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As primary care doctors in Jupiter, it is our responsibility to stay informed about emerging health threats and provide the best care to our patients. Recently, we’ve observed a troubling trend in the rise of measles cases in the United States. The Centers for Disease Control and Prevention (CDC) has reported a significant increase in measles infections in 2024, with the number of cases more than tripling compared to last year.

Current Statistics and Outbreaks

As of the latest update, there have been 188 reported cases of measles in the U.S. this year, a stark contrast to the 58 cases reported in the same period last year. Outbreaks, defined as three or more related cases, account for approximately 65% of this year’s infections. In 2024, we’ve seen 13 outbreaks compared to just four in 2023, underscoring the escalating concern.

Hospitalizations and Vaccination Status

Nearly half of the reported cases this year have necessitated hospitalization for isolation or to manage complications. This highlights the severity of measles and the critical importance of early intervention and effective management.

Alarmingly, 85% of those infected were either unvaccinated or had unknown vaccination statuses. Only a small fraction had received one or two doses of the Measles, Mumps, and Rubella (MMR) vaccine. This data reinforces the well-established medical consensus that vaccination significantly reduces the risk of contracting measles.

The Importance of Vaccination

As primary care physicians, we cannot stress enough the importance of vaccination in preventing measles. The MMR vaccine is highly effective, and the risk of contracting measles post-vaccination is extremely low. Despite the increase in cases, it is crucial to remember that vaccination remains our best defense against this highly contagious and potentially deadly disease.

Understanding Measles

Measles is an airborne disease characterized by high fever, malaise, cough, coryza, conjunctivitis, followed by a distinctive rash. It can lead to severe complications, particularly in children, and can be fatal. Given its highly contagious nature, it is imperative to maintain high vaccination coverage to prevent outbreaks.

Reflecting on Historical Data

While the current surge is concerning, it is important to put it into perspective. The number of cases in 2024, although higher than in 2023, is still significantly lower than the almost 1,300 cases reported in 2019. This comparison serves as a reminder of the importance of ongoing vigilance and vaccination efforts.

Conclusion

As primary care doctors, we urge our patients and the public to stay informed and take proactive steps to protect themselves and their communities. Vaccination is a critical component of public health, and ensuring widespread coverage is essential in preventing future outbreaks. We remain committed to providing the best care and advice to keep our communities safe and healthy.

What You Need to Know

At least two people have tragically lost their lives, and more than two dozen have been hospitalized due to a listeria outbreak linked to meat sliced at grocery store deli counters. The Centers for Disease Control and Prevention (CDC) reported that 28 people across 12 states have been affected, with most cases occurring in New York. The deaths have been reported in Illinois and New Jersey.

The Source of the Outbreak

While the CDC is still investigating the specific source of the outbreak, it has identified deli-sliced turkey, liverwurst, and ham as commonly reported foods among those affected. However, no information currently links prepackaged deli meats to the outbreak.

Recognizing Listeria Symptoms

Listeria infections can be severe and manifest with the following symptoms:

• Fever
• Muscle aches
• Tiredness
• Stiff neck
• Confusion
• Loss of balance
• Convulsions

These symptoms can appear rapidly or take up to 10 weeks after consuming contaminated food.

Who Is Most at Risk?

Listeria infections pose a significant risk to certain groups, including:

• Individuals older than 65
• People with weakened immune systems
• Pregnant individuals, as the infection can lead to miscarriages

The recent outbreak affected individuals aged 32 to 94, with a median age of 75. Thankfully, one pregnant individual who contracted listeria was able to retain the pregnancy.

Preventive Measures

To protect yourself and your loved ones, consider the following preventive measures:

• Avoid consuming deli meats unless thoroughly heated to an internal temperature of 165°F.
• Ensure your refrigerator is set to 40°F or lower and your freezer to 0°F or lower to prevent bacterial growth.
• Wash your hands, utensils, and food preparation surfaces thoroughly after handling raw meats.
• Pregnant individuals, older adults, and those with weakened immune systems should be particularly cautious with deli meats and other high-risk foods.

Stay Informed and Safe

Our primary care doctors in Jupiter are here to support you. If you have consumed deli meats recently and are experiencing any of the symptoms listed above, please contact our office immediately. Early detection and treatment are crucial in managing listeria infections.

Stay informed by following the updates from the CDC, and don’t hesitate to reach out to us with any concerns or questions. Your health and safety are our top priorities.

Stay safe, stay healthy, and remember, we are here for you.

