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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Every year, more than 500,000 people go to emergency rooms for problems associated with kidney stones, according to the National Kidney Foundation (NKF). And if you’ve ever had one, the intense pain you experience will ensure you’ll never want to have another one.

Preventing Kidney Stones

Every year, more than 500,000 people go to emergency rooms for problems associated with kidney stones, according to the National Kidney Foundation (NKF). And if you’ve ever had one, the intense pain you experience will ensure you’ll never want to have another one. Our concierge family practice doctors at MD 2.0 in Jupiter want to give you the facts on this common disorder and tell you how to prevent them. How common are kidney stones? According to the NKF, kidney stones are becoming more common. The prevalence of kidney stones in the U.S. increased from 3.8 percent in the late 1970s to 8.8 percent in the late 2000s. This increase was seen in both men and women and in all races. Kidney stones are found in children as young as five years. The NKF attributes the rise in kidney stones to several factors, mostly related to our increased consumption of high-salt foods, including chips, fries, sandwich meats, and even some sports drinks. The lifetime risk of kidney stones is about 19 percent in men and nine percent in women, the NKF reports. In men, the first episode is most likely to occur after age 30, but it can occur earlier. What is a kidney stone? A kidney stone is a hard object made from chemicals found in urine, which contains various wastes. When there is too much waste in too little liquid, crystals begin to form and attract other elements that harden into a solid object (called “stones”). The stone begins in the kidney, and it can either remain there or travel down the urinary tract into the ureter. If it’s not small enough to pass out with the urine, it can cause a back-up of urine in the kidney, ureter, bladder, or urethra, causing pain, as well as serious complications. Although genetics play a role in whether you are predisposed to develop kidney stones, they can also occur in conjunction with other diseases such as obesity, diabetes, high blood pressure, and various infections. The NKF says other possible causes include too much or too little exercise, weight-loss surgery, drinking too little water, or consuming food with too much salt or sugar. Symptoms of a kidney stone The symptoms of a kidney stone can mimic those of other diseases and conditions, which is why they need to be confirmed medically. But in general, typical symptoms of a kidney stone include: • severe pain on either side of the lower back • vague pain or stomach pain that doesn’t go away • blood in the urine • nausea or vomiting • fever and chills • urine that smells bad or looks cloudy. Because these symptoms can be a sign of other serious problems, it’s important to see us if you experience any of them. In addition, a kidney stone that has grown too large to pass through the ureter can not only damage the kidney, it can prove to be fatal. How to avoid kidney stones The best way to avoid kidney stones is to drink a lot of fluid, at least 64 ounces a day. Adding lemon or lime juice (but not sugar) can help acidify the urine and guard against stone formation. “Nothing, nothing, trumps fluids,” Dr. Ralph Clayman, a professor of urology at the University of California, Irvine, told CNN. “If you’re drinking three quarts a day and making two-and-a-half quarts of urine a day, that’s the best way you can protect and defend either against getting a kidney stone or, if you’ve had them, defend against getting them again,” he said. The NKF also recommends you stay well hydrated, especially when you’re engaging in activities that cause heavy perspiration: saunas, hot yoga, or heavy exercise, for example. The more you sweat, the less you urinate, which allows for stone-causing materials to settle and bond in the kidneys and urinary tract. The popular belief that consuming dairy products contributes to stone formation turns out to be a myth; in fact, the opposite is true. Eating or drinking three servings of calcium a day helps lower your risk. Soy and almond milk, however, contain high levels of a compound called oxalate, a known contributor to the formation of kidney stones, so consumption of these products should be limited or avoided if you’re prone to kidney stones. The NKF also recommends avoiding such oxalate-rich foods as nuts, seeds, legumes, beets, tea, and chocolate. Finally, high-sodium food and drinks can contribute to the formation of stones, so not only should you avoid salt, but also processed foods (which are high in sodium), as well as canned and pickled foods. If you think you have a kidney stone, see us as soon as possible. We can confirm whether your symptoms signal a kidney stone or another problem. We can also prescribe pain medication and/or alpha blockers that will relax the muscles in the ureter. Most kidney stones eventually pass, but large stones may require surgery.
Wal-Mart, CVS, Rite Aid, and Walgreens this month pulled the over-the-counter (OTC) heartburn drug Zantac from their shelves.

