The Next Generation Of Health Care

The best concierge medical care in South Florida. Contact us today!

PRIMARY CARE

At MD 2.0, we provide patients with superior primary care. We want to be the first to know about any health concerns that may arise. Primary care is performed and managed by your personal physician, Dr. Poncy or Dr. Lubarsky who are available to you 24/7.

PREVENTATIVE HEALTH

Drs. Lubarsky and Poncy believe in more than just treating you when you are sick. Our preventative medicine doctors want to ensure you are healthy year round by promoting a healthy lifestyle, yearly executive level physical exams, and helping to prevent disease.

INTERNAL MEDICINE

At MD 2.0, our concierge physician practice focuses on providing high quality care and individualized attention to each patient. Our model allows us to spend more time with each patient, allowing us to work closely with you on prevention, diagnosis, and treatment of diseases and complex illnesses.

Personalized Primary Care

At our Concierge Family Practice, MD 2.0, our concierge medical doctors provide personalized, patient-centered care, and make it our primary goal. Here are just a few benefits of partnering with MD 2.0 in Jupiter for your primary healthcare needs:

  • Personalized and attentive care, for each and every patient
  • 24/7 access to our highly regarded, internal medicine physicians
  • Same-day appointments with shorter wait times and longer visits
  • A focus on total care of the patient, body, mind, and spirit
  • Prevention and optimal management of chronic conditions
  • Lifestyle, nutritional support, and anti-aging solutions
  • Unhurried, personable, and uninterrupted appointments

Meet Our Doctors

Conceirge-Medicine-Dr.-Amir-Lubarsky

Dr. Amir Lubarsky

Board Certified Internist in Jupiter, FL

Dr. Amir Lubarsky's love of medicine allows him to listen compassionately and intently to his patients in order to provide the best outcomes.
jupiter concierge medicine Morgan poncy

Dr. Morgan Poncy

Board Certified Internal Medicine Doctor in Jupiter, FL

Dr. Morgan Poncy is a board certified internist who was raised in the Jupiter area.

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According to the National Eczema Association (NEA), over 30 million Americans have eczema.

Questions and Answers About Eczema

Our concierge family doctors at MD 2.0 in Jupiter encounter many skin conditions in the course of treating our patients, but perhaps none is as frustrating as the common ailment known as eczema. Because this condition affects more than 30 million Americans, we’d like to explore the symptoms and triggers of this condition and explain how to treat it. What is eczema? Eczema (pronounced “egg-ze-muh”) is a term for a set of chronic skin conditions characterized by red, irritated, itchy skin, normally accompanied by a rash. The name is derived from a Greek word meaning “to boil over,” which perfectly describes the inflamed patches which accompany outbreaks. According to the National Eczema Association (NEA), over 30 million Americans have eczema, which results in symptoms ranging from mild to moderate to severe. Outbreaks can appear anywhere on the skin, and a person can have more than one type at the same time. Eczema is not contagious. Although usually beginning before age five, it can occur at any age. It can disappear for months and even years, then flare up again, although children who experience it normally outgrow it by their teens. Adults can develop eczema, even if they never had it as children. There are several types of eczema: • atopic dermatitis (the most common) • contact (also known as “allergic”) dermatitis • dyshidrotic (blisters on palms and/or feet) eczema • nummular (coin shaped) eczema • seborrheic (scalp) dermatitis • stasis (lower legs) dermatitis Those who develop atopic or contact dermatitis are also more likely to have asthma, hay fever, and/or food allergies. In addition, research suggests that people with eczema have higher rates of depression and anxiety. What are the symptoms? The symptoms of eczema are different for everyone. The most common symptoms of eczema include: • dry, sensitive skin • itching, usually severe • thickened, cracked, leathery, and/or scaly skin • oozing or crusting • red or brownish-gray patches • raw or swollen skin resulting from scratching Sufferers may experience some or all of these symptoms. In some cases, the itch that accompanies outbreaks becomes so severe that scratching leads to infection. It can also interfere with daily activities and interrupt sleep. What causes it? No one knows exactly what causes eczema, although a combination of genetic predisposition combined with an environmental trigger (or triggers) are the most likely suspects. According to the NEA, “People with eczema tend to have an over-reactive immune system that, when triggered by a substance outside or inside the body, responds by producing inflammation. It is inflammation that causes the red, itchy and painful symptoms common to most types of eczema.” Gene research also shows that some people who have eczema also have a mutation of the gene that controls production of a protein that creates a protective barrier on the skin’s top layer. Without this protein, skin becomes drier and bacteria and viruses have easier access to lower layers of the skin. Some common eczema triggers can include: • contact with rough or coarse material like wool or polyester • metals, especially nickel • dry skin • fragrances • exposure to some household products like soap, shampoo, or detergents • hot or cold weather • upper respiratory infections or colds • contact with animal dander, pollen, mold, or dust mites • stress Stress can be both a cause and a result of eczema outbreaks. How is it treated? While there is currently no cure for eczema, mild and intermittent outbreaks can usually be treated at home with lukewarm baths containing solutions of salt, vinegar, bleach, or oatmeal, and moisturizing immediately afterward. Some over-the-counter (OTC) products used to moisturize skin, relieve rashes, redness, and inflammation, or gentle cleansers may help. If the condition is so uncomfortable that it is affecting your sleep or daily activities, has become infected, or continues despite home remedies, we can help. In the past, we would prescribe topical steroids to treat eczema, but these often come with significant side effects, including thinning of the skin and broken capillaries, when used for extended periods of time. These days new classes of drugs allow for more effective treatment of the condition with fewer side effects. This includes the so-called “biologics” and immunomodulators. The former works by stopping the inflammation that triggers outbreaks and the latter by inducing anti-inflammatory effects on the skin. Photo (i.e., ultraviolet light) therapy has also shown promise in reducing symptoms, while antihistamines can reduce severe itching. Many types of skin conditions are grouped under the general diagnosis of eczema, each of which have different symptoms, triggers, and treatments. So it’s important to know which type you have. Please see us if you have any of the symptoms described above, or if the condition persists or worsens.
• People of all ages, sexes, and races can and do get arthritis, and arthritis is the leading cause of disability among adults in the U.S.

