One year anniversary of COVID-19

Believe it or not, March marks a year since our lives changed drastically. At the beginning of March 2020, COVID-19 spread throughout the world, requiring individuals to forgo their usual routines and adapt to a new lifestyle. Now, a year later, we are living our lives very differently.

Not only are we more conscious of our surroundings, but we are more hygienic. For example, if you go to a store or a gym, you will see employees or trainers sanitizing equipment and merchandise every few minutes. We spend more time washing our hands and taking care of ourselves than we ever did before.

“I forgot my mask!” is a common phrase you catch yourself saying, and traveling out of the country or state is an all-too-real distant dream. With all the isolated time we have been given during the pandemic, we have learned how to slow down, organize our homes and closets way too  many times, bake banana bread, and enjoy the outdoors.

With all these new hobbies we have acquired, all we want to do is to continue living our lives the way we did a year ago, but it is not that simple.

University of Michigan senior, Donna Neuman, longs for an in person graduation ceremony more than anything. “I really just want a graduation and nothing else right now is important to me. My friends and I have turned a lot of negatives into positives; for example, instead of going out with friends we hang in together. Those things are replaceable, but graduating is not.”

Our lives have changed in many more ways than one. As we sit and reflect on the one-year anniversary of COVID-19, it is hard to believe that it has only been a year.

When I think about the timeline it almost feels like a century. Masks are a part of our uniform and getting tested for COVID is the new trend.

Since it is risky for older adults with health restrictions to spend time with their younger loved ones, we have utilized FaceTime or Zoom to still get our personal family time.

Fortunately, the vaccine has been distributed to many essential workers, and soon to the rest of the world.

With the new year, all we can hope for is to say goodbye to COVID-19 and hello to living. By March 2022, I hope for good health, love, and for our lives to be more adventurous and spent with the ones we love most.

Virtual care becomes new standard in era of COVID-19

The coronavirus pandemic has forced a reshaping of the landscape of healthcare, requiring the medical community to look for new, safer approaches to patient care.

To keep patients and team members safe, virtual visits are now conducted via remote communication technology, such as Telehealth and Telemedicine. This is the new normal of patient doctor interaction, and represents a new era of healthcare delivery, and one that will continue into the foreseeable future.

As the pandemic continues, frontline workers at doctors’ offices and hospitals have been put to the ultimate test. In response, new and better programs of communications via Internet technology were enhanced, and audio check-ins restructured. Through telehealth and telemedicine, doctors and nurses can now engage patients via digital devices to meet basic healthcare needs.

During the height of the pandemic, most elective procedures at hospitals and doctors’ clinics were cancelled. With new variants of the virus threatening the country, a new challenge has been created. With elective procedures canceled, questions arose on how to safely care for emergency and non-emergency patients in a safe environment.

The solution was a broadening of virtual care to interact with patients, maintain safe environments, and adhere to mandated social distancing guidelines. The Centers for Medicare & Medicaid Services (CMS) increased access to Medicare telehealth services so beneficiaries could receive a wider range of care from their doctors without them having to travel to a healthcare facility.

“To protect both staff and patients, some medical practices closed their doors to in-person visits because of concerns over the risk of transmission,” said Randall M. Taubman, M.D., CPE, regional medical director at ClareMedica Health Partners LLC, Miami Lakes. “We remained open; our staff wore personal protective equipment (PPE) and each patient was thoroughly screened. Anyone screened as a possible COVID candidate was seen remotely.”

According to Dr. Taubman, video-based visits are preferred and more effective. “The doctor and the patient can see each other and it’s a more natural interaction,” he said. “Plus, if there are any physical changes, doctors can analyze the problem, and that’s a big benefit over an audio virtual visit.” Differences also exist between the way medical codes are applied and how video-based visits are billed.

Scheduling a remote health visit
Telehealth visits can be Web-based or done through a phone call to the office, but prior to the online interaction, most practices require verification of identity and insurance information. “Patients must consent to this form of care, and when they ‘meet’ with their doctor, the visit is conducted in much the same way as an in-person visit,” said Dr. Taubman. “The one exception is that doctors may ask additional questions about a patient’s general health and well-being.”

Before opting for a telehealth or telemedicine visit, patients should make a list of questions. They should also be prepared to explain any symptoms and list medications, dosages, and times they are taken daily.

