April 9, 2021
 
While arthritis is one of the most prevalent and chronic health conditions in the United States affecting more 54 million men and women, how can the average person tell the difference between arthritis and a more serious issue?
  
“The only way to know if your joint pain is due to arthritis or wear-and-tear that has damaged the cartilage and deteriorated the joint over time is to seek medical attention,” said Stephen Swirsky, D.O., orthopaedic surgeon and sports medicine specialist with the Broward Health Physician Group.
 
The pandemic impact
Because of the pandemic, there has been a substantial decrease in mobility among the general public, which can exacerbate an already chronic condition. In addition, during this time, many patients have not sought routine medical care.
 
Whether you are a former athlete or dancer, a weekend sports warrior or an active senior, minor aches and pains are expected. The key is understanding when those aches and pains escalate to the point of affecting your quality of life.
 
“When you experience a sudden injury, you will typically seek immediate care,” said Dr. Swirsky. “Long term, however, joints commonly deteriorate, and unfortunately cartilage does not regenerate. Damaged cartilage results in pain and diminishes movement, leads to immobility and a loss of independence.”
 
State-of-the-art technology                                                                                                               
If an orthopedist determines your hip or knee joint is damaged or worn away past the point of no return, and you’re suffering from painful bone on bone friction, joint replacement surgery is a viable option to restore mobility and regain a pain-free active lifestyle. Broward Health offers advanced minimally invasive total hip and knee replacements, the two most common joint replacement surgeries. 
 
“Robotic-arm assisted technology provides us with an innovative option to treat adults living with mid- to late-stage osteoarthritis of the hip and knee,” said Dr. Swirsky. “The technology provides a superior level of precision combined with a personalized surgical plan based on a patient’s unique anatomy.” 
 
Prior to hip or knee replacement surgery, a CT scan of the diseased joint is taken, then uploaded into the system software where a 3D model of the knee is created. This 3D model is used to pre-plan and assist surgeons in performing total hip, knee or partial knee replacements. Benefits of this type of surgery may include shorter recovery times, no activity limitations, less pain, decreased dislocation, less scarring and a more natural feeling hip or knee.
 
It is common for patients to stand up and walk the day of surgery, and most recuperate at home soon thereafter. Following instructions for post-operative care and maintaining physical therapy guidelines, patients can fully return to activities allowing them to remain physically fit, happier and balanced.   
 
Financial assistance through Medicare                                                                                     
Broward Health also provides access to quality care through the system’s involvement in the Medicare initiative, the Comprehensive Care for Joint Replacement (CJR). Broward Health North employs the CJR model, which aims to promote quality and financial accountability for care surrounding lower extremity joint replacement procedures, commonly referred to as hip and knee replacements and/or other major leg procedures. 
 
To schedule a consultation, visit BrowardHealth.com/BHPGOrtho or call 954-940-7000.
 



April 8 2021 – Nicklaus Children’s Hospital is taking a lead globally in using the latest immersive technology to advance surgical care planning, and patient education. The hospital’s Cardiovascular Surgery Advanced Projects Laboratory (CSAPL) is now using emerging mixed reality technology to support planning of complex congenital heart procedures and help patient families visualize how the surgical team will conduct repairs. The technology is also being used to support clinical classroom learning in association with medical education partners. 
 
 
The work is under the leadership of Dr. Robert L. Hannan, who heads the CSAP lab; Dr. Redmond P. Burke, Director of the Division of Cardiovascular Surgery; and Dr. David Seo, Chief Information Officer at Nicklaus Children’s.
 
Collaborating in the initiative is ApoQlar, maker of VSI Holomedicine, which displays patient MRI, CT, angio CT, PET and SPECT-CT and other medical scanned images as 3D holograms in real space using the Microsoft HoloLens2 mixed-reality glasses. A second collaborator is Stratasys, maker of the J750 Digital Anatomy ™ Printer, which has the capability to print 3D replicas of patient hearts and other anatomy with similar biomechanical properties including soft-tissues, cartilage, muscle and bone structures.   
 
Nicklaus is among the first to utilize the ApoQlar VSI Holomedicine solution in North America and maintains a leadership position in innovating use of emerging medical technologies such as 3D printing. 
 
“The synergy of these combined technologies is being used daily by the hospital’s cardiovascular surgery team and is fully integrated into the routine workflow for preoperative planning, patient and family education and professional education, demonstrating the power of mixed reality,” said Dr. Hannan.
 
