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.
The facts• According to the Centers for Disease Control and Prevention (CDC), an estimated six million to 12 million infestations occur each year in the U.S. among children ages three to 11. And, although creepy, head lice are not known to spread disease. • Head lice are found worldwide. In this country, infestation with head lice is most common among pre-school children attending child care, elementary schoolchildren, and the household members of infested children. • Head lice are found in three forms: the egg (also called a “nit”), the nymph, and the adult. • Personal hygiene or cleanliness in the home or school has nothing to do with getting head lice, the CDC says. Head lice move by crawling; they cannot hop or fly. They are spread by direct contact with the hair of an infested person. Anyone who comes into head-to-head contact with someone who already has head lice is at greatest risk. • Despite the old myths, it is very uncommon to pick them up by sharing hats, scarves, coats, combs, brushes, towels, headphones, or any other personal items, although it can happen. Dogs, cats, and other pets do not play a role in the spread of head lice. • Head lice and their nits soon die if they have no human host to feed on; nits need temperatures close to that found on the human scalp in order to hatch. • The CDC, the American Academy of Pediatrics, and the National Association of School Nurses all take issue with the “no nits” policy of many school systems nationwide, which prevent children with head lice from attending school; these organizations contend that head lice are not a public health risk.
How to spot head liceOften parents have little warning about an infestation of head lice until they’re combing or styling their child’s hair. Head lice and their nits are found almost exclusively on the scalp, particularly around and behind the ears and near the neckline at the back of the head. Less commonly, head lice can also be found on the eyelashes or eyebrows. The nits can range in color from white to brown and may look like dandruff, scabs, or droplets of hairspray. A fully grown, developed adult louse is about the size of a sesame seed, has six legs, and is tan to grayish-white in color. Other signs and symptoms include: • a tickling feeling of something moving in the hair; • itching caused by an allergic reaction to the bites of the creature; • irritability and difficulty sleeping (head lice are most active in the dark); or, • sores on the head caused by scratching, which can sometimes become infected with bacteria found on the person’s skin.
How to treat themThe adult female head louse lays her eggs at the base of the hair shaft nearest the scalp, and are firmly attached there. They hold tightly to the hair with hook-like claws at the end of each of their six legs. Nits are so firmly cemented to the hair shaft that they can be difficult to remove even after they hatch and the empty casings remain. Most home remedies have been found not to work. The most dangerous of these is gasoline, which the CDC emphatically warns against using. The CDC recommends treatment with either an over-the-counter (OTC) preparation or a prescription medication known as a pediculicide, following the instructions on the label carefully. It also warns against using a combination shampoo/conditioner or conditioner alone prior to treatment, and advises not to re-wash hair for one to two days after treatment. If a few live lice are still found eight to 12 hours after treatment, but are moving more slowly than before, do not re-treat. If live lice are still evident after this period, talk to us for the best way to proceed. Some head lice have developed a resistance to OTC treatments and may require a prescription product. Also, if you’re still not sure whether your child has an infestation, we can make a definitive diagnosis; we can also tell you whether the infestation is still active and recommend ways to treat it.
BackgroundJellyfish aren’t actually fish, but invertebrates that have been around for more than 500 million years. Also known as “jellies” or “sea jellies,” their long, stinging tentacles are used to catch, immobilize, and digest prey. They exist in every ocean. The most dangerous type of marine animal is the box jellyfish, whose venom is one of the world’s deadliest. Its sting is so painful that swimmers have been known to have a heart attack or drown before being able to reach the shore. Fortunately for us, they are mainly confined to the Indo-Pacific region and northern Australia. Scientists can’t prove that jellyfish are more numerous than in years past, but it is clear that they are expanding their territory. Theories as to the reason include climate change, agricultural runoff, and overfishing of their predators, which include tuna, swordfish, and sharks.
How to avoid stingsAs with any wild creature, the best way to keep from being attacked is to avoid them. One way to do that is to ask the lifeguard on duty whether jellyfish are prevalent where you’re planning to swim. Also, look for signs or a purple warning flag posted on the beach. These indicate that either jellyfish or other dangerous sea creatures have been spotted in the water. If so, stay out of the water! You can also identify them yourself: They look like clear or white plastic bags or balloons, either floating on the water or on the beach. If you do see them on the beach, do not touch them. Jellyfish tentacles can sting for up to two weeks after they’ve died. Wear some type of protective footwear when walking on the beach, because jellyfish—as well as any detached tentacles—can be difficult to spot. Don’t depend on a wetsuit or coating your body with petroleum jelly to protect you. These may help, but they are not sting-proof. If you must go into the water, special “stinger suits” for sale at some dive shops may offer some protection.
What not to doBecause jellyfish have plagued humans since the first time we set foot in the ocean, many home remedies have sprung up over the millennia regarding the best way to treat their stings. Many of them, in fact, will not only not help, but can actually exacerbate a sting. These include applying: • ice • fresh water • baking soda • urine • ammonia • meat tenderizer • alcohol All of these can make the sting worse by triggering the release of more venom, as can applying ice or a pressure bandage, or rubbing the site briskly with a towel.
What to do insteadThe most recent research finds that the best ways to treat jelly fish stings is to immediately douse the site of the sting with vinegar (always bring some with you to the beach). Then carefully pluck out any visible tentacles with fine point tweezers. Save these for later identification in case a dose of antivenin is required. Soak affected skin in hot water between 110 to 113 degrees Fahrenheit for a minimum of 20 minutes; 45 minutes is better. If you don’t have a thermometer available, test the water with your hand. It should be hot but not scalding. A mild hydrocortisone cream or an oral antihistamine can help relieve itching and swelling. Finally, clean open sores three times daily, finishing with antibiotic ointment.
When to seek medical treatmentThe following situations require immediate emergency care following a jellyfish sting: • a sting on or near the eyes; • the sting is from a box jellyfish (identifiable by its boxy shape); • the sting covers more than half an arm or leg; or, • the victim displays signs of a severe allergic reaction (i.e., trouble breathing or swallowing, coughing, wheezing, chest pain or tightness in the lungs, low blood pressure, weak or rapid pulse, dizziness, confusion, or fainting, or any other unusual symptom). For less serious reactions, such as severe pain, if the area looks infected or the victim feels unwell, feel free to contact us at any time for advice and/or treatment.
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!