“The best way to prepare for a virtual health visit is to find a quiet, private room where there are no distractions,” Dr. Taubman said. “Patients need to download any applications needed for the two-way communications and decide beforehand if the visit will be done on a computer, tablet, or phone. The doctor’s office needs to be aware of the patient’s choice. When prescribing medications, doctors still use electronic prescribing to send the script to a pharmacy — a routine practice even before the start of the COVID-19 pandemic.”

A new revenue stream
Reaching out to patients and serving them remotely is now a necessity to sustain physician practices. It is even a benefit to hospitals where there has been a revenue decline in long-standing money-making units such as operating rooms, interventional radiology, and outpatient services. Virtual care is now a proven means of caring for patients safely while tapping into a revenue source that helps offset the decline of in-person visits.

Over the months, regulatory and reimbursement barriers that hindered the widespread use of telehealth were relaxed, allowing providers more freedom to use virtual care for their patients. The Centers for Disease Control (CDC) says that during the first quarter of 2020, the number of telehealth visits increased by 50 percent. This allowed providers to scale their technology, learn more about various platforms, and reshape strategies that would be the most benefit to patients.

The difference between Telehealth and Telemedicine
The words “telehealth” and “telemedicine” are sometimes used interchangeably, but they don’t mean the same thing. The Health Resources Services Administration (HRSA) says telehealth is the “use of electronic information and telecommunications technologies to support long-distance clinical health services, patient and professional health-related education, public health, and health administration.” These technologies include videoconferencing, the Internet, store-and-forward imaging, streaming media, and wireless communications. Telemedicine, however, refers to “specific remote clinical services.”

Both play a critical role in the new era of patient care. Virtual care allows doctors to communicate with patients at a variety of locations that include their residence, a nursing home, an emergency room, or specific divisions within hospitals such as wards, special care units, and even psychiatric units. In addition, access to remote care greatly reduces the potential of exposure to the virus and lowers demands on frontline workers.

Types of remote visits
The three basic types of access routinely used are: Medicare Telehealth (MTH) visits, Virtual Check-ins (VCI); and E-Visits (EV). MTH utilizes telecommunication systems between the provider and patient and may include office visits, out-patient visits, or consultations. The VCI is a brief phone check-in with a practitioner to discuss whether an in-office visit is required, or a remote evaluation can be conducted where a patient can submit images (as in the case of dermatology) to his or herdoctor for  evaluation. The EVs are a format to communicate between patient and provider via an online patient portal.

Telehealth popularity
According to the CDC, the number of telehealth visits in the U.S. increased by 50 percent during the first quarter of 2020 and providers reshaped their strategies to engage with patients. “The use of telehealth is a trend that I don’t foresee diminishing even if COVID improves,” commented Dr. Taubman. “It can help with physician shortage and travel issues in the medical industry, so I believe it’s here to stay.”

According to a Telehealth Impact Claims Analysis conducted by the COVID-19 Healthcare Coalition Telehealth Impact Study Work Group, the latest numbers on telehealth claims in Florida peaked at around 700,000 in April of 2020, and the primary diagnosis of circulatory issues exceeded 200,000. Claims nationwide for circulatory issues in the country exceeded five million in February of last year, and total claims exceeded 12 million.

New advances in digital health technology have transformed patient treatment models internationally. Greater access and more efficiency are the keys to serving patients in the era of COVID-19.

 

Can you catch a leprechaun?

St. Patrick’s Day falls on a Wednesday this year, so why not liven up hump day with these fun kid-tested activities? It’s easy to create a festive experience while still practicing COVID safety.

Start the morning with rainbow necklaces! Grab some yarn, tape, and your favorite colorful cereal and get those fine motor skills working. Tape one of the ends to make it easier to thread the O’s. The kids can wear, eat, and enjoy. If you’re lucky they’ll make one for you too!

Spread some joy. My kids love to leave surprise treats for their friends and neighbors. I found some inexpensive containers for them to fill with gold nuggets and printed off festive tags. It is a great excuse to hop on their bikes and get some exercise while delivering these small gifts.

The grand finale is a leprechaun scavenger hunt! The kit includes the clues, a hiding cheat sheet for the parents, and a pack of gold cookie “coins” as the treasure. The clues are simple and offer great reading and problem-solving practice. Hide the clues all around the house to get your kids running around. The sheer joy and sense of accomplishment as they find each clue will make your heart melt, and I think it makes the treasure taste even better.

Stay safe and Happy St. Patrick’s Day!

