Page 10 - Talk of Tequesta - September '23

Page 10, The Talk Of Tequesta

cleveland clinic

florida news

Benefits Of Minimally Invasive Heart Valve Surgery

Include A Smaller Scar, Lower Risk Of Infection

And Shorter Hospital Stay

Open-heart surgery has long been the standard of care for has been approved by the FDA for use in many surgical MitraClip
most patients with valve disease. More recently, however, procedures. Mitral valve degenerative disease is often treated with
minimally invasive procedures, such as robotically assisted Using the robot offers the surgeon a wider range of motion medical therapy. However, patients for whom medical
valve repair, transcatheter aortic valve replacement (TAVR) and more precision in employing the surgical instruments, therapy fails and for whom surgery is too much of a risk may
and the MitraClip procedure, have emerged as safe and along with a more detailed, magnified 3-D view of the be candidates for less invasive, catheter-based options, such
™
effective alternatives for patients with advanced and complex surgical field than in an open procedure. The robotically as MitraClip, the first device approved by the FDA to treat
valve disease. assisted technique utilizes incisions that are often less than high-risk patients with degenerative mitral regurgitation.
There are a variety of minimally invasive approaches to 2 inches – smaller than the incisions used for conventional Cleveland Clinic participated in the COAPT clinical trial for
valve repair or replacement, but all offer the same benefits: a minimally invasive surgery (about 3 to 4 inches). MitraClip, which has shown the device provides a tremendous
smaller scar, lower risk of infection, less bleeding and trauma, Transcatheter Valve Replacement (TAVR) benefit and improvement in survival and quality of life when
a shorter hospital stay and a shorter recovery period. Open procedure valve replacement has been the standard used in patients with reduced heart function.
Robotically Assisted Valve Repair of care for most patients with aortic stenosis. However, in Not all patients are candidates for minimally invasive treatment
For people who need a mitral valve repair, studies recent years the minimally invasive transcatheter aortic for structural heart or valve disease. Cleveland Clinic Florida’s
have shown that robotic surgery may be better than other valve replacement (TAVR) procedure has revolutionized multidisciplinary team evaluates each patient for the appropriate
minimally invasive approaches for many reasons – it is management of this condition. It is now a treatment option solution to their structural heart disease or valve problems.
associated with less bleeding, trauma, chance of infection, for some patients with severe aortic stenosis who are too To schedule an appointment with a Cleveland Clinic Florida
and need for blood products. ill to have traditional open-heart surgery to replace the specialist, call (877) 463-2010 or visit ClevelandClinicFlorida.
Cleveland Clinic Florida is one of the few centers in the aortic valve. org/Access.
country offering a robot-assisted approach to minimally
invasive valve repair or replacement, which is the most
advanced approach available. Cleveland Clinic Florida
surgeons use a state-of-the-art robotic surgical system that

You’re retired.
all abouT Kids
Your money isn’t.

Inflexible Children Call or email me today, and we

Struggle can help walk you through
your retirement account options.

By Jim Forgan, Ph.D., School Psychologist
Sally S Stahl, AAMS™
“We don’t spring any Financial Advisor
unexpected changes on him 1851 W Indiantown Rd Ste 106
or he has a huge meltdown,” Jupiter, FL 33458
explained one mom. Her 561-748-7600
8-year-old son had daily Sally.Stahl@edwardjones.com
tantrums when things did
not go his way. Mom was
concerned he might have
ADHD so we evaluated
him to determine the root
cause of his meltdowns. Our
evaluation showed it was not
ADHD but rather he had executive functioning difficulty
with shifting attention and cognitive flexibility.
Perhaps you’ve heard the saying, “That person has a
one-track mind.” That saying captures what happens when
inflexible people get something stuck in their minds and they
can’t get it out. They perseverate. Their brain is like a train
riding down a track and it can’t make a shift to a new track
until it gets to a junction. Unfortunately for some people,
their brain goes on for “miles” before it reaches a junction.
As a parent you might think, “Just get over it and move on,”
but it is not that easy for your child.
Inflexible children often have difficulty making
transitions at home and at school. They often see things
their way and have difficulty going with the flow. This
contributes to their meltdowns and stubbornness. Inflexible
children are not always pleasant to be around. They can
be bossy when playing and want to do things their way.
This inflexibility can create friendship issues with same
age peers and inflexible children might prefer to play with
younger children whom they can boss around.
The term executive functioning describes our brain’s
management system. Kids with executive functioning
difficulty need to learn skill rather than take pills to help
them. Mom was happy medication was not the answer for
her child. My Day is Ruined!: A Story Teaching Flexible
Thinking by Bryan Smith is a book you can read with your
child to teach skills.
Call to discuss your child as we test for executive
functioning difficulty, autism, dyslexia, dysgraphia,
ADHD, depression, and anxiety. Visit JimForgan.com or
call (561) 625-4125.