Page 14 - Boca Club News - July '20
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Page 14, Boca Club News
       Legal



      Covid’s Impact on the Real Estate Market



      By Michael J Posner, Esq., a partner                 Interestingly, the median price for sold homes actually   experiencing a 26% increase over May 2019 and Broward
      in Ward, Damon, Posner, Pheterson                 increased in April in all three counties. The median price   County had a 23% increase for the same time. It is not
      & Bleau, P.L. a mid-sized real estate,            increase in Dade County was 7.3% to $382,000 for homes   clear if this increase will be sustained for the summer of
      estate planning and business-oriented             and 6.9% to $265,000 for condominiums. The increase   2020, or this just includes delayed closings from April.
      law firm serving all of South Florida,            in Broward County was 6.1% to $382,000 for homes and      Because of the combination of canceled listings and
      with three offices in Palm Beach                  8% to $183,500 for condominiums. The increase in Palm   fewer new listings, the inventory of homes available for
      County. They specialize in residential            Beach County was 4.3% to $365,000 for homes and 5.4%   sale has fallen by 28.8% for single-family homes and
      and commercial real estate and can                to 195,000 for condominiums.                       12.5%  for  townhomes/condominiums. This  equates  to
      assist with a closings and loans.                    During March and April 2020, many pending deals were   a 4.2-month supply of homes in Palm Beach County.
      They can be reached at (561) 594-1452 or at mjposner@  canceled by purchasers asserting a force majeure clause in   This number is below the generally accepted equilibrium
      warddamon.com                                     their real estate contract. Some buyers gave up their deposits   number of 5.5 months’ supply. When the supply is below
         It has now been three months since the coronavirus,   rather than proceed to close. Others sought to delay closing   5.5 months it is generally considered to be a sellers’
      Covid–19, has existed as a substantial force on the Florida   or fought to obtain the return of their deposit.   market, which is reflected in the higher median sales price
      economy. This impact has been felt especially hard in the real      Many sellers pulled their properties from the market   for homes that actually close.
      estate market, resulting in a substantial drop in the number   and the number of active listings in Palm Beach County      The virus also affected the mortgage foreclosure market.
      of sales compared to 2019.                        fell 18.5% from April 2019 to a total number of listings   The number of homes being foreclosed and sold at the
         The first quarter of 2020 reflected the strong economy   of 6,126. New listings eventually declined from 2019 as   courthouse has dropped dramatically. Only 24 homes were
      with a year-over-year growth of over 10% from 2019. In   well: only 1,264 new listings in April 2020, a decline   set to go to auction in June 2020 at the Palm Beach County
      addition, inventory for single-family homes was a low 3.4   of 39.4%. The time period from listing to contract also   Courthouse compared to a total of 136 homes that were
      months and the inventory for townhomes/condominiums was   increased substantially from earlier in 2020 to nearly 76   scheduled to be auctioned in June 2019. In addition, Fannie
      a more average 5.5 months. The time periods from listing   days. This is a 21.6% increase from April 2019.  Mae, Freddie Mac and the Department of Housing and
      to contract was a short 43 days for single-family homes and      Unlike April, sales actually picked up some in May   Urban Development of all extended their stay of mortgage
      only 55 days for townhomes/condominiums.          2020. Sales levels are still below similar levels in May   foreclosures through June 30, 2020, which make up the bulk
         In addition to the strong economic news in the first   2019 but listings and closings increased compared to   of the residential housing market. It is also possible that a
      quarter of 2020, the low mortgage interest rates also helped   April 2020. Houses that were withdrawn from the market   further extension of that stay maybe entered depending on
      encourage sales, dropping nearly three quarters of a point   in March and April were re-listed in May by many sellers.   the status of the economy at the end of June.
      from the same time in 2019, from an average of 4.37% to an   While the virus has restricted sales throughout the market,      It appears in the short run that the real estate market will
      average of only 3.51%.                            the effect has been less on very high-end sales in excess   continue to be affected by the virus, but that once the public
         The effects of the virus came to a head in April 2020. In   of $10 million.                       perception is that the virus is contained and the economy
      Miami, sales declined 40% compared to April 2019. Broward      For homes priced over $1 million, May 2020 sales   is rebounding the pent-up demand for home purchases,
      County experienced a decline of 37.4% and Palm Beach County   figures were encouraging. Sales surged 45% in Miami-  coupled with the continuing low mortgage interest rates,
      experienced a decline of 33.8% compared to April 2019.   Dade County over May 2019, with Palm Beach County   should see increased sales at some point in the future.
       Health & Wellness