For information on any of these activities contact:

Rachel Hunter of Celebrate You Events (@celebrate.you.events) – Party styling, scavenger hunt kit & banners

Amanda Fletcher of Cookies by Amanda (@cookiesbyamanda) – Scavenger hunt kit & Cookies

Daniela Herrera of Tulle & Tools (@tulleandtools) – Cake pops

Maribel Giraldo from Designs for You (@maribel_designsforyou) – Balloon garland

Parkland Vice Mayor Bob Mayersohn

The month of March is usually the time when we think about springing
forward as daylight savings time commences giving us an extra hour of sunshine. Spring centers around “Spring Cleaning,” “Spring Break,” and the religious holidays of Passover and Easter, which symbolize hope and renewal.

This year, however, March will be different for all of us as it is marked by the anniversary of the first reported COVID-19 case in Florida. Some have called it the “COVID Crisis,” while others call it the “COVID Catalyst.” Whatever lens you look through, the impacts of the virus have been devastating on the health and well-being of our families, our educational system, and our local economy. Yet, we need to be thankful and applaud the painstaking efforts of our frontline health care workers, first responders, educational professionals, and all those essential workers who were and still are critical to help us adapt to mitigate the crisis and create innovative opportunities.

As we strive for “herd immunity,” the work to distribute and administer the vaccines is an indication of hope. Yet, we still must be vigilant in preventing the spread by wearing our masks, social distancing, and washing our hands. For COVID-19 updates and resources, please visit our website at https://www.cityofparkland.org/coronavirus.

On a positive note, this month we are bringing back some of our extremely popular events such as Eats n’ Beats on March 13th and Movies in the Park on March 26th. We still have our incredible Farmers’ Market on March 7th, which will showcase our community awareness and business expo. On March 21st we include our health and wellness vendors.

Not to go unnoticed, March is also Women’s History Month. This is a time we reflect on the often-overlooked contribution of women to United States History and the City of Parkland.

Our City Commission meetings this month will be on Wednesday, March 3rd and March 17th starting at 7pm. You can see our agendas at https://www.cityofparkland.org/cc. and watch our meetings livestream at https://www.cityofparkland. org/1304/Live-City-Commission-Meetings.

Finally, I want to thank Mayor Walker for passing the pen to provide me the opportunity to be a guest contributor this month. Thank you, Mayor.

Congressman Ted Deutch (D-FL, 22nd District)

As we approach the first anniversary of the COVID-19 pandemic, we are reminded of how this public health crisis has impacted our community.

In the course of a year, we have lost over 28,000 Floridians, millions of Americans are still out of work, and the need for economic relief has never been higher. I’ll continue to work with my colleagues in Congress and the Biden administration to provide critical resources to South Florida.

While many of us are eager that COVID-19 vaccinations are now being distributed, I know many are frustrated with how distribution has gone so far. As we await more shipments to vaccinate our most vulnerable community members, residents are asked to remain patient.

For more information regarding vaccination sites throughout South Florida, please visit my Facebook page (Facebook.com/CongressmanTedDeutch) and my website (Deutch.house.gov).

One in twenty seniors in the U.S. is a target of fraud schemes, costing them at least $36.5 billion per year. Yet, the National Adult Protective Services Association has found that only 1 in 44 seniors actually report that they are victims of a fraud scheme.

Last Congress, I joined Rep. Buchanan and Rep. Welch to introduce the Seniors Fraud Prevention Act that was incorporated as Title II of the Stop Senior Scams Act (H.R.2610). The Stop Senior Scams Act passed the House and the Senate but it was not signed into law.

This bill would create an office within the Federal Trade Commission charged with tracking scams, educating and alerting seniors to new scams, and establishing a more effective complaint system to ensure reports of fraud are quickly addressed by the appropriate law enforcement agency.

As we begin this year with a historic opportunity to continue our actions to help prevent gun violence, I am proud to rejoin the Gun Violence Prevention Task Force leadership for the 117th Congress. Task Force leadership is drawn from members with diverse backgrounds, including former prosecutors and members of law enforcement, gun violence survivors, veterans, hunters, and teachers. These leaders hail from rural and urban districts in states across the nation as well as districts that have experienced devastating gun- related tragedies.

As always, please feel free to reach out to my office if we can be of any assistance. I urge everyone to continue to follow CDC guidelines to help stop the spread of COVID-19. Stay safe!

Broward Health Coral Springs offers elite cardiac services

For many years Broward Health Coral Springs (BHCS) provided cardiac care services to the community, but one key component was missing—a cardiac catheterization lab for emergency catheterizations. Subsequently, patients were transported to other facilities, but that’s no longer the case.

