Date: October 25, 2012

Women and Lung Cancer

K. Adam Lee, MD, Medical Director, Thoracic Surgery & Lung Center, Jupiter Medical Center
1240 S. Old Dixie Hwy
Jupiter, FL 33458
(561) 263-5560

Lung cancer kills more women every year than breast, ovarian and cervical cancers combined. Because lung cancer was once mostly a male disease associated with smoking, women assume if they never smoked or if they stopped years ago, they don't need to be on the lookout for this deadly cancer. But they do.
Women who have never smoked appear to be at two to three times greater risk for developing lung cancer than men who have never smoked. Women tend to develop lung cancer at younger ages than men, and the disease is striking younger women who have never smoked.

Yet the stigma of smoking and the shame people feel for bringing on their illness has caused women to delay seeking medical attention, even in the early stages of lung cancer. As a result, lung cancer rates have continued to rise and this disease has overtaken breast cancer as the leading cause of cancer death in women.

Don’t be a statistic. Low-dose CT lung screening at Jupiter Medical Center gives you the ability to take that first step to safeguard your health. Based on the National Lung Screening Trial guidelines, screening recommendations are for those ages 55 to 74 years old, who have no personal history of cancer, are current or former heavy smokers or have quit smoking less than ten years ago. If you have any signs or symptoms of lung disease, you would require a diagnostic test, not a screening. You can self-refer for this test by contacting the Thoracic Surgery & Lung Center at (561) 263-5560.

The Thoracic Surgery & Lung Center at Jupiter Medical Center offers the areas only comprehensive program dedicated to the prevention, early detection and treatment of lung cancer. The program includes a Lung Nodule Clinic designed to follow patients who have positive findings on CT lung scans and a Multimodality Lung Clinic that offers the convenience of seeing multiple specialists in one day. Patients leave with a plan of treatment in hand. The clinic is designed for newly diagnosed patients, patients with a recurrence of their disease or patients seeking a second opinion.

The program is led by K. Adam Lee, MD, Board Certified, Thoracic Surgeon, who serves as the medical director. Minimally-invasive thoracic surgery, including robotic assisted thoracic surgery has changed the future of lung surgery. Dr. Lee was the first surgeon in the state of Florida to perfor m robotic assisted thoracic surgery and has a decade of experience in this field. Performed through less than 2-inch incision, this surgery is highly accurate, offering patients less blood loss, less pain, less chance for infection and a much faster recovery.

To learn more about The Thoracic Surgery & Lung Center at Jupiter Medical Center, call our Lung Cancer Patient Navigator at (561) 263-3604 or visit


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By: Corrie Edwards
Date: September 4, 2012

Firefighter Anthony Ramos was performing routine physical training with his squad at a Rockledge, Florida fire station, and took his turn practicing with the hoseline. Struggling with the hose, blasting water at approximately 150 pounds per square inch, he heard a loud ripping sound. 

“It felt like you lost a wheel on your car and your transmission failed,” said Ramos. Wearing 60 pounds of gear, Ramos ripped his right pectoralis major muscle under the water pressure and completely detached it from the humerus bone.

Pectoralis major tears (pec tears), although rare, occur mostly in athletes performing sports-related activities. Weightlifters, wrestlers, tennis players and even football players can rip the pectoralis major from too much strain. Most common in weightlifting, pec tears can occur from the bottom of a heavy bench-press or initiation of a dumbbell chest fly. The injury is extremely painful and often rips loudly, similar to the sound of Velcro.

A pec tear is manageable and one can live with the injury, but will lose muscle function. Exercises like pushups and chest flyes become impossible, and activities involving the chest muscles become extremely difficult. 

Associated pain in the shoulder and bicep pain is often common, and those injured often mistake a pec tear for a shoulder or bicep injury. The longer one goes without repairing the pectoralis major, the more the muscle belly retracts over the tear, limiting range of motion and activity. 

“I couldn’t pick up my daughter and my two-month old son, let alone patients (while) on duty,” said Ramos. “It was very frustrating… all I wanted to do was play with my kids.” 

Ramos was in fact, mistakenly diagnosed with a shoulder injury and even cleared to go back to work at the fire station after a few months. As he struggled to handle patients and perform his engineering duties at the fire station, Ramos took research matters into his own hands. Through internet forums and blogs, Ramos discovered Matthew Stiebel, MD, an orthopedic surgeon at Jupiter Medical Center specializing in sports medicine, with a history of more than forty pectoralis major repairs. 