“This suite of tools is a technological dream team for planning complex surgeries,” said Dr. Burke. “We can view and explore the patient’s specific anatomy in real-time through the combined use of Microsoft Hololens 2 and ApoQlar VSI Holomedicine platform, and quite literally hold an exact replica of a patient’s heart in our hands with the new 3D printing technology. Some of the babies for whom we provide care have hearts the size of grapes, so the opportunity to truly visualize the specific anatomy is invaluable. In addition, we can actually cut and sew the printed hearts as part of our presurgical preparation, which is a tremendous advancement,” he said.
 
 
About Nicklaus Children’s Hospital 
Founded in 1950 by Variety Clubs International, Nicklaus Children’s Hospital is South Florida’s only licensed specialty hospital exclusively for children, with nearly 800 attending physicians and more than 475 pediatric subspecialists. The 309-bed hospital, known as Miami Children’s Hospital from 1983 through 2014, is renowned for excellence in all aspects of pediatric medicine with many specialty programs routinely ranked among the best in the nation by U.S. News & World Report since 2008. The hospital is also home to the largest pediatric teaching program in the southeastern United States and has been designated an American Nurses Credentialing Center (ANCC) Magnet facility, the nursing profession’s most prestigious institutional honor. For more information, please visit www.nicklauschildrens.org
 
About ApoQlar 
ApoQlar, based in Hamburg, Germany, is a leader in the field of augmented reality in medicine. Its Virtual Surgery Intelligence (VSI) software visualizes medical images, including MRI and CT scans in 3D, improving accuracy and accessibility. Besides uses for physicians, ApoQlar’s Holomedicine technology is also useful in educating students and patients. All anatomical details and structures are displayed in 3D, and users can rotate, cut and dive into the visualizations. 
 
About Stratasys
Stratasys (NASDAQ: SSYS) is leading the global shift to additive manufacturing with innovative 3D printing solutions for industries such as aerospace, automotive, consumer products and healthcare. Through smart and connected 3D printers, polymer materials, a software ecosystem, and parts on demand, Stratasys solutions deliver competitive advantages at every stage in the product value chain. The world’s leading organizations turn to Stratasys to transform product design, bring agility to manufacturing and supply chains, and improve patient care. 
 
 



April 8 2021 – The West Palm Beach VA (WPBVA) is now able to provide COVID-19 vaccines to all Veterans, their spouses and caregivers, and some beneficiaries ahead of the projected May 1 start date.
 
WPBVA is offering vaccines to the following groups who are eligible for a COVID-19 vaccine at VA:
 
 
Veterans, regardless of discharge
Spouse of a Veteran
Caregivers of a Veteran (For COVID-19 vaccine eligibility, a caregiver is as a family member/friend who provides care to a Veteran – Examples include helping a Veteran with personal needs like feeding, bathing, dressing or with tasks like shopping or transportation)
Recipients of Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) benefits
 
With these additional groups, VA can now vaccinate more than 30 million individuals!
 
Interested Veterans, caregivers and spouses of Veterans can call 561.422.5220 to schedule an appointment across select sites of care or visit the West Palm Beach VA Medical Center (7305 N Military Trl, West Palm Beach, FL 33410) Monday- Friday from 10 a.m. – 3 p.m. as a walk-in.
 
  
For more information about the West Palm Beach VA Medical Center’s health care system visit  www.westpalmbeach.va.gov. 
 
 



Community Health Needs Assessment Implementation Strategy Now Available
 
April 8, 2021 – Lee Health’s Board of Directors recently approved the Community Health Needs Assessment Implementation Strategy and will begin executing the 2020-2023 plan, based on the needs identified in the Community Health Needs Assessment Report. 
 
The report identifies the health system’s four top priorities and the Implementation Strategy outlines methods to address these needs. The four priorities are access to healthcare services, cardiovascular and respiratory conditions (includes stroke and tobacco use), mental health and substance use disorder and nutrition, physical activity and weight (includes diabetes). 
 
Last November, Lee Health announced the release of the 2020 Community Health Needs Assessment, a systematic data-driven report that studies the health status, behaviors and needs of people living in Lee County. The purpose of the assessment is to identify major health concerns, gaps in services and other factors that may contribute to less than optimal health status for local residents.
 
“Based on the results of this process, the health system, its hospitals and community partners have worked together to develop strategies to address the highest areas of need,” said Chris Simoneau, chief foundation and development officer for Lee Health. “Implementation of programs identified in the plan are system- and community-wide and capitalize on opportunities to improve the health care delivery model and the health status of the residents of Lee County.”
 
