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Tiny Technology for Tiny Hearts

1/31/2023

5 Comments

 
by Katie Nussbaum, Wolfson Children's Hospital
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The smallest child to date to have a PDA closed at Wolfson Children’s, Jaden was less than five pounds at the time of the procedure.

New heart device helps the smallest patients.

Jaden Stewart was removed from oxygen support and breathing on his own in July.

Born 17 weeks premature on March 29, 2022, Jaden Stewart has spent the first five months of his life in neonatal intensive care. Thanks to a tiny new technology and procedure recently introduced at Wolfson Children’s Hospital, Jaden is home with his family.

Soon after birth, Jaden, who weighed less than two pounds, was diagnosed with patent ductus arteriosus, or PDA, a potentially life-threatening opening between the two major blood vessels leading from the heart.

“The lungs tend to be fairly fragile in premature babies and that extra blood flow that goes into the lungs through that PDA can cause a lot of issues,” said Robert English, MD, a pediatric interventional cardiologist who practices at the C. Herman and Mary Virginia Terry Heart Institute at Wolfson Children’s Hospital. “They require support to be able to ventilate and oxygenate and that extra blood flow may cause prolongation of the need for support. That support can be damaging to the lungs over time.”
While required in fetal life, the vessel opening typically closes on its own within a few days after birth, but that’s not always the case, especially in premature babies.

“The opening was always of moderate size but it never got any smaller,” said Jaden’s mom, Tiffany Stewart.

In mid-June, Jaden was transferred to the Wolfson Children’s Hospital Neonatal Intensive Care Center from another area hospital. Two weeks later, he underwent a non-surgical procedure to close the PDA using the Amplatzer Piccolo™ Occluder, which is so small it fits on the face of a dime. Wolfson Children’s is the only hospital in Northeast Florida to offer this procedure.
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Dr. English is specially trained to implant this technology in babies weighing as little as two pounds
​"For a long time, we have been able to close these vessels in older and bigger infants and children because the devices used to close them are of a certain size, but they're too big for the premature babies," said Dr. English, who performed Jaden's procedure. "This tiny device is the first technology that allows us to close a PDA in premature infants."

Dr. English is specially trained to implant this technology in babies weighing as little as two pounds through a cardiac catheterization procedure in which the wire mesh device is guided through the vessels to close the opening.

A non-surgical option for premature infants

Previously, the only other option to close a PDA in infants was surgery.

"Heart surgery is more invasive and involves an incision between the ribs," said Dr. English. "The children usually recover well following the surgical procedure, but there are some risks associated so we prefer a non-surgical procedure to close the PDA when possible."

The smallest child to date to have a PDA closed at Wolfson Children's, Jaden was less than five pounds at the time of the procedure. Stewart said she noticed a positive change in Jaden just hours after the procedure was completed.
"Almost immediately, you could see a difference just with his oxygen support levels," she said.

Within a couple of days, Jaden was taken off the ventilator and put on low-flow oxygen support.

In late August, Jaden was removed from all oxygen support, breathing on his own and ready to join his dad Justin and sisters, Jordan, 12, and Riley, 10, at home.

"He's doing a lot better with his breathing and he's even starting to bottle feed now," Stewart said. "He is definitely pacing himself as far as being able to breathe and swallow at the same time, but the procedure turned things around."

Stewart said Jaden is growing stronger each day and hitting milestones a lot quicker than before.

"He's on his way to being healthy and being able to really function without as much support as he needed before," she said.
 
The pediatric cardiology, imaging, cardiac intensive care, cardiac anesthesiology and heart surgery teams with Wolfson Children's C. Herman and Mary Virginia Terry Heart Institute treat a full range of pediatric cardiac conditions, from defects present at birth to heart rhythm disorders. To learn more, call 904.202.8550 or visit wolfsonchildrens.com/heart
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Modern Aesthetic Centers

1/2/2023

0 Comments

 
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​How did you have the idea to open 
Modern Aesthetic Centers in St. Johns?