As the summer heat intensifies, it’s crucial to know how extreme temperatures can impact your medications. For patients of our primary care concierge doctor’s office, staying informed about these effects can help prevent adverse health outcomes and ensure the efficacy of your treatments. Our primary care doctors in Jupiter have the information you need to know about managing your medications during a heatwave:

Medicines Susceptible to Heat Damage

Certain medications are particularly vulnerable to high temperatures, which can alter their effectiveness and safety:

1. Blood Pressure Medications: Diuretics reduce fluid in the blood, increasing the risk of dehydration. Beta-blockers can decrease blood flow to the skin, reducing your ability to sense heat.
2. Antidepressants: Some antidepressants can impair the body’s ability to cool itself, exacerbating the risk of heat-related illnesses.
3. Pain Relievers: Medications like aspirin can deplete fluid and sodium levels, heightening the risk of dehydration.
4. Antibiotics and Acne Treatments: These can increase sensitivity to the sun, leading to rashes or severe sunburns. Using sun-protective clothing and high-SPF sunscreen is advisable.

Combining these medications with heat exposure can lead to dizziness, lightheadedness, and falls. Alcohol can amplify these effects, so it’s best to limit its consumption during hot weather.

Proper Storage of Medications

Unless otherwise specified, medications generally need to be stored in cool, dry places. Here are some tips for managing your medicines during travel or extreme heat:

• Traveling by Car: Keep medications in a cooler with ice packs to maintain a safe temperature.
• Flying: Carry medications in your carry-on bag, as the cargo hold can reach freezing temperatures.
• Home Storage: Avoid storing medications in hot areas like cars or near windows.

Concerns with Mail-Order Prescriptions

Mail-order prescriptions are convenient but can be vulnerable to temperature extremes during transit. Here’s how to ensure their safety:

• Storage and Shipping: Pharmacies should ship heat-sensitive medications with ice packs and temperature monitors.
• Upon Delivery: If you suspect your medication was exposed to excessive heat, contact your pharmacy immediately to discuss replacement options.

Research and Recommendations

The interaction between heat and medications is an evolving area of study. Some common concerns may lack extensive scientific backing, but it’s crucial to err on the side of caution:

• Behavioral Adjustments: Stay out of direct sunlight and remain hydrated. These practices can help mitigate the heat’s impact on your medications.
• Consult Your Doctor: Discuss any concerns about your medications and heat exposure with your healthcare provider.

Dr. Renee Salas of Massachusetts General Hospital emphasizes the growing need to identify medications most at risk as climate change progresses. Staying informed and proactive about your medication management can help you stay healthy during extreme heat conditions.

If you have questions about your medications and how to protect them from heat, please contact our office or consult your pharmacist. Your health and safety are our top priorities.

For more information, visit our website or follow us on Facebook for regular updates and tips on staying healthy this summer.

Alzheimer’s disease remains one of the most challenging conditions faced by the medical community, with millions of Americans affected and numbers projected to rise sharply in the coming decades. However, recent developments have brought new hope to those battling this devastating disease. The FDA’s approval of Eli Lilly’s Kisunla, a monoclonal antibody infusion, marks a significant step forward in the treatment of mild to early cases of dementia caused by Alzheimer’s.

Understanding Kisunla: A Breakthrough in Alzheimer’s Treatment

Kisunla, also known as donanemab, is designed to slow cognitive decline in patients with early-stage Alzheimer’s. In a clinical trial involving 1,700 participants, patients receiving monthly IV infusions of donanemab experienced a 35% slower decline in cognitive abilities compared to those on a placebo. This improvement, though modest, provides a crucial window of opportunity for patients and their families to enjoy a better quality of life and more time together.

What This Means for Patients at MD2.0 in Jupiter, Florida

As a concierge primary care provider, MD2.0 in Jupiter, Florida, is committed to offering the latest and most effective treatments to our patients. The approval of Kisunla is particularly significant for our practice, where personalized care and cutting-edge medical advancements go hand in hand.

Dr. Suzanne Schindler, a neurologist at Washington University in St. Louis, emphasized the importance of having multiple treatment options available for Alzheimer’s patients. “I’m thrilled to have different options to help my patients,” she said. This sentiment resonates deeply with us at MD2.0, where we strive to provide the best possible outcomes for our patients.

Balancing Benefits and Risks

While Kisunla offers hope, it’s essential to weigh its benefits against potential downsides. The treatment involves regular IV infusions and carries risks such as brain swelling. Additionally, the cost of a year’s therapy with Kisunla is estimated at $32,000, higher than the $26,500 annual cost of Leqembi, another recently approved Alzheimer’s drug.

At MD2.0, we work closely with our patients to ensure they are fully informed about their treatment options. We believe in a collaborative approach, where patients and their families participate in making decisions that best suit their health and financial circumstances.

The Road Ahead

With an estimated 6.7 million Americans currently living with Alzheimer’s, and projections indicating this number could double by 2060, the need for effective treatments has never been greater. The approval of Kisunla is a promising development, offering a new ray of hope for those affected by this relentless disease.

