I want to tell you a story, that still has me amazed, that this is real. My sister broke her back around Labor Day, by bending over
to help me get up from a fall. She had a history of Osteoporosis of the spine and PAD (Periperal Artery Disease). As a result of
just bending over, she heard and felt something break in her low back. After, much searching and an MRI, we learned that she had a
crushed vertebrae of L-5. Again, after much searching, we found a Dr. Schwartzberg through her primary physician, Dr. Glick. Dr. Schwartzberg, was able to do a special procedure, called a Vertebroplasty, which injected a special type of cement into the vertebrae to rebuild it. Recovery was going as to be expected during the 1st week post-op. But then all of a sudden the left leg started to
swell and turn dark, she was in pain again. Given that it was off hours and hard to reach anyone at that time, we opted to go to
Paramount Urgent Care, who saw us immediately. We were immediately… referred to MIT, Medical Imaging & Therapeutics, which is located near Paramount Urgent Care on Hwy #466 and Rolling Acres Rd. MIT did an Ultrasound and found that she had a DVT (Deep Vein Thrombosis) in the back of her left knee.
At that time the situation was critical and we were obviously upset. The immediate reaction of the Doctors involved was to send
her to an emergency room to start IV Heparin. Given that we are both Nurses, we hesitated to do that and asked for a more
conservative method to treat the DVT. At that time Dr. Mark Jacobson, the CEO and Medical Director, Radiologist for MIT, discussed other options available. He treated us with professional respect and like we were one of his family members.
I have been an administrator for 5 different Health Facilities, as well as Program Director and Instructor for a Nursing Program in South
Florida, and I only mention this to allow you the reader to understand the level of my evaluation of the MIT Medical Imaging & Therapeutics Program and Dr. Jacobson and his staff. Their ability to deliver professional expertise, coupled with personalized patient
care is unsurpassed in this part of the country. Each one of the staff made us feel like we were the most important thing they had to
deal with. Pattie Jacobson, Dr. Jacobson's wife, who is also the Manager for the Practice, explained things to me like I was her best friend. Dr. Jacobson, became so involved in my sister's outcome that he personally called a friend of his, who happens to be a
Hematologist, associated with the new Florida Cancer Specialists, that replaced Moffit in the Sharon Morse Building. Dr. Jennifer
Cultrera discussed the alternatives to treatment with Dr. Jacobson by phone, it was 7:30 pm. She drove over to MIT's office, where
we were waiting and delivered medication to start treatment right then. We were to see her in her office the next day. Never, have
I seen such devotion and expertise knowledge as between these two Doctors.
Another week goes by and my sister's leg is getting better, but then, again the swelling starts up again and the pain and discoloration are back. So back to MIT we go to see Dr. Jacobson. He repeats the Ultrasound and suspects a further complication, so he orders a
new test called a MRV (Magnetic Resonance Venography). This test is realatively new and not too well known, it takes special training to do the test and to know what you are looking for. Dr. Jacobson is one of the few in the area that can do this. The result is that he
finds that my sister has a rare condition called "May-Thurner Syndrome". To put it simply, the arteries in the pelvic area overlay the veins in the pelvic area. The arteries apply pressure to the veins where they cross and obliterate the return blood flow, so as, the blood in the lower left leg is not able to return and thereby engorges the leg. The pressure in the right leg was 30mm. while in the left leg it was 9mm.
This discovery is nothing less than amazing, without Dr. Jacobson's expertise, I don't think we would ever have gotten to the root cause of the problem. I think he is the "Smartest Doc" that I have met in over 20 years. By the way, he is doing the surgery to relieve the blood clot and put in a retractable stint to open the Iliac Vein.
We need more personalized care like this in this area.
Carlie Parke, RN, BSN, MS
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