Born and raised in the greater Jacksonville community, we started to notice a growth in the medical spa business over the last few years. With our backgrounds in the aesthetics and wellness industry, Paul and I wanted to bring something significant to the table and open our first center in the Saint Johns community. We know that we have to look at our clients as a whole, not just offer treatments to enhance their look. We have a growing service list for wellness offering to address the internal health of our clients and their overall wellbeing.  

When did you open your business? 

We opened Modern Aesthetic Centers in November of this year, 2022.

What are some of the unique 
services you provide?


We offer a few unique services that sets us apart from a traditional medical spa. One of those services is hormone replacement therapy, which consists of running a full lab panel and assessing if a client is a good candidate for hormone replacement. If so, we prescribe hormones to put them back in balance, which significantly changes their lives. It treats hot flashes, increases energy levels, increases libido and treats mood swings, just to name a few.

Another unique service we offer is skin rejuvenation with the addition of PRF and exosomes. These are cutting edge offering which dramatically increase collagen and elastin, resulting in visible reduction of wrinkles, age spots, skin brightness and firmness immediately and continuously as over time.
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​Who are your team members and what do they bring to the table?

Our team members are remarkable. Tanya Temple is our Nurse Practioner. Her background in dermatology sets her apart from most aesthetic injectors, as she assesses and treats her clients skin health concerns and not just visible enhancements. Bobbie Stewart is our Master Aesthetician. Bobbie is a trained registered nurse and a Massage  therapist. The skill set she acquired with her past training elevates her knowledge versus a traditionally trained aesthetician. She understands the skin and muscular system and brings that knowledge to the table when consulting and treating her clients.

Kristen Parker is our Client Coordinator. Kristen has a degree in nutrition and takes a big role in our wellness program. She also understands how to manage the day to day operations of our business and puts our clients first from the moment they call and walk in the door until the moment they leave. 


What do you want clients to know about Modern Aesthetic Centers that sets you apart?

Our diverse menu of aesthetic and wellness services coupled with cutting edge options sets us apart from traditional medical spas. We also have a remarkable team with strong backgrounds, from our leadership team to our providers. 

 

Do you offer a consultation before an appointment?  What does this entail? 


We do offer our clients a consultation before their appointments. When a client makes an appointment with us for the first time, we schedule enough time to provide an initial consultation as well as their treatment. Our providers address all of their aesthetic and wellness concerns during this initial visit by listening to the clients' goals, assessing their overall skin health, reviewing their current and past medical history and providing a customized treatment plan to get them to their goals. 

Why did you choose St. Johns?  Do you have plans to open other Centers in our area?

We chose to open our first location in Saint Johns because of the remarkable growth of the county. Living in the Saint John's area myself, I am very familiar with the past, current and future growth of this county. We also have a lack of aesthetic and wellness centers in the area we opened, which we have now filled that need. We do plan to open three more centers over the new few years.

What is your favorite thing to do when you are not working? 

When I am not at work, I have two girls and a large family that keep me busy. We love to enjoy the amazing outdoors our hometown provides. The beach is our favorite place outdoors and we also love the many parks and trails our town has to offer. 
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Welcome to St. Johns Magazine, the premier lifestyle media company in St. Johns, Florida and the heart of Northern St. Johns, dedicated to celebrating life & style in our vibrant Communities.

We know and love the region of Northern St. Johns and each issue is filled with beautiful photography and thoughtfully curated articles that aim to inform, entertain and inspire our readers. Features include stories on local people, business leaders, arts and entertainment, top food and drink destinations, local heroes, and fun things to do.

Launched in 2012, Johns Magazine publishes twelve times a year. It is available in print and online at Stjohnsmag.com and distributed free of charge to SELECT homes in northern St. Johns via US Postal Service.​
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  • Home
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    • Features
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    • Home & Style blog
    • Real Estate >
      • Real Estate St. Johns BLOG
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        • Focus on Trailmark
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        • Focus on Nocatee
        • Age Restricted Communities
    • Travel
  • Dining
    • Local Restaurant Reviews
    • Local Chefs Series
    • Coastal Home Group's Favorite's
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  • Current Issue
  • Best of St. Johns
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      • BLOG Health & Wellness Providers BLOG
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