Last June, a new state-of-the-art cath lab became operational at BHCS. “We now have the ability to care for specifi c patients with ST Elevation Myocardial Infarctions (STEMI),” said Mohamed Osman, M.D., director of the Cardiac Catheterization Laboratory and specialist in Interventional Cardiology at BHCS. “This is a unique opportunity to provide an even higher level of care through angioplasty procedures.”

Designated as a Level 1 Heart Program by the Agency for Healthcare Administration, the new cath lab was termed a “milestone” by hospital CEO Jared Smith, one that “increases our ability to provide a high level of care and uphold our recognition (per Our City Magazine) as the area’s best hospital and Emergency Department.”

Gary Lai, D.O., and chief of Emergency Medicine says the addition of the STEMI heart program makes it possible for EMS to pre-alert the ER and send electrocardiograms prior to a patient’s arrival. “We can prepare immediately to stabilize, medicate, and expedite patients to the in-house cath lab,” he said. “This saves lives and maximizes outcomes.”

The new catheterization lab allows BHCS specialists to perform invasive cardiac procedures and utilize advanced imaging for diagnoses by using contrast dye to determine the severity of the arterial blockage. Once identified, a balloon angioplasty is performed, or a stent is inserted to clear the artery and save as much of the heart muscle as possible. Pacemakers and defibrillator implant procedures are also performed.

Generally speaking, the last 20 years has seen a rapid transformation of new techniques focusing on minimally invasive procedures, rapid care, and shorter hospital stays, according to Dr. Osman. “Although open heart surgery is certainly an option, the major shift has been toward less invasive, less traumatic procedures that obtain excellent results.” People with severe heart valve problems always required open heart surgery. A significant number are now treated with stents to reduce the risk of a major heart event.

Surgical progress in cardiology can be defi ned by an alphabet soup of acronyms: SAVR (Surgical Aortic Valve Replacement); CABG (Coronary Artery Bypass Graft); BAG (Bilateral Arterial Grafting); PCI (Percutaneous Coronary Intervention); TAVR (Transcatheter Aortic Valve Replacement); EVAR (Endovascular Abdominal Aneurysm Repair): and ICD (Implantable Cardioverter Defi brillator). The term Electrophysiology refers to leadless pacemakers and remote monitoring devices. “Because of these techniques, patients spend less time in the hospital, recover faster, and there’s less trauma to the body,” said Dr. Osman. “An aortic valve replacement once required open heart surgery, but now the TAVR procedure accomplishes the same goal by inserting a transcatheter through a small incision in the groin.”

Surgical complications 

Any medical procedure has the potential for complications such as excessive bleeding, stroke, and even death, but the key is how often complications occur as a result of surgery. “Both minor and major complications are possible, but keep in mind that no patient is the same,” said Dr. Osman. “If a younger patient requires open heart surgery the only problem is the heart and nothing else, so the focus is isolated, but older patients—especially those with underlying conditions such as diabetes, kidney problems, or a previous stroke, are in a high- risk category for complications,” the specialist said.

To show that one size doesn’t fit all, Dr. Osman uses the example of two patients with the same high percentage of blockage that would be treated differently. “The one who is asymptomatic can be treated with medications and dietary changes, while the other who has difficulty breathing and may have underlying medical conditions is a prime candidate for a stent.” He reminds us that everyone is different, and each patient requires a different mode of treatment depending on general health and underlying conditions. “The key is a full evaluation to create a treatment plan with the best benefit.”

Dr. Osman refers to the doctor-patient relationship as “the art of medicine.” The unique relationship includes listening, evaluating, diagnosing, and treating. “At the end of the day when pieces of the ‘puzzle’ come together it’s the collaboration between the surgeon and interventional cardiologist that makes it happen,” he said. He recently saw a patient with a 90-percent blockage of the artery. CABG open heart surgery was performed, and the person is expected to make a full recovery. Choosing the right therapy is the goal.

The COVID consequence

When COVID’s first wave peaked in March 2020, it impacted cardiology services.

With a focus on caring for acute COVID patients, the shift was away from elective cardiac procedures. “Many patients feared coming to the hospital out of fear of COVID and that posed a huge problem,” said Dr. Osman. “In cardiology, time is a big factor and the longer treatment is delayed the worse a condition can become.” He cited a patient who suffered a heart attack yet remained at home for two days. They were able to save his life, but the heart muscle was significantly damaged and he’s now living with a very weak heart muscle. “Things like this are still happening but not to such a high degree. Remember that the margin of error is much less with age,” he said.

The medical facility keeps a log on how long it takes after arrival in the ER to when a clogged artery is opened in the cath lab. According to Dr. Osman the best time to date has been 23 minutes.