What You Should Know About the Zantac Recall

Wal-Mart, CVS, Rite Aid, and Walgreens this month pulled the over-the-counter (OTC) heartburn drug Zantac from their shelves, over concerns that it contains a chemical possibly linked to cancer. Other countries, including Canada, France, Hong Kong, and India, have issued recalls for Zantac and its generic version, ranitidine. This is a radical step that CVS said it was taking “out of an abundance of caution.” Is this an overreaction, or is it justified? Our concierge family doctors at MD 2.0 in Jupiter want to give you the latest information available about this popular OTC product and offer some alternatives. Background The chemical in question, nitrosodimethylamine (NDMA), is a type of nitrosamine, a known carcinogenic chemical also present in small amounts in some processed and grilled meats, as well as water, dairy foods, and even some vegetables. This is the same contaminant that prompted the recall of various blood-pressure drugs earlier this year. Last month, the U.S. Food and Drug Administration (FDA) issued an alert reporting that some random Zantac samples it had tested contained NDMA. The alert warned that it found low but “unacceptable” levels of NDMA, but stopped short of recommending a recall of the product. It did, however, recommend that patients who take the drug regularly consider switching to an alternative medication. Zantac alternatives Because each person is different and reacts to various drugs differently, the marketplace has produced a number of medications made to treat heartburn, or gastroesophageal reflux disease (GERD). This includes Pepcid (generic name famotidine) and Tagamet (generic name cimetidine), which are in the same family as ranitidine but so far have not been found to contain NDMA. This class of drugs is known as H2 receptor blockers, which work by reducing the amount of stomach acid secreted by the stomach lining. They normally reduce or eliminate heartburn within about an hour. Then there are the popular proton pump inhibitors (PPIs), including Prilosec (omeprazole), Nexium (esomeprazole), Protonix (pantoprazole), and Prevacid (lansoprazole). PPIs work by blocking and reducing the production of stomach acid, and take longer to work than the H2 receptor blockers, often several weeks. And of course PPIs carry their own possible risks when used long-term. These include higher risks for kidney disease, fractures, dementia, and cardiovascular problems, including heart attacks. The old standbys that preceded both H2 receptor blockers and PPIs are the OTC antacids like Tums, Maalox, and Rolaids. While they can cause either constipation or diarrhea in some, they are generally safe to use. Lifestyle changes But what can you do about the pain of heartburn (an aptly named condition)? Start with lifestyle changes. 1. Identify triggers Some people can tolerate chocolate, tomatoes, spicy foods, alcohol, garlic, citrus foods, ginger, and other foods with no problem at all. Those who are prone to GERD, however, quickly learn to avoid such triggers, either under certain conditions or in certain combinations or all the time. Greasy, fried, and fatty foods are also well-known contributors to heartburn, as are fizzy drinks and tobacco smoke. Know which foods to avoid. 2. Lose abdominal weight Excess weight carried around the middle can constrict internal organs, causing upward pressure on the stomach and forcing acid upward into the esophagus, triggering heartburn. The same is true for constricting clothing such as tight waistbands or girdles. Even a heavy meal can have this effect, especially right before bed. Try to eat dinner at least two hours before retiring for the night. 3. Sleep on a slant Either elevate the top half of your bed or sleep propped up on pillows to keep stomach acid from draining into the esophagus. Some people also find relief by sleeping on their left side, which also tends to keep acid contained in the stomach. 4. Reduce stress Among other ill effects, stress can lead to an increase in production of stomach acid, and thus an increase in GERD. Try relaxation or meditation techniques, hobbies, or just slowing down in general as much as possible. Home remedies There are dozens of heartburn remedies that many people swear by including apple cider vinegar, aloe juice, and baking soda mixed in water, which will neutralize stomach acid. These or others may work for you. If you have questions about Zantac or any other heartburn medication you’re taking, feel free to ask us, especially if you’re worried about the recall. And if heartburn is a continuing problem for you, be sure to let us know. It could be masking an ulcer, which requires medical treatment.

Get Started Today With Personalized Medical Care

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