Some program initiatives highlighted in the plan include:
 
The launch of healthy cooking demonstrations in conjunction with food distribution partners
Support community collaborations to increase behavioral health programs and services
Vaping and tobacco prevention education programs and initiatives targeting youth and young adults
Community collaborations addressing transportation as a barrier to access
Provide screenings, education and referrals in partnership with community stakeholders
Increase provider involvement in physical activity recommendation for improved health outcomes. 
 
“As a health care leader, Lee Health is committed to advancing health and wellness in the communities we serve,” said Larry Antonucci M.D., MBA, President and CEO at Lee Health. “We look forward to working with our community partners to continue to provide life-changing programs and services.”
 
The implementation plan integrates Lee Health’s mission and commitment to ongoing investments in the community to improve overall health of the community through strategic partnerships, strengthen integration and connection of health programs and services for defined populations and decrease avoidable hospital utilization and readmission.  
Not-for-profit hospitals and health systems are required to assess community health needs and provide community benefit reports annually every three years. Lee Health has been doing this for many years prior to such a requirement. 
 
Further information about the Community Health Needs Assessment and its implementation plan is available at www.leehealth.org/about-us/community-affairs/community-health-needs-assessment.
 
 
About Lee Health
Since the opening of the first hospital in 1916, Lee Health has been a health care leader in Southwest Florida, constantly evolving to meet the needs of the community. A non-profit, integrated health care services organization, Lee Health is committed to the well-being of every individual served, focused on healthy living and maintaining good health. Staffed by caring people, inspiring health, services are conveniently located throughout the community 
 
 
 
 



Harvard Professor and Physician to Discuss Personal Addiction to Opioids
Palm Beach County Medical Society Services

2021 Opioid Educational Series
April 23, 2021, 1-2 p.m.
 
When detectives showed up at the medical practice of Peter Grinspoon, M.D. to charge him with fraudulently obtaining controlled substances, he finally faced his addiction.  In his book, Free Refills: A Doctor Confronts His Addiction, Dr. Grinspoon details how he went from a Harvard-educated M.D. with a thriving practice, two great kids, a gorgeous wife, and status as a pillar of his community to an “addict”  fueled on a daily boatload of meds he prescribed to himself.
 
Attendees at the Palm Beach County Medical Society Services’ Opioid Educational Series will meet Dr. Grinspoon and learn details about this harrowing journey.   Recovered from his opiate addiction, he is now a national leader on the issue of physician health. Hear more about his story in this podcast, facilitated by PBCMS Members Drs. Brent Schillinger and Abbey Strauss, Peter Grinspoon, MD His Addiction and Recovery.
 
The online webinar is free and open to the public, but registration is required.
 
WHEN:
April 23, 2021, from 1-2 p.m.
 
HOW:
 
 
ABOUT DR. GRINSPOON
Peter Grinspoon, M.D. currently is a primary care physician at Massachusetts General Hospital, an instructor at Harvard Medical School and a certified Health and Wellness Coach. He is a board member of the advocacy group Doctors for Cannabis Regulation and a contributing editor to Harvard Health Publications. He spent two years as an Associate Director of the Massachusetts Physician Health Service helping physicians with addiction and mental health issues. 
 
He graduated with honors in philosophy from Swarthmore College. Before medical school, he spent five years as a Campaign Director at Greenpeace, working on the nuclear free seas campaign. He attended medical school at Boston University School of Medicine. His internship and residency were in Internal Medicine at Brigham and Women’s Hospital. His story has been featured on such national media outlets as NBC Nightly News, C-Span NPR, The Washington Post, People Magazine and USA Today.
 
THE EVENT IS FREE AND OPEN TO THE PUBLIC, ALTHOUGH DIRECTED AT PHYSICIANS AND OTHER HEALTH CARE WORKERS.
 
ABOUT PALM BEACH COUNTY MEDICAL SOCIETY SERIVCES
The nonprofit arm of the Medical Society provides and coordinates continuing medical education for physicians and allied health professionals. PBCMS Services also works to inform and educate the public about health care issues, strives to find ways to improve patient access to health care, and collects and studies information on the health care delivery system.
 
The overarching goal of the Opioid Healthcare Response program is to reduce opioid deaths in Palm Beach County through an evidenced-based comprehensive strategy that recognizes addiction as a medical illness. The key elements of the initiative are prevention, treatment, rescue and recovery, all tied to specific outcome metrics.
 
For more information, visit https://www.pbcms.org/opioid-addiction-treatment-resources.