CORAL SPRINGS COMMISSION

We remain optimistic that with the mass distribution of the COVID 19 vaccines, the end of this unprecedented pandemic is in sight.City  staff continue to work with the Florida Department of Health and Florida Department of Emergency Management to ensure COVID-19 testing remains readily available for residents, which is crucial to preventing the spread of the virus. Perhaps most importantly, providing access to COVID-19 vaccination sites remains one of  greatest priorities. Sign up for our text message option to receive real-time information about vaccination sites by texting the keyword CORALSPRINGS (one word) to 888-777.

February is Black History Month, and we are proud to celebrate the achievements and contributions of Black Americans in our city. We look forward to highlighting local black leaders in our city nominated by our community. For more details visit www.coralsprings.org/bhm.

This month and every day since February 14, 2018, we continue to remember and honor the 17 students and staff who died at Marjory Stoneman Douglas High School. We also remember all of those who  were injured and forever touched by the violence experienced that day.

Three years does not ease the heartache resulting from such loss  we will never forget and continue to provide meaningful ways to commemorate and honor the memories of: Alyssa Alhadeff, Scott Beigel, Martin Duque, Nicholas Dworet, Aaron Feis, Jaime Guttenberg, Christopher Hixon, Luke Hoyer, Cara Loughran, Gina Montalto, Joaquin Oliver, Alaina Petty, Meadow Pollack, Helena Ramsay, Alex Schachter, Carmen Schentrup, and Peter Wang.

For residents and community members who continue to struggle with mental health, especially in the wake of such loss, there are many resources available. Please call 2-1-1 for suicide intervention, those at risk can also text “FL” to 741-741 to immediately speak with a counselor. For additional information – we offer resources on our website at coralsprings.org/mentalhealth.

Since that tragic day, our city remains committed to ensuring the safety of our students and faculty. Our Police Department has demonstrated their commitment to ensuring school safety by implementing new technology connected directly into our Real Time Crime Center (RTCC). Using advanced software, security systems are integrated directly into the RTCC, improving response times and saving critical seconds during emergency situations – when time matters the most.

On February 19, residents will be able to celebrate all the reasons we love to call Coral Springs home at our Virtual State of the City.

For more details about this event, please visit https://www.coralsprings.org/living/events

We encourage you to remain vigilant to prevent the spread of COVID-19, continue to wear a facial covering, remain socially distanced, and follow good personal hygiene.

Congressman Ted Deutch (D-FL, 22nd District)

I’m honored to once again serve the people of Florida’s 22nd District. As we enter the new Congress, we continue to live through a pandemic that has weakened our economy, put millions out of work and taken the lives of hundreds of thousands of Americans. We need efficient vaccine distribution, additional economic relief, and continued response efforts to heal and protect our neighbors and restore our economy.

Since last year, the COVID-19 pandemic has caused tremendous challenges for our community. In December, Congress passed a long overdue COVID-19 relief package to address our community’s top concerns. However, Congress must continue to support families and small businesses to help them get through this pandemic. I look forward to working with the new Biden administration to extend economic assistance and strengthen our pandemic response efforts throughout South Florida.

While many of us are eager that COVID-19 vaccinations are now being distributed, I know many are frustrated with how distribution has gone so far. I share your frustrations and have been pressing state and local officials to make public a comprehensive vaccine plan. We must be patient due to limited supplies but also continue to urge a distribution plan with full transparency for all Floridians.

For more information regarding vaccination sites throughout South Florida, please visit my Facebook page (Facebook.com/CongressmanTedDeutch) and my website (Deutch.house.gov).

As always, please feel free to reach out to my office if we can be of any assistance. I urge everyone to continue to follow CDC guidelines to help stop the spread of COVID-19. Stay safe!

I look forward to working closely with the new administration on shared priorities such as ensuring meaningful action on gun violence and climate change, two deeply personal issues to Florida. We need to strengthen Social Security by increasing benefits and extending solvency to ensure this essential program remains for generations. Congress must also exercise its role in foreign policy to defend human rights, support our allies, and protect our national security.

 

Local funeral directors shoulder COVID pandemic

With the COVID-19 pandemic putting stress on healthcare workers and first responders (not to mention the rest of us) what is it doing to local funeral homes and the people who staff them?

Deaths due to COVID in the first five months of the pandemic raised total deaths between 25 percent to 27 percent in Broward and Palm Beach counties.

