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.
Our concierge primary care doctors in Jupiter have been monitoring the news for the most recent updates on the coronavirus vaccines. As we’ve been finding out more, we want to share the latest news with you. Today, we discuss what women should know about the COVID-19 vaccines.
Last month the Centers for Disease Control and Prevention (CDC) finally resolved the question of whether pregnant women could safely receive COVID-19 vaccines. The question arose because the initial trials for the vaccines had excluded pregnant women. As a result, different health organizations had offered conflicting guidance.
But CDC Director Rochelle Walensky said during a recent White House coronavirus briefing that vaccine-reporting systems had shown no safety concerns. This includes women in their third trimester and for their babies.
“We know that this is a deeply personal decision,” she said, “and I encourage people to talk to their doctors and their primary care providers to determine what is best for them and for their baby.”
This is welcome news for women. Many want to receive the vaccine, but have been leery of taking it for fear of harming their unborn babies.
In fact, just the opposite seems to be true, according to several recent preliminary studies. These have consistently shown women who received one of the mRNA vaccines (either Pfizer or Moderna) while pregnant appear to pass COVID-19 antibodies to their babies before birth. And at least one study has detected antibodies in the mothers’ breast milk. (Such studies have not yet been conducted on the newer Johnson & Johnson vaccine.)
The discovery of COVID-19 antibodies in pregnant women’s umbilical cord blood confirmed earlier observations. Mothers could transfer immunity to their babies by receiving the vaccine. This is good news, since babies (and young children) cannot yet be vaccinated for the coronavirus. It also protects their mothers, according to the CDC. Pregnancy is a high-risk factor for severe illness and complications from COVID-19, including preterm birth,
Mammograms and the vaccine
Getting mammograms shortly after receiving a coronavirus vaccine, however, is another story. That’s because the timing of the vaccine can affect the read of the mammogram, according to a recent report from West Palm Beach on WPTV.
Dr. Courtney Hoey, a breast radiologist at Good Samaritan Medical Center, told the station that radiologists do more than just examine the breast tissue for signs of cancer.
“We don’t just look at abnormalities within your breast tissue,” she said. “We look at things like the skin and lymph nodes in the underarm area.” Because a COVID-19 vaccine—specifically, the Moderna vaccine—can cause temporary swelling in the nodes under the arm where women receive the vaccine, this can affect the accuracy of the mammogram.
Such swelling is a good sign, she said, because it means the immune response is working. But it could necessitate a follow-up ultrasound just to be sure.
Nevertheless, she advises women not to hesitate receiving the vaccine, because that’s more important. Unless there are breast issues such as new symptoms, pain, lumps, or nipple discharge, it’s better to get the vaccine as soon as possible, she said.
If you feel you need a mammogram due to such issues, go ahead and do both. Let your radiologist know that you’ve just had the vaccine, and they can take that into account.
The Johnson & Johnson vaccine
With the Johnson & Johnson vaccine, of the 15 cases of rare blood clots reported, all occurred in women under age 60. Three of those have died, while seven remain hospitalized, four in critical condition.
Washington Post columnist Dr. Leana Wen estimates 15 cases out of eight million equals a risk of less than two in a million. But for women under 50, the risk rises to about one in 80,000. On the other hand, the CDC estimates for every million doses of the vaccine in women under age 50, 12 deaths would be prevented.
The CDC and the U.S. Food and Drug Administration (FDA) conducted a thorough review during a “pause” in distribution last month. The panel concluded that the vaccine’s distribution should resume with no restrictions.
Dr. Francis Collins, director of the National Institutes of Health (NIH), spoke with NBC’s Chuck Todd. He said the vaccine’s benefits outweigh the risk from possible blood clots.
“We clearly have a situation where the benefits greatly outweigh the risks, even for younger women,” he said on “Meet the Press” late last month.
Women under age 50 who are concerned about the blood clot risk with the Johnson & Johnson vaccine can opt for one of the other two if they’re available. If you don’t have a choice, we agree with Collins. The risk of those rare blood clots is weighed against the risk of dying from COVID-19- there’s no comparison. We recommend you get your COVID-19 vaccine as soon as possible.
If you have any concerns about these or other issues related to the vaccines, please don’t hesitate to ask us.
To our concierge family practice doctors in Jupiter, Florida, tea is the second-best beverage you can drink for good health. It comes as a close second, of course, to drinking water.
The practice of brewing leaves appears to go back at least 5,000 years, but its actual origins are hazy. The most persistent legend concerns a Chinese emperor who drank a bowl of hot water that was boiled for sanitary purposes. He was in his garden when a few leaves fell into his bowl, surprising him with the resulting pleasant flavor.
But a great deal of recent research has found there’s far more to be found in a cup of tea than a soothing drink.
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!