As we continue to monitor advancements in Alzheimer’s research, MD2.0 remains dedicated to integrating the latest treatments into our practice. Our goal is to provide comprehensive, compassionate care tailored to each patient’s unique needs.

Conclusion

The FDA’s approval of Eli Lilly’s Kisunla represents a significant milestone in the fight against Alzheimer’s disease. For patients at MD2.0 in Jupiter, Florida, this new treatment offers a promising option for slowing the progression of cognitive decline. As always, we are here to guide our patients through every step of their healthcare journey, ensuring they receive the best possible care.

Stay informed about the latest Alzheimer’s treatment by following our blog and connecting with us on Facebook. Together, we can navigate the challenges of Alzheimer’s disease and work towards a brighter future.

At our primary care practice, we are dedicated to treating illnesses and helping you make lifestyle choices that promote overall well-being. One such choice involves the products we use in our homes daily. Recently, the story of Jordan Reddington and her journey to create synthetic-free candles caught our attention, and we wanted to share her inspiring story with you.

The Allergy That Sparked a Healthier Candle

Like many of us, Jordan Reddington loves the comforting aroma of candles after a long day. However, she discovered that her favorite candles were causing her health issues. Frequent headaches, dizziness, and a general sense of unease led her to investigate further. It turned out she had an allergy to methylisothiazolinone (MI), a synthetic preservative commonly found in many candles and home fragrance products.

Dr. Richard Lockey, a renowned allergist from USF, explains, “Allergic individuals are significantly more susceptible to irritants in the air, such as synthetic chemicals found in many household products.” This means that for those with allergies or sensitivities, like Jordan, traditional candles can pose a serious health risk.

Understanding the Risks of Synthetic Fragrances

A USF Professor of Medicine, Dr. Gaetane Michaud notes that “headaches and other symptoms can increase in certain individuals due to synthetic fragrances.” This aligns with Jordan’s experiences and highlights a growing awareness of the potential harm caused by synthetic chemicals in our everyday environment.

Jordan’s journey didn’t stop at identifying the problem. She embarked on a mission to create a safer alternative for herself and others who might be facing similar issues. Through extensive research, she learned that many commercial candles contain paraffin wax and other harmful chemicals, which, when burned, release toxins into the air.

Creating a Safer Home Environment

Determined to make a change, Jordan launched Canarie, a line of synthetic-free candles. She carefully selected ingredients that are both eco-friendly and health-conscious, using 100% soy wax, eco cotton wicks, and phthalate-free fragrance oils. These choices ensure that her candles are free from carcinogens and respiratory irritants, providing a safer option for those sensitive to synthetic fragrances.

Dr. Lockey advises, “Look for candles made with clean ingredients like soy-based wax and avoid those with chemicals that could cause discomfort.” This simple yet effective change can significantly improve indoor air quality and reduce health risks.

Making Informed Choices

As your primary care providers, we encourage you to consider the products you bring into your home. Opting for synthetic-free candles, like those from Canarie, is a small but impactful step toward a healthier lifestyle. Pay attention to product labels and choose items that promote well-being rather than compromise it.

Jordan’s story is a reminder of the power we have to make positive changes in our lives. By choosing products that align with our health needs, we can create a more harmonious and safe living environment.

For more tips on maintaining a healthy home or if you have any concerns about allergies and sensitivities, don’t hesitate to reach out to us. We are here to support your journey to better health.

Retired doctor Lawrence Ettinger finds himself in an unexpected position—back in the hospital, but this time as a patient. Since suffering a stroke in 2019, Ettinger has been on a journey to regain strength and mobility in his right side. Despite his efforts in physical therapy, progress was slow and frustrating.

“Just like that, out of the blue, I was hospitalized,” Ettinger recalls. Traditional therapy alone wasn’t yielding the desired results. “He just wasn’t getting significant benefit with physical therapy in terms of recovering strength or fine motor skills in his right arm,” explained Dr. Julia Pfaff of Orlando Health Bayfront Hospital in St. Petersburg.

This year, however, marked a turning point. Ettinger opted to try an innovative implanted device called Vivistim. “We heard about new things out there for stroke survivors. It was FDA approved and Medicare approved,” said Ettinger.

The Vivistim device, implanted in Ettinger’s left chest wall, can be activated via a remote or a magnet swipe across the chest. “It’s like a mobile mouse, if you will, and we have a computer program that communicates with Larry’s implant,” described his occupational therapist, Kristi Richardson. The device sends signals to the brain, encouraging the formation of new pathways to aid recovery.

“The therapy is not on 24/7. It’s only on during times when the patient is using it for rehabilitative purposes,” noted Dr. Pfaff. The results have been impressive. Ettinger’s wife, Alice, has noticed significant improvements. “He couldn’t move his arm at all, and now he can lift it and raise it,” she shared.