Between March 15 and August 15, Broward County recorded 1,638 deaths due to COVID-19. In Palm Beach County, numbers were similar, with 1,671 deaths. A five-month average for Palm Beach County, pre-COVID, is 6,182; for Broward, 6,361, according to state statistics.

Those aren’t complete figures, explains the Palm Beach County Medical Examiner’s office, because tracking COVID deaths after August 15 was taken away from coroners offices.

Thomas Wojciechowski, location manager at Babione Funeral Home in Boca Raton, which services all faiths, including Catholics, Protestants and some non-Orthodox Jewish families, says during these trying times, they have found ways to accommodate their clients.

“It’s a unique and challenging time,” says Wojciechowski, emphasizing that they follow all CDC guidelines, including social distancing, sanitizing, allowing only 10 attendees in the chapel at one time, and utilizing Zoom for inclusive ceremonies.

Luckily, Wojciechowski says, they didn’t experience much of an increase in deaths over the previous non-COVID year, partially because Palm Beach County wasn’t as hard hit as other counties, such as Miami-Dade.

Babione offers a “remember when” Zoom panel where people can comment in real-time, share photos, and connect with other grieving friends and family.

“People are lonely and alone,” Wojciechowski says. “We make every effort to include everyone who wants to participate.” Currently, they are planning larger-scale remembrances six months down the line, waiting for more conducive times. “Families find comfort in knowing they can come together in the near future.”

Babione and Wojciechowski were lucky that they experienced no shortages of supplies and Wojciechowski is heartened that his staff and community have come together.

“People are going the extra mile,” he says. “It restores your hope in people.”

On a personal level, he says some days are more trying than others and he turns to both his daughter and his dog for comfort. Additionally, he says, “I find comfort knowing I’m helping families remember their loved ones and celebrating their lives.”

With a large elderly population of Jewish seniors in Boca Raton, many of whom have ties to hard-hit New York, the Jewish funeral homes worked long and hard in the beginning of March.

Steven Kanowitz, 78, the funeral director at Gutterman’s, which has locations in Boca Raton and Long Island, NY, was in the thick of the pandemic. His staff worked from 7:30 am-12 midnight from March through July. “They got up in the dark and went home in the dark,” he said. “It was the toughest time we ever had.”

“The pandemic is a total heartbreak both for families and for our staff,” says  Kanowitz, who has been in the business for 60 years. “It’s always on my mind.”

He noted that many casket companies were stressed for inventory, and flight delays and cancelations had a big impact on the transport of bodies from Florida to New York.

“I had to stay in constant contact with families to make sure their loved ones arrived safely,” he remembers.

Kanowitz, who describes himself as a happy person in a sad business, said he has empathy for people who’ve lost their loved ones.

“You need to be sensitive and put yourself in other people’s shoes,” he says.

Not a stranger to disasters, Kanowitz worked with many families in New York after Sept. 11 and knew 22 people personally that he had to bury.

“But,” he says, “You can’t compare; the COVID-19 pandemic is the toughest time we’ve seen.”

Keith Kronish of Kronish Funeral Services adjacent to Century Village in Boca Raton had a similar experience.

As a designated essential worker, Kronish never shut down and worked from home. Following CDC guidelines and those of the National Funeral Directors Association (NFDA), Kronish says funeral directors were quietly and respectfully taking care of their communities and doing everything they could.

“We worked around the clock, not by the clock,” he says.

He characterizes the difference between the virus’s impact in New York and Florida as the outbreak in New York was more acute, while the outbreak in Florida was more chronic. In New York, cemeteries, which usually accommodate six to eight burials a day had to do as many as 20.

“There’s not enough days in the week to accommodate all these burials,” Kronish says.

In some respects he said the virus has been an equalizer.

People of means who may have wanted to hire a private plane to fly their loved one home found that private planes didn’t accommodate caskets.

He recounts a sad story from one of the worst months of the outbreak. A traditionally observant family whose loved one died from the virus, had only the rabbi, the wife, and one of the three children at the gravesite service.

The other two children stayed in the car and in normal times, as many as 400 to 500 people could have been in attendance.

Despite the traditional Jewish prohibition of open caskets, Kronish said many families were comforted to view their loved ones in the casket for a last viewing.

“They want to know their loved one is at peace,” he
said.

Usually in Jewish tradition, there is a quick turnaround from the time of death to the time of burial, which was delayed by the circumstances, says Kronish.

Also, the traditional 7-day mourning period in Jewish tradition, known as the shivah, was canceled.

“Emotionally, this was very difficult for many families,” said Kronish.