Only a handful of surgeons in the United States perform a large volume of pectoralis repair procedures. With an extensive background in orthopedic surgery for athletes, Dr. Stiebel handles patients from as far as Germany, Mexico and even the Netherlands. Within the first few minutes of his physical examination, Dr. Stiebel was able to diagnose Ramos’ pec tear, confirmed later by a pectoral MRI. 

“I wanted to hug Dr. Stiebel for finally confirming that something was still wrong with my chest (and not my shoulder). You know when your tire on your car is flat. I knew something wasn’t right. I was so fortunate to find Dr. Stiebel in South Florida. The next closest doctor I found was in Puerto Rico!” said Ramos. 

Matthew Stiebel, MD, FRCSC, completed an orthopedic surgery residency at McGill University and a subspecialty fellowship in sports medicine at Boston University after undergraduate and medical school degrees at Yale University. His specialties include complex shoulder and knee injuries, and the repair of pectoralis major muscle tears and their subsequent outcomes. Dr. Stiebel learned this pec repair technique from Anthony Schepsis, MD, the surgeon credited with developing the technique.

“I have to mobilize and free up the whole muscle. I put heavy sutures through the muscle in a special kind of weave, designed by Dr. Skeptis,” explained Dr. Stiebel. “I make a trough or a cavity in the proximal humerus and drill holes in the lateral side of it. Then, I pull the muscle into the trough I’ve created, pull the sutures out of the holes I make in the bone and tie them over a bone bridge. The trick is to mobilize the muscle and free it away from all the adhesions to make sure the nerves around it are okay. To get a good repair the muscle has to go to the bone. You can’t repair the muscle back to the tendon.” 

A pec tear patient is generally kept overnight in the hospital following surgery, and wears a sling from four to six months before beginning rehab. They can begin strengthening the pectoral major as early as three months and can go back to weightlifting or sports around six months. Patients regain an average of 90-95 percent strength back in the pectoral muscle after having the surgery. 

Ramos was just cleared to go back to work as a fulltime firefighter a few months after his pec repair procedure. “I can’t say enough good things about Dr. Stiebel and my pec surgery. I had an amazing experience at Jupiter Medical Center. I was nervous about having such major surgery, but my injury was affecting my very livelihood. I just wanted to pick up my kids again.” 

Jupiter Medical Center is proud to offer the pectoralis repair procedure to patients. Jupiter Medical Center remains on the leading edge of orthopedics, offering highly-skilled orthopedic surgeons, state-of-the-art facilities, and comprehensive rehabilitation services to help patients return to an active and healthy lifestyle. The Anderson Family Orthopedic and Spine Center has earned The Joint Commission’s Gold Seal of Approval for its total knee, total shoulder and total hip replacement program.

To learn more about Jupiter Medical Center’s Orthopedic Center of Excellence, call Judy Dellosa, RN, ONC, Orthopedic Clinical Coordinator, at (561) 263-3633 or visit

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By: Corrie Edwards
Date: August 30, 2012

September is National Cholesterol Education Month, a great reason to get yours tested today.

More than 102 million American Adults (20 years or older) have total cholesterol levels at or above 200 mg/dL, which is above healthy levels. More than 35 million of these people have levels of 240 mg/dL or higher, which puts them at high risk for heart disease.

Cholesterol is a waxy, fat-like substance found in your body and many foods. Your body needs cholesterol to function normally and makes all that you need. Too much cholesterol can build up in your arteries. After a while, these deposits narrow your arteries, putting you at risk for heart disease and stroke.

The National Cholesterol Education Program (NCEP) recommends that adults aged 20 years or older have their cholesterol checked every 5 years.

If you have high cholesterol, your doctor may prescribe medications to treat your high cholesterol.

In addition, you can lower your cholesterol levels through lifestyle changes:

•Low-fat and high-fiber food (Eat more fresh fruits, fresh vegetables, and whole grains).

•For adults, get at least 2 hours and a half hours of moderate or 1 hour and 15 minutes of vigorous physical activity a week. For those aged 6-17, getting 1 hour or more of physical activity each day.

•Maintain a healthy weight.

•Quit smoking today.

Please give us a call at (561) 263-2234 to get your cholesterol checked at Jupiter Medical Center, or click HERE to request an appointment online.

Information provided by the Center for Disease Control and Prevention

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