanza of five of Buff City Soap’s most popular plantbased, handmade soaps, featuring scents such as Island Nectar, with hints of passionfruit, jasmine, citrus, and exotic florals. Buff City Soap, Palm Beach Gardens (buffcitysoap.com)

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THE EPICUREAN

SALAD DRESSING A gorgeous backdrop for their culinary creations, Vietri’s Viva Santorini ceramic salad plates ($72 for set of four) were inspired by a welltraveled lifestyle.

Saks Fifth Avenue, The Gardens Mall, Palm Beach Gardens (saksfifth avenue.com)

MAKING SPIRITS BRIGHT Happy hour has gotten healthier since Frankly Organic harnessed the power of the pomegranate for its pomegranate vodka ($21.50), complete with vitamin C– rich lemon juice and superfoods turmeric and ginger. Total Wine & More, Palm Beach Gardens, Stuart (totalwine.com)

LICENSE TO GRILL Get them fired up with an indoor/ outdoor Le Creuset enameled cast-iron skinny grill ($100). Pair it with the Gift of Grilling nine tin gift box ($88) from The Spice & Tea Exchange to prep them for the full grilling experience. Pan: Williams Sonoma, The Gardens Mall, Palm Beach Gardens (williams-sonoma. com); spices: The Spice and Tea Exchange, Downtown Palm Beach Gardens (spiceandtea.com)

GARDEN VARIETY AeroGarden’s Harvest Elite in-home garden system ($130) gets two green thumbs-up with a kit that includes all they’ll need to grow six herbs, soil-free, with energy-efficient LED grow lights that automatically turn on and off. The Home Depot locations (homedepot.com)

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THE PINT-SIZED CREW

MASTERPIECE THEATER Empower them to be van Gogh on-thego with Crayola’s easy-to-carry art case ($30), packed with crayons, washable markers, colored pencils, and bleedproof sheets of paper for whenever inspiration strikes. Michaels, Palm Beach Gardens (michaels.com)

SCOOT CUTE Let them channel their endless energy into some swanky scooting with Micro Kickboard’s award-winning mini deluxe scooter ($90).

High-quality wheels and a flexible fiberglass-reinforced deck absorb bumps, allowing for a smoother ride while they master the basics and try out some tricks. Learning Express, Palm Beach Gardens (learningexpress.com)

WHISK UP SOME FUN Kid Chef: The Foodie Kids Cookbook: Healthy Recipes and Culinary Skills for the New Cook in the Kitchen (Arcas Publishing, $16) is geared toward the burgeoning chef. In addition to more than 75 healthy recipes, the book includes kitchen basics like knife safety, how to create a grocery list, and easyto-follow tutorials. Barnes & Noble, Palm Beach Gardens (bn.com)

LAWN PARTY In case you missed the trend memo, croquet is cool again, with a whole new generation falling in love with the backyard diversion. Baden Sport’s six-person deluxe series croquet set ($100) is a great way to introduce little ones to the “wicketed” fun the game offers. Dick’s Sporting Goods locations (dickssportinggoods.com)

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I, ROBOT Kiddos can build robots all while tapping into creative thinking and sharpening their problem-solving skills with Begin Again’s 28-piece eco-friendly rubberwood playset of stackable and connectable pieces ($30).

GreenPath Baby, Jupiter (greenpathbaby.com)

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DREAM WEDDINGS | BESPOKE EVENTS | WORLD CLASS DESIGN 561.686.7757 | WWW.SPECIALEVENTRESOURCE.COM | BY APPOINTMENT

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7/29/21 4:26 PM

Chairs: Lee Ann & Jeffrey H. Alderton

SATURDAY, MARCH 12 , 2022 | 6:30 — 11 P.M.

1 S. COUNTY ROAD | PALM BEACH, FL Honorary Chairs: Tesa & Martin A. Dytrych Sponsors include Lee Ann and Jeffrey Alderton, Black Diamond General Contracting, Stephen Boruff/A1A Architects + Planners, Inc., Cerner Corporation, Knight Corporation, Palm Beach Illustrated and TD Bank.

Proceeds from this event will benefit the Surgical Institute at Jupiter Medical Center.

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IN HER WORDS

JERRY RABINOWITZ

as told to Shelli Lockhart

CRISTAL NUÑEZ

Care counts when your pregnancy is high-risk My husband and I were very anxious about my pregnancy. I had miscarried twice, so I was considered high-risk. I lost my Gracie at 24 weeks in 2019. Then in early 2020, I miscarried at 11 weeks.

Although we live in Okeechobee, Florida, and it meant driving over an hour for every appointment, I chose Dr. Loel Fishman as my OBGYN. I felt he was the best choice for my baby and our health.

I went into labor seven weeks early. It was unexpected, because my two older children were born full-term. Everything seemed like it was happening too fast; I was panicking and wanted answers. The staff at Jupiter Medical Center helped to calm the chaos. I felt like Dr. Fishman saw me as a person and did not try to minimize my concerns. They even got a neonatologist on the phone for me. Now, looking back, I realize that I was asking questions that couldn’t be answered at the time.

On January 5, 2021, Ellieana was born. She was 4 pounds, 14 ounces. As soon as I could get out of bed, I wanted to see her, but I didn’t think holding her that soon was going to be possible. The doctor in the

NICU explained Kangaroo Care to me, and how skin-to-skin contact was crucial for Ellie’s care and progress. I was afraid at first, but they walked me through it.

When I held her, all my concerns and fears went away. Feeling her warm skin next to mine just felt right and perfect. The nurses said that although she was not opening her eyes, she could smell my skin and she could hear my voice. She knew who I was. Her heart rate stabilized, her breathing regulated, and she didn’t cry as much. I never wanted to let her go, and it comforted my husband to see us bond.

Remembering that first moment still gives me chills. Holding her and knowing that she was going to be okay confirmed for me that I had chosen the right place to give birth. All I wanted was for her to be safe and alive and well, and she was.

Ellie is doing very well developmentally, given her adjusted age. She is eating, smiling, cooing, doing what babies do, and being adorable.

Her brother and sister love her, and we are just over the moon.

I don’t have words to thank everyone for being there for my husband and me, and, most importantly, for my baby; for making a really tough experience feel not so scary. I am so glad that I chose Jupiter Medical Center.

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Some things just go together.

When two renowned healthcare providers come together to provide world class pediatric care, it’s a winning combination. The partnership between Jupiter Medical Center and Nicklaus Children’s Hospital ensures that your child receives the best pediatric care. The DeGeorge Pediatric unit, the

DeGeorge Level II Neonatal Intensive Care Unit, and the Mastroianni Family Emergency Department are staffed with highly skilled physicians and nurses who provide advanced and compassionate care 24/7. For the best care for your child, choose the most trusted experts in South Florida.

jupitermed.com/pediatrics 561.263.2200

WORLD-CLASS HEALTHCARE IS HERE.

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BEST OF GOLF AND TENNIS IN OLD PALM GOLF CLUB 2 ACRE GOLF/TENNIS ESTATE I 5BR/6.2BA I 9,655 SF I $19,500,000

VINCE MAROTTA 561.847.5700

vmarotta@marottarealty.com #1 Producer for Illustrated Properties in 2019 & 2020 Full Page.indd 1

8/9/21 4:08 PM