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.
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.
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.
Board Certified Internist in Jupiter, FLDr. Amir Lubarsky's love of medicine allows him to listen compassionately and intently to his patients in order to provide the best outcomes.
Board Certified Internal Medicine Doctor in Jupiter, FLDr. Morgan Poncy is a board certified internist who was raised in the Jupiter area.
What is chronic fatigue syndrome?CFS/ME comprises a constellation of symptoms that can vary significantly from person to person. In addition, because in years past there were no laboratory tests that could identify it, the illness was derisively dismissed as largely imaginary by family, friends, and sometimes—unfortunately—even by their doctors. The Centers for Disease Control and Prevention (CDC) lists three primary or “core” symptoms required for a diagnosis of ME/CFS:
- greatly lowered ability to do activities that were usual before the illness
- worsening of ME/CFS symptoms after physical or mental activity
- not feeling better or less tired despite a full night’s sleep, or having trouble falling asleep or staying asleep
- problems with thinking or remembering (often described as “brain fog”); or,
- worsening of symptoms while standing or sitting upright, feeling weak or faint while standing or sitting up, or such vision changes as blurring or seeing spots.
CFS can occur at any age, and tends to affect women more often than men.Sufferers variously complain of a galaxy of symptoms, which can include:
- flu-like symptoms
- muscle aches and pain
- unexplained joint pain
- tender lymph nodes in the neck or armpits
- frequent sore throats
- digestive issues like irritable bowel syndrome
- chills and night sweats
- sensitivities to foods, odors, chemicals, or noise
Definitive proofUntil 2017, a diagnosis of CFS was made through exhaustive testing for other diseases that might share some of the symptoms, and ruling those out as possible causes. These include anemia, diabetes, hypothyroidism, various sleep disorders, and certain mental health issues. But a research team at Stanford University in California published a paper in 2017 in the journal Proceedings of the National Academy of Sciences (PNAS) detailing the results of their study on ME/CFS. They looked at the serum cytokines (blood proteins) of 192 ME/CFS patients versus 392 healthy patients, and found that concentrations of 17 different cytokines rose in concert with the severity of a patient’s symptoms. According to Mark Davis, senior author of the study, “Our findings show clearly that it’s an inflammatory disease and provide a solid basis for a diagnostic blood test.” This blood test, however, is still an indicator rather than a definitive diagnosis. Other researchers at Columbia University’s Mailman School of Public Health are focusing on metabolites, which they say can diagnose ME/CFS with an accuracy of 84 percent.
Similar post-COVID-19 complaintsOther researchers have focused in on patients’ lasting fatigue, which is a common occurrence after infection with any type of virus. For COVID-19 survivors, however, this symptom appears more pronounced than after other viral infections like the flu. That may be due to the so-called “cytokine storm” in which the body’s natural defenses (cytokines) go into overdrive in trying to fight off this previously unknown invader, and damage the body itself in the process. In the roughly six months since the world has been dealing with the SARS-CoV-2 virus, researchers and clinicians have been seeing ME/CFS-type complaints from many survivors of COVID-19. They suspect that at least some of these people could be on track to develop ME/CFS, which is commonly diagnosed in patients whose post-viral symptoms persist for six months or longer.
Relief, but no cureThe unfortunate reality of CFS is that there is no known cure. Treatment consists of a variety of approaches to help relieve and cope with symptoms. The CDC recommends that patients should focus on which symptoms are the most problematic, and address them first. It suggests a variety of therapies including:
- professional counseling to help find strategies to cope with the illness and its impact on daily life and relationships
- a balanced diet
- nutritional supplements based on blood tests to see whether any nutrient levels are lacking
- complementary therapies such as meditation, gentle massage, deep breathing, or relaxation therapy
My husband and I have been patients of Dr. Poncy for over ten years and have been extremely pleased and happy for him. He is not only a brilliant internist, but also a wonderful person. Now that he and his partner, Dr. Lubarsky, have opened the concierge practice it is better than ever. The nursing staff is superlative as is the front office staff. The office is very well appointed and comfortable. We feel very fortunate to have such a competent and caring physician.
About 11 years ago, I first met with Dr. Poncy. I came away from my appointment with him confident he understood my problem and contributed some thoughtful suggestions. Over the years, he has never changed. The outstanding staff Dr. Poncy has put together, along with his partner, Dr. Lubarsky, are the best! I honestly feel, when I have an appointment, it is like visiting "family".
I recommend Dr Lubarsky emphatically. He is a true professional: thorough, compassionate and an excellent diagnostician!
We have been concierge members for only 6 months but so far we have been very pleased. The office atmosphere is very relaxed and the doctor is able to give us the time we need. Time in the waiting room is minimal and we have been able to obtain spur of the moment appointments with no difficulty. We are happy that we joined
The new practice has a very warm, friendly, feeling to it. We don't have long waiting times. Everyone is very prompt.
I have been a patient for over 30 years. I actually look forwarded to a visit. Pleasant, professional in every way, I consider myself very lucky.
A great Dr. & great staff, minimum wait time. Spends as much time with you as you need. Same day appointments.
Dr. Poncy has been my primary care doctor for over 8 years. I've known Dr. Poncy for over 8 years. My neighbor recommended him for my diabetes and heart problem. The staff at Dr. Poncy's office is always very pleasant and Dr. Poncy is very patient to my concerns.
I have been a patient of Dr. Lubarsky since 2004. He has been such a great physician to me and my wife for several years. Recently, I was hospitalized at Jupiter Medical Center. My wife contacted him and he immediately responded and came to the hospital. Without Dr. Lubarsky's support, I don't think I would be at the health level I am at today.
I'm a big fan of Dr. Lubarsky! After moving from New York, I researched area Internist throughout Jupiter and Palm Beach Gardens. Dr. Lubarsky was a home run!