All About Arthritis, And What To Do If You Have It

September is Arthritis Awareness month, so our concierge family practice doctors at MD 2.0 in Jupiter want to provide the facts about this debilitating condition that affects 53 million American adults and 300,000 children.

The facts

According to the Arthritis Foundation (AF):
  • People of all ages, sexes, and races can and do get arthritis, and arthritis is the leading cause of disability among adults in the U.S.
  • The most common type of arthritis is osteoarthritis, which affects an estimated 31 million Americans.
  • Although arthritis is most commonly occurs with increasing age, children can also be diagnosed with a type of arthritis, known as juvenile idiopathic arthritis, or JIA.
  • By the year 2040, the number of people expected to have doctor-diagnosed arthritis will exceed 78 million.
  • Doctor-diagnosed arthritis is more common in women (26 percent) than in men (18 percent).
  • With some types, such as rheumatoid arthritis, women far outnumber men.
In addition, arthritis is much more common among people who have other chronic conditions:
  • 49 percent of adults with heart disease have arthritis;
  • 47 percent of adults with diabetes have arthritis; and,
  • 31 percent of adults who are obese have arthritis.

What is arthritis?

Arthritis is an informal way of referring to more than 100 types of joint disease, but the two most common forms are osteoarthritis and rheumatoid arthritis. The typical symptoms associated with arthritis are pain and swelling in the joints, stiffness, and decreased range of motion. Symptoms may come and go, and may be mild, moderate, or severe. Symptoms can stay the same for years, but may progress or get worse over time. Osteoarthritis (also known as degenerative arthritis) occurs when the cartilage—the slick, cushioning surface on the ends of the bones—wears away, causing bone to rub against bone, causing pain, swelling, and stiffness. Rheumatoid arthritis is a type of inflammatory arthritis. In other words, it mistakenly attacks the joints with uncontrolled inflammation, potentially causing joint erosion. The pain and swelling of rheumatoid arthritis is most often felt in the wrist and fingers, but rheumatoid arthritis can also spread to the lungs, heart, and eyes, among other organs. This is why it’s important to receive a definitive diagnosis.

Can it be prevented?

Unfortunately, there is no sure way to prevent arthritis, the AF says. However, there are some things you can do to mitigate your risk. The main risk factors for developing arthritis are:
  • a family history of the disorder;
  • being female;
  • having injured a joint in the past; and
  • obesity.
If you maintain a healthy weight, refrain from smoking, and eat a healthy diet low in sugar, alcohol, and purines, you can reduces your chances of developing the condition. In addition, the AF recommends avoiding sports injuries through use of proper equipment, adequate training, and safe play. This can help you avoid injuries that can lead to arthritis a few years or even decades later.

How to manage it

Unfortunately, there is no cure for arthritis. Severe cases may require surgery, including arthroscopy, and even more drastic measures such as knee or hip replacement. Other approaches to address the pain include steroid injections—which may ultimately damage the joint and cartilage—and platelet-rich-plasma (PRP) injections, which are often not covered by insurance. Meanwhile, the following steps can help manage the pain and symptoms:

• balancing activity with rest; • using hot and cold therapies; • engaging in regular physical activity; • strengthening the muscles around the joint for added support; • using assistive devices; • avoiding excessive repetitive movements; and • taking over-the-counter (OTC) pain relievers or anti-inflammatory medications.

If you already have mild to moderate symptoms of arthritis, the AF recommends you see us for a definitive diagnosis, because it’s important to learn which type of arthritis you may have. Testing includes a physical exam and, possibly, blood tests. If the diagnosis is uncertain, or the test results show the arthritis is inflammatory, you may be sent to a rheumatologist for additional care.

Get Started Today With Personalized Medical Care

The best concierge medical care in South Florida. Contact us today!