“But, we adapted quickly,” he says. “We got very proficient on Zoom, our phones, and iPads and ordered enhanced camera and sound capabilities so that people in multiple states could participate in the services.”

On the other hand, Mike Sirowitz, director of the Beth-El Mausoleum in Boca Raton (the only mausoleum on the grounds of a synagogue in North America), said he has not seen a major increase in need over the past eight to nine months.

He estimates he’s had eight burials due to the virus.

However, like Wojciechowski at Babione, he says his numbers may not be a fair representation of the number of deaths, as the virus has hit harder in communities of color and lower socio-economic status.

He also notes that there was a parallel decrease in other causes of deaths, such as accidents (including car accidents) or heart attacks from playing sports, as people stayed home.

One change Sirowitz has seen is a 30 percent to 40 percent increase in pre-need sales. Usually, he says people are reluctant to prepare for this eventuality, but COVID-19 has brought the issue to the forefront.

“COVID-19 is a wake-up call for many and has created a sense of urgency,” he says.

With a vaccine on the horizon, things are looking up and spring offers new possibilities of hope.

“I don’t know when we will be through this, but I know we will come through it OK,” Wojciechowski says.

“People are feeling lonely and isolated in these trying times,” he says. “You can’t put a price on how much a hug means to someone when they’re grieving,” he says.

“I wish I could hug and console my clients,” says Wojciechowski. “I miss that and am looking forward to when I can hug them again.”

Van carries free legal aid to Broward seniors

Like the Mystery Machine on Scooby Doo or Bruce Wayne’s famous Batmobile, a new rolling problem solver is bringing free legal aid to Broward County seniors.

Coast to Coast Legal Aid of South Florida has launched the Mobile Justice Squad, a mobile division of its high quality free civil legal services.

The squad will provide legal services for homebound seniors or those seniors with limited mobility. Legal services offered through the MobileJustice Squad include but are not limited to health and public benefits, housing and foreclosure defense, domestic violence and financial exploitation, consumer fraud, and naturalization.

“With the Mobile Justice Squad, we are bringing our resources and services out on the road to the most vulnerable,” said Patrice Paldino, Executive Director of Coast to Coast Legal Aid of South Florida. “This initiative is an integral part of what we can do to continue our mission to provide high quality free civil legal advice, representation, and education to those who need it.”

Alterations to the van have been made in response to COVID-19 to allow social distancing through a plexiglass shield. Attorneys will be able to screen clients, review legal issues, prepare, scan, and copy documents all in one visit, eliminating the need for clients to travel to the office or send documents through the mail.

To obtain access to the Mobile Justice Squad, individuals or community organizations should call 954-736-2400. Eligible senior citizens (60+ years old) can make an appointment and the Mobile Justice Squad will then arrive at their location.

Funding for this innovative project was generously provided by the American Bar Endowment and The Jim Moran Foundation.

2021-The year of the vaccine

We’ve closed the book on an unexpected 2020, where so much of our lives were dominated by the pandemic. COVID-19 will still be with us this year, but we hope our lives will slowly recover in 2021 as vaccines are made available for everyone.

Creating a new vaccine is time-consuming. Unlike the flu vaccine for the H1N1 pandemic in 2009, there is no existing vaccine for coronaviruses to build upon. According to the CDC, COVID-19 vaccines must be developed and tested to ensure they work and are safe. Michal Linial, a professor of biological chemistry at the Hebrew University of Jerusalem said “Classical vaccines were designed to take 10 years to develop.” So a new vaccine process is now being used for the early COVID-19 vaccines.

As of December 15th, three vaccines have been submitted for FDA approval. There are two mRNA (messenger RNA) vaccines by Pfi zer and Moderna, and one DNA vaccine by Oxford-AstraZeneca. Both of these methods are relatively new, and until COVID-19, no DNA or mRNA vaccines had been approved in the US for human use.

The basic concept these vaccines use is to trick your body into producing proteins that appear to be similar to COVID-19 fragments, which will elicit an immune response from your body’s defense system. This response will protect you from infection from the live virus. This is a new process, compared to vaccines based on live or dead pathogen proteins. The new DNA and mRNA vaccines are non-infectious and can be produced faster and economically.

Both mRNA and DNA vaccines use your body to produce the proteins, using the instructions stored in either mRNA or DNA format. DNA instructions are processed inside your body’s cells to produce the proteins designed to emulate fragments from the virus; whereas mRNA is translated into the protein outside of the cell in your body’s intracellular fluid.