Both Dr. Pfaff and Richardson have been astonished by Ettinger’s progress. “He has made tremendous improvements. His performance in his everyday tasks has improved, his range of motion, his grip strength,” said Richardson. Dr. Pfaff added, “It’s incredible to see him here today lifting weights when he couldn’t even lift his right arm when he came to see me for the first time.”

Ettinger, with a background in clinical research, is optimistic about the future. “It’s an improvement. I’m a patient and a former clinical researcher. It’s well worth doing,” he affirmed.

Recognizing and Preventing Strokes

While advancements like the Vivistim device offer new hope for stroke recovery, prevention and early recognition remain crucial. Here are some tips on how to avoid a stroke and recognize its symptoms:

Ways to Prevent a Stroke:

1. Maintain a Healthy Diet: Consume a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Reduce salt, saturated fats, and cholesterol.
2. Exercise Regularly: Aim for at least 30 minutes of moderate physical activity most days of the week.
3. Control Blood Pressure: Monitor your blood pressure and follow your doctor’s advice to keep it within a healthy range.
4. Manage Diabetes: Keep blood sugar levels under control through diet, exercise, and medication if necessary.
5. Avoid Smoking and Excessive Alcohol Consumption: Both can increase the risk of stroke. Seek help to quit smoking and limit alcohol intake.

Recognizing a Stroke (FAST):

• F – Face Drooping: Does one side of the face droop or feel numb? Ask the person to smile. Is the smile uneven?
• A-Arm Weakness: Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward?
• S – Speech Difficulty: Is speech slurred or hard to understand? Ask the person to repeat a simple sentence.
• T – Time to Call 911: If someone shows any of these symptoms, even if they go away, call 911 and get them to the hospital immediately.

Quick intervention can significantly improve the chances of recovery. Understanding the signs and maintaining a healthy lifestyle is key to reducing the risk of strokes.

In today’s society, tattoos are a popular form of self-expression, with an increasing number of individuals choosing to adorn their bodies with ink. However, a new study from Lund University in Sweden has uncovered a startling revelation: individuals with tattoos may have a 21% higher risk of developing lymphoma.

Key Findings from the Study

The comprehensive study, published in eClinicalMedicine, spanned a decade and involved 11,905 participants aged 20 to 60. Of this group, 2,938 individuals were diagnosed with lymphoma. The researchers found that the risk of developing lymphoma was not dependent on the size of the tattoos. However, those with their first tattoo were at the highest risk within the last two years.

Dr. Christel Nielsen, the study’s lead author, emphasized the cultural significance of tattoos and the necessity of ensuring their safety. “People will likely want to continue to express their identity through tattoos, and therefore it is essential that we as a society can make sure that it is safe,” said Dr. Nielsen.

Types of Lymphoma Linked to Tattoos

Lymphoma, a cancer that attacks the lymphatic system, is a significant concern. The study identified that the most common types of lymphoma associated with tattoos were diffuse large B-cell non-Hodgkin lymphoma and follicular non-Hodgkin lymphoma. According to the American Cancer Society, non-Hodgkin lymphoma accounts for about 4% of all cancers in the U.S., with an estimated 80,620 new cases expected this year.

Behavioral Insights on Tattooed Individuals

Interestingly, a related study by a team of economists in Ontario, Canada, explored the impulsiveness of individuals with visible tattoos. The study aimed to understand whether people who get tattoos are less concerned about their image or the potential adverse consequences, such as impacts on the labor market and interpersonal relationships.

The Growing Popularity of Tattoos

The increasing prevalence of tattoos is reflected in an August 2023 Pew Research Center survey, which found that 32% of American adults have at least one tattoo, and 22% have more than one. Tattoos are more common among women than men, illustrating the broad demographic appeal.

Regulatory Concerns and Health Implications

Currently, the FDA does not regulate the inks and pigments used in tattoos, leaving this responsibility to state and local entities. This lack of regulation raises significant health concerns, especially considering the findings of Dr. Janette Nesheiwat, a medical contributor to Fox News. Dr. Nesheiwat highlighted that tattoo ink is considered carcinogenic and can activate the immune system, potentially leading to adverse health outcomes.

The Need for Further Research

As tattoos become more mainstream, the market is expected to grow significantly, with forecasts predicting that the global tattoo market size will double by 2032. Despite this growth, comprehensive information is scarce on the long-term health implications of tattooing.

The researchers at Lund University have called for more extensive studies to examine the relationship between tattoos and various health outcomes, including other cancer types and inflammatory diseases. Their findings underscore the importance of continued research to understand the health risks associated with tattoos fully.

Consulting with our primary doctors in Jupiter and other medical professionals is crucial for those concerned about their health and the potential risks of tattoos. Staying informed and cautious can help mitigate potential health risks associated with tattoos.

As the popularity of tattoos continues to rise, understanding their health implications remains a priority for the medical community and the public.