      Medical Matters: Brain Tumors




      By Richard Nagler, M.D., a member                    The cause is unknown, but there are a number of risk      This tumor is also highly vascular and develops finger-
      of Broken Sound Club and retired                  factors involved. Exposure to radiation is the single most   like tentacles that rapidly grow into vital areas of the brain,
      physician. After graduating from                  important factor. Genetics, neurofibromatosis type 2 (a rare   but it rarely metastasizes to other parts of the body. As it
      the University of Pennsylvania and                genetic disorder associated with noncancerous tumors of   grows it increases pressure on the brain, which results in
      New  York  University’s  School of                the nervous system, especially acoustic neuromas that affect   worsening headaches, nausea and vomiting, drowsiness,
      Medicine,  Dr.  Nagler  served  his               the ears) and previous head injuries, especially a fractured   weakness on one side of the body, paralysis, memory loss,
      internship and residency at Baltimore             skull, are involved. Cell phone use has been shown to be a   speech difficulties, visual disturbances, hearing loss, balance
      City Hospital and Johns Hopkins. He               non-factor.                                        problems, loss of coordination, personality changes and
      followed that with a Fellowship in                   Meningiomas have a slow growth rate and symptoms   seizures, which may be the first sign of the tumor. The cause
      Gastroenterology at Yale University School of Medicine, and   usually develop slowly. Headaches, blurred vision, arm   is unknown. A family history is a risk factor, and exposure to
      was then Chief of Gastroenterology at Fitzimmons General   or leg weakness, numbness, speech difficulties, loss of   power lines has been implicated. Immune system deficiencies
      Army Hospital in Denver. He returned to the Yale Medical   concentration, hearing loss, loss of smell, memory loss,   and exposure to UV rays and certain chemicals are risk
      School for one year as an Assistant Professor of Medicine   nausea and vomiting, changes in personality and seizures   factors.
      before opening his own successful private practice in Internal   are common.                            The diagnosis is made with an MRI, CT scan with contrast
      Medicine and Gastroenterology. During that time, he also      These tumors are readily diagnosed with a CT scan with   and magnetic resonance spectrometry, which will determine
      served for ten years as Chief of Medicine at Huntington   contrast, an MRI, and arteriography. Obtaining spinal fluid   the size and location of the tumor. Once it is located, a needle
      Hospital in Huntington, N.Y.                      with a lumbar puncture usually reveals elevated cerebro   biopsy can be done to confirm the diagnosis. A spinal tap
         A brain tumor consists of a mass of abnormal cells in the   spinal fluid proteins.                can be done to identify cancer cells. Because this tumor is
      brain. Some of them can be benign and some are malignant.      When a meningioma is very small there are usually no   so vascular an angiogram is another useful diagnostic tool.
      They can be primary in the brain or they may be metastatic,   symptoms, and many of these tumors are found incidentally      Treatment involves surgery with an attempt to remove
      having spread from a cancer that originated elsewhere in the   by a CT scan done for another reason or at autopsy. Periodic   as much of the tumor as possible, but because of its rapid
      body. Primary brain tumors originate in the brain itself or in   observation is recommended as they grow very slowly.   infiltration into adjacent brain tissue this is a daunting
      ancillary structures such as the meninges, which are the outer   When there are symptoms, surgery is the preferred method   task. During surgery, thin circular wafers which contain
      lining of the brain and cranial nerves. Normal cells mutate to   of treatment. It involves a craniotomy, where part of the   chemotherapeutic drugs can be placed in the tumor area where
      become cancer cells, which results in their ability to grow and   skull is removed in order to gain access to the brain. The   they dissolve, slowly releasing them to kill cancer cells.
      divide at an increased rate and continue to live while normal   tumor is removed entirely, or as much as possible limited      Proton beam radiation, which delivers the x-rays directly
      cells die.                                        to its location so as to minimize any damage to essential   to the tumor with less radiation than x-rays is useful.
         There are many varieties of brain tumors, but this column   nearby structures. The part of the skull that is removed is then   Computer driven three-dimensional intensity modulated
      will be limited to the two most common ones that afflict the   replaced. Following surgery there is a 20% rate of recurrence   radiation can target the tumor, sparing normal brain tissue.
      adult American population.                        of a meningioma, either in the original location or a new one   Stereotactic radiation, where seeds are implanted directly
         Meningioma. This is a brain tumor that arises from the   in some other area in the brain.         into the tumor and emit radiation for months, is somewhat
      meninges, which is the membrane that surrounds the brain      In some instances, because the tumor is located close to   effective. Oral steroids are useful short-term to reduce
      and spinal cord. Ninety-nine percent are benign and are twice   a vital structure, it cannot be safely removed and another   swelling. Chemotherapeutic drugs, such as Tamodar, are
      as common in women. The 1 % of them that are malignant   approach is required. Ionizing radiation therapy utilized at the   used in conjunction with radiation to help interfere with the
      rapidly grow and attack the central nervous system and often   time of surgery in lieu of the knife---or stereotactic radiation,   growth and spread of the tumor. Avastin reduces new blood
      spread to other parts of the body, especially the lungs.  which is effective with minimal damage to normal cells---is a   vessel formation that delivers nutrients to the cancer cells
                                                        common alternative. Benefits develop over time with shrinkage   they need to survive. Temolozomide given five days a week
                                                        of the meningioma or even its disappearance. In the 1% of cases   for six to 12 cycles over a six-week period is effective in
                                                        where a meningioma is malignant it is usually discovered at   destroying cancer cells.
                                                        the time of surgery. The prognosis is extremely poor as they      TTF therapy involves delivering an electrical field to the
                                                        readily metastasize to the lungs, pleura, liver and bones.  tumor that disrupts the ability of the cancer cells to multiply.
                                                           Glioblastoma. This is a very aggressive malignant   There are also adhesive electrical pads connected to a portable
                                                        brain tumor. It is more common in white and Asian men   device that can help destroy cancer cells. Unfortunately, all
                                                        after the age of 50. Famous people who have succumbed to   of these therapeutic efforts do not cure this cancer, and the
                                                        this devastating brain tumor include Ted Kennedy, George   median survival rate is just 14 months. Two-year survival
                                                        Gershwin, Ethyl Merman, Beau Biden, Tug McGraw, Gene   is less than 25% and five-year survival is 10%, making
                                                        Siskel, Susan Haywood, Walter Johnson and John McCain,   glioblastoma one of the most lethal of all cancers. In all
                                                        among many others. It can be found anywhere in the brain   instances a palliative care plan is essential to provide relief
                                                        and is usually made up of a variety of cell types, which makes   from the unrelenting pain and suffering associated with this
                                                        it so difficult to treat.                          devastating disease.
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