Since mRNA does not enter your cell, the chance of your genome being affected is averted. But mRNA is fragile, thus the cold storage requirements for these vaccines: -70 degrees Celsius for Pfi zer, and -20 degrees Celsius for Moderna. The advantage of the DNA vaccine like the Oxford-AstraZeneca version is to reach areas where cold storage is not common.

The minor and moderate side effects reported of these early vaccines are sore arm at the injection site, fever, fatigue, headache, joint pains, and muscle aches. These effects are due to your body ramping up for a virus infection, but because the vaccine is non-infectious, you will not get a case of COVID-19, just the symptoms from your body’s response.

According to Moderna, no one receiving the vaccine in their trials developed a severe case of COVID-19. The reported efficacy rate for these vaccines are in the 90-95% range, which is much higher than your typical flu vaccine.

While the creation and approval of these first sets of vaccines have been completed, the logistics of getting them delivered across the country has just begun. Operation Warp Speed (OWS), is a partnership between the Department of Health and Human Services (HHS), including the Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH), the Biomedical Advanced Research and Development Authority (BARDA), and the Department of Defense (DoD).

OWS aims to accelerate the development, manufacture, and distribution of COVID-19 vaccines. Their stated distribution objective “is for everyone to be able to easily get a COVID-19 vaccine as soon as large quantities are available. Several thousand vaccination providers will be available, including doctors’ offices, retail pharmacies, hospitals, and federally qualified health centers.”

OWS has provided a playbook to state and local jurisdictions on the distribution of the vaccines. In Florida, the Division of Emergency Management (FDEM), an agency headed by Director Jared Moskowitz, a Parkland local, is responsible for the distribution of vaccines across the state. “We went out and bought dry ice machines,” said Director Moskowitz. “We got the ultra-cold freezers that we need. We feel that we’re in a good position.

Gov. Ron DeSantis said the state has been planning since early summer on how best to distribute the vaccines, with initial distribution planned at five Florida hospitals (including Memorial Healthcare System in Broward), and eventually expanding to look like state testing sites. “It may even be the same sites we have now,” Moskowitz said. “Giving out the vaccine in a mass distribution — call it spring, late spring, early summer.”

So we say good riddance to 2020. There is much hope life will start returning to normal as more folks are vaccinated in 2021. As of Dec 15th, 2020, a new hope is slowly arriving in the form of vaccines, and state officials work through the prioritization process. The logistics of successfully implementing a smooth mass vaccination is immense, and we all need to follow the recommendations so we can get back to the OLD normal as quickly as possible.

Welcome to 2021, the year of the vaccine.

CORAL SPRINGS COMMISSION

Happy New Year to all our residents and local businesses! As we put what was an unprecedented year behind us, it is important for us to focus on the future and what the promise of a new year can bring to the City of Coral Springs.

As we start the year, we encourage you to be optimistic, embrace diversity, and work together to ensure our city is the best community to live, work, and raise a family.

We look forward to kicking off strategic planning with city staff. This type of preparation assists us to clearly identify our new initiatives, and creates a path to meeting the needs of our residents and business owners.

The input we receive from our residents, the very people who elected us to hold office, plays a large role in our decision making. Participation in public meetings, sending us an email, connecting with the city on social media, and using the My Coral Springs App are all ways you can offer input and help guide our city’s direction.

As the demolition of One Financial Plaza continues, making way for the development of Cornerstone, we will start to see great improvement of our Downtown area. This revitalization in the heart of Coral Springs, will not only improve revenue, but will also create a true sense of place. In the coming year we look forward to seeing plans for Village Square, the creation of a nature trail at Kiwanis park, and the development of a Surf Park at Sportsplex.

With the distribution of promising vaccines, we are hopeful to see the end of the COVID-19 pandemic. Our city has held a long-standing partnership with the Florida Department of Health, to ensure our city receives vaccines for distribution once they are made available for mass distribution. It is important to stay informed about the potential for this availability by texting the keyword CORALSPRINGS (one word) to 888-777 or visiting our website www.coralsprings.org.

We continue to serve as a host city for two free, state-run, public COVID-19 test sites: Mullins Hall, 10150 NW 29th Street, Coral Springs and at the Panthers IceDen, 3299 Sportsplex Drive. For instructions, days, times of operation and closures, follow the city on social media or visit our website.

As we look to 2021 with optimism, we are hopeful that with a vaccine, we can plan for and welcome back exciting events and activities this year! Stay informed about important city updates and events by following us on social media via Facebook, Instagram, Twitter, and Nextdoor. We wish you all a safe and healthy 2021!