Page 21 - The Jewish Voice - September '23

The Jewish Voice, Page 21

Lifestyles from page 20 Benefits of Minimally transcatheter aortic valve replacement (TAVR) procedure
has revolutionized management of this condition. It is now
You may also be able to reduce or consolidate your Invasive Heart Valve Surgery a treatment option for some patients with severe aortic
debts. Start by understanding how much and what kinds Include a Smaller Scar, stenosis who are too ill to have traditional open-heart
of debt you have. Then, consider ways to lower your surgery to replace the aortic valve.
payments, such as refinancing. For example, if you’re Lower Risk of Infection, MitraClip
carrying a balance on multiple credit cards, you might be Mitral valve degenerative disease is often treated with
able to transfer the amounts you owe onto a single card and Shorter Hospital Stay medical therapy. However, patients for whom medical
with a more favorable interest rate. therapy fails and for whom surgery is too much of a
Here’s another move to consider: Adjust your Open-heart surgery has long been the standard of risk may be candidates for less invasive, catheter-based
investment mix to possibly provide you with more income care for most patients with valve disease. More recently, options, such as MitraClip, the first device approved by
in retirement. During your working years, you may have however, minimally invasive procedures, such as the FDA to treat high-risk patients with degenerative
invested primarily for growth — after all, you could be robotically assisted valve repair, transcatheter aortic valve mitral regurgitation. Cleveland Clinic participated in the
retired for two or more decades, so you’ll need to draw replacement (TAVR) and the MitraClip procedure, have COAPT clinical trial for MitraClip, which has shown the
™
on as many financial assets as possible. But once you’re emerged as safe and effective alternatives for patients with device provides a tremendous benefit and improvement
retired, your investment focus may need to shift somewhat advanced and complex valve disease. in survival and quality of life when used in patients with
toward income-producing opportunities. Keep in mind, There are a variety of minimally invasive approaches reduced heart function.
though, that you’ll still need some growth potential to to valve repair or replacement, but all offer the same Not all patients are candidates for minimally invasive
help keep ahead of inflation. benefits: a smaller scar, lower risk of infection, less treatment for structural heart or valve disease. Cleveland
One final suggestion: Let your children know if you bleeding and trauma, a shorter hospital stay and a shorter Clinic Florida’s multidisciplinary team evaluates each
already have a strategy in place to meet the potentially high recovery period. patient for the appropriate solution to their structural heart
costs of long-term care, such as a nursing home stay. This Robotically Assisted Valve Repair disease or valve problems.
burden is certainly something you won’t want your children For people who need a mitral valve repair, studies To schedule an appointment with a Cleveland
to take on. have shown that robotic surgery may be better than other Clinic Florida specialist, call (877) 463-2010 or visit
By informing your children about your financial picture, minimally invasive approaches for many reasons – it is ClevelandClinicFlorida.org/Access.
and how you’re trying to improve it, you can ease everyone’s associated with less bleeding, trauma, chance of infection,
minds — so keep the lines of communication open. and need for blood products. It’s the Law!
By knowing exactly what to expect from Social Cleveland Clinic Florida is one of the few centers in the
Security, including the tax effects, you can more effectively country offering a robot-assisted approach to minimally Did You Know That, in Florida…
incorporate your benefits into your overall retirement invasive valve repair or replacement, which is the most
income planning – and the better your plans, the more advanced approach available. Cleveland Clinic Florida By Adam S. Gumson, Esq.
you’ll be able to enjoy your life as a retiree. This article surgeons use a state-of-the-art robotic surgical system that Child support is not
was written by Edward Jones for use by your local Edward has been approved by the FDA for use in many surgical “a wash” if the parents’
Jones Financial Advisor, Edward Jones, Member SIPC. procedures. time-share arrangement is
Edward Jones is a licensed insurance producer in Using the robot offers the surgeon a wider range of on a 50/50 basis unless the
all states and Washington, D.C., through Edward D. motion and more precision in employing the surgical parents’ respective incomes
Jones & Co., L.P., and in California, New Mexico and instruments, along with a more detailed, magnified 3-D are equal. Otherwise,
Massachusetts through Edward Jones Insurance Agency view of the surgical field than in an open procedure. The determining child support
of California, L.L.C.; Edward Jones Insurance Agency of robotically assisted technique utilizes incisions that are involves using a formula to
New Mexico, L.L.C.; and Edward Jones Insurance Agency often less than 2 inches – smaller than the incisions used calculate the greater wage
of Massachusetts, L.L.C. for conventional minimally invasive surgery (about 3 to earner’s obligation based
Edward Jones, its employees and financial advisors 4 inches). on pro rata percentages. In
cannot provide tax advice. You should consult your qualified Transcatheter Valve Replacement (TAVR) addition to child support, the parents are often obligated to
tax advisor regarding your situation. Open procedure valve replacement has been the contribute to health insurance and/or additional childcare
Contact us at (561) 748-7600, Sally Sima Stahl, AAMS, standard of care for most patients with aortic stenosis. or daycare costs.
1851 W. Indiantown Road, Ste. 106, Jupiter, FL 33458. However, in recent years the minimally invasive A registered agent is appointed by a corporation,
foreign or within the State of Florida, to accept service
of process, notices or demands received.
Original wills must be deposited with the Clerk of Court
within 10 days after the person holding the will is informed
of the death of the signatory. The Clerk of the Court will
hold the original will in original form for a minimum of
20 years.
While the grantor of a revocable trust is of capacity
and living, the grantor retains all duties and privileges
of the trustee. Upon the death of the grantor, a revocable
trust becomes irrevocable. The successor trustee assumes
the duties of the trustee, but not all rights the grantor held
will pass to the successor trustee.

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