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SALUTE TO PHYSICIANS



              VITAS® HEALTHCARE REGIONAL - SOUTH FLORIDA                                 VITAS® HEALTHCARE IN MIAMI-DADE COUNTY


        Ileana Leyva, MD
                                                                                 Elena Valor, MD
          Dr. Ileana Leyva, Regional Medical Director, VITAS®
        Healthcare, oversees the care of patients in VITAS locations               For 19 years, Dr. Elena Valor has worked as a part-time
        throughout South Florida and Atlanta. She has more than                  physician for VITAS Healthcare in Miami-Dade County, first
        20 years of experience in hospice and palliative medicine                as a contract bed physician and now as a home care team
        and pediatric care.  With a bachelor’s degree in biology from            physician. She also maintains a part-time internal medicine
        the University of Miami, she earned her medical degree at                practice in South Miami. Dr. Valor was born in Cuba and
        Universidad Central del Este in the Dominican Republic                   earned her medical degree in 1984 at Universidad Central
        and completed a residency in pediatrics at Lutheran General              del Este in the Dominican Republic.
        Hospital in Park Ridge, Illinois. She discovered palliation                During her medical training and practice in internal med-
        while caring for terminally ill children and became an                   icine and geriatrics, Dr. Valor never considered hospice care
        authority, establishing a full palliative program at                     as a specialty—until her own father passed away.
        Northwestern Medicine in Chicago. Dr. Leyva was born in                    “Hospice care made his transition less painful, and it was
        Cuba but grew up in Miami. She knew of VITAS because a family member was a patient;   such an amazing experience to see him relax, not suffer and
        her family loved SVP of Medical Affairs Joel Policzer. In 2017, she returned to South   be able to tell me it was OK, even though he was dying. After
        Florida and joined VITAS. “VITAS is creative in what we will do for patients. We do more   experiencing the profound impact of hospice care within my
        than 99.9 percent of other hospices.” Her priorities are education and outreach.    own family, I became a believer. I decided that I wanted to make that same experience
                                                                                 available to every patient so that they can make the transition without pain, with pride
                  VITAS® HEALTHCARE IN BROWARD COUNTY                            and with their family members present.”

        Oscar Mendez, MD PA                                                      Paul D. Pugliese, MD

          It was during his residency that Oscar Mendez, M.D. P.A.,
        first saw a patient transitioning to hospice. “I saw a good                Trained in internal medicine and steeped in high-acuity
        opportunity to follow the patient, to support the patient and            specialties, Dr. Paul Pugliese has spent nearly two decades
        the family. Hospice offers a continuum of care until the                 providing compassionate end-of-life care to South Florida
        patient passes.” Dr. Mendez practices family medicine in                 patients and their families while educating area physicians
        Broward County and sees patients in the VITAS Inpatient                  about the benefits of hospice care. A 1991 University of
        Hospice Unit at Florida Medical Center, where he is also                 Miami School of Medicine graduate, Dr. Pugliese joined
        medical director of the Internal Medicine Panel. Wound                   VITAS in 2000 after working in acute-care settings and as a
        care is his specialty, but like all hospice physicians, Dr.              hospitalist in Palm Beach; Broward; and St. Petersburg,
        Mendez treats psychosocial and spiritual wounds, as well as              Russia.  “Hospice doesn’t feel like work. It feels like some-
        debilitating skin ulcers that affect quality of life. He earned          thing I’m supposed to do. The psychosocial and emotional
        his medical degree at Universidad Libre School of Medicine               connection to patients and families is what drives me now to
        in Barranquilla, Colombia in 1995 and is board certified in family medicine. He joined   want to practice medicine.”
        VITAS in 2008, and sees too many physicians choose not to follow when their patients   Influenced by Dr. Pugliese’s dual expertise in complex modalities and compassionate
        transition to hospice. “Hospice is an opportunity to work with the family, provide emo-  hospice care, VITAS protocols now extend high-acuity care into the homes of patients
        tional support and answer all their questions. Hospice is a challenge; that’s why I like it.”   who are dependent on ventilators, heart-assist devices and certain medications, improv-
                                                                                 ing quality of life and maintaining dignity in the terminal phase of their illness, surround-
        Jack Kravitz, MD                                                         ed by family and loved ones in a peaceful setting.

          Dr. Jack Kravitz, a part-time team physician with VITAS                                   WEST BOCA MEDICAL CENTER
        Healthcare in Broward County, splits his professional life
        between hospice and rehab, between palliative care and cur-
        ative care. It gives him a unique perspective when he coun-              David A. Padden, MD
        sels patients and families. “I work with very sick patients
        who want hospice, and very sick patients who work toward                   David A. Padden, M.D., a board-certified and fellowship-
        recovery in rehab. They know I see the value in both.”Dr.                trained orthopaedic surgeon on staff at West Boca Medical
        Kravitz earned his medical degree at George Washington                   Center.  Dr. Padden specializes in minimally-invasive adult
        University and is board certified in family practice and geri-           reconstructive surgery of the hip and knee for arthritis and
        atrics. He’s worked in diverse medical communities: an                   other ailments.  His orthopaedic surgery focus includes
        army hospital in the Panama Canal Zone and an Indian                     minimally invasive muscle-sparing anterolateral and direct
        Medical Center in Gallup, New Mexico. After spending                     anterior total hip and knee replacement, revision joint
        most of his medical career in family medicine, Dr. Kravitz               replacement for both the hip and knee, and avascular necro-
        sold his practice and joined VITAS in 2016.  A good hospice physician, says this doctor of   sis or osteonecrosis.  Previously, Dr. Padden worked as an
        40 years, knows how to stop talking. “I can tell them why, but they have to tell me why   orthopaedic surgeon and reconstructive surgery specialist at
        not. Once they tell me what’s on their mind, we can have a conversation.”    Optimotion Orthopaedics in Orlando, FL.  Dr. Padden com-
                                                                                 pleted a fellowship in arthritis and adult reconstructive sur-
                                                                                 gery from Johns Hopkins University in Baltimore, MD, an
                                                                                 orthopaedic surgery residency at SUNY Health Science Center in Brooklyn, NY, and gen-
                                                                                 eral surgery internship at Montefiore Medical Center located in Bronx, NY. He graduated
                                                                                 medical school from Saint Louis University.

                                                                                 Elizabeth Polsinelli, DO

                                                                                   Elizabeth Polsinelli, D.O., is a board-certified Internal
                                                                                 Medicine doctor on staff at West Boca Medical Center.  Dr.
                                                                                 Polsinelli has a particular interest in geriatrics and preven-
                                                                                 tive medicine.  Previously, Dr. Polsinelli completed the
                                                                                 Internal Medicine residency program at Broward Health
                                                                                 Medical Center in Fort Lauderdale, where she also served as
                                                                                 Chief Resident. Dr. Polsinelli completed medical school at
                                                                                 the Philadelphia College of Osteopathic Medicine in
                                                                                 Philadelphia. She is proficient in the Spanish language hav-
                                                                                 ing graduated from the University of Michigan with a
                                                                                 Bachelor of Arts in Spanish Language and Literature.
                                                                                 Devoted to internal medicine research, Dr. Polsinelli partic-
                                                                                 ipated as a co-investigator in a two-year plus study on thrombosis in peripherally insert-
                                                                                 ed central catheters (PICC) and Midline inserted catheters.  Dr. Polsinelli is a member of
                                                                                 the American Osteopathic Association and the American College of Physicians.

         18                        March 2019                                                             southfloridahospitalnews.com                                                                       South Florida Hospital News
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