Page 12 - Boca Ezposure - February '22
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Page 12, Boca Exposure
       Rex Recommends




      By Rex Hearn                                       memory did us all a favor by appointing Maestro Schwarz   rushing to get to the end. It is fiendishly difficult to play.
         February and the arts                           as music director before he died. In the sometime snobbish   Very little emotional feeling came across from the pianist
      are in full swing. The fast                        world of conducting, five-syllable names appear to get the job.   for a piece deliberately written bearing the stamp of high
      spreading Omicron bug is                           Boston’s Kousevitsky; Philadelphia’s Stokowski for instance;   romanticism in its sunset years. The great Shostakovich
      trying to put a damper on                          though Stokowski was originally Leopold Stokes, an organist   Symphony No. 5 brought the concert to a close. Written in
      the proceedings but with                           from London! What I’m trying to say is that Maestro Schwarz   a grand conciliatory sober mood to please Marshall Stalin,
      protocols in place, artistic                       might easily have led one of our great five orchestras with a   who, two years earlier had walked out of Shostakovich’s
      directors are determined to                        name change. Instead he has created his own great orchestra,   opera Lady Macbeth of Minsk describing it as muddle
      win – by filling seats! Palm                       and we are fortunate to be in at the beginning.   instead of music. Marked Opus 47 of 1937 the 5th
      Beach Opera celebrates                                Yefim Bronfman played the Rachmaninoff  Piano   Symphony celebrated the 20th anniversary of the Russian
      60 years in  2022 and the                          Concerto No. 3 after the dazzling Kikimora piece full   Revolution. Stalin was pleased. Honors were poured on
      90-piece Palm Beach                                of orchestral brilliance and mayhem which opened the   Shostakovich, but his greatest international recognition
      Symphony ranks among                               program. Written in 1908, pianist-composer-conductor   came with the war symphonies, Numbers 7, 8 and 9,
      America’s great orchestras now. The Kravis Center offers a   Rachmaninoff scored it for his lucrative American debut   demonstrating his capacity for tragedy and ironic humor.
      cornucopia of wonderful entertainment.             where in 1909 he played it twice in New York City: on      Palm Beach Symphony gave the 5th Symphony a
      Palm Beach Opera                                   Nov. 28 with the New York Symphony and later with   stirring and brilliant reading led by Maestro Schwarz.
         From Feb. 25 to 27 the opera’s third offering in their 60th   the New York Philharmonic under Gustav Mahler.      Their next concert will be on Monday, March 7 at
      year is Donizetti’s harmless, amusing and sweet work, The   Bronfman’s brilliant technique is unquestionable, and was   7:30 p.m. featuring Beethoven’s Piano Concerto No. 3
      Elixir of Love. Guatemalan tenor Mario Chang who sounds   well received but from my point of view he seemed to be   and Mahler’s Symphony No. 4.
      like a young Domingo sings the famous Una Fortuna lagrima
      aria in Act ll. Adriana Cuchman is his love interest, Adina;
      from Canada she is a rising star having sung soprano roles   Peripheral Arterial Disease Awareness
      at The Met.
         Minnesotan Alexandra Razskazoff is Gianetta,  her     Peripheral arterial disease (PAD) simply is blockage in  very low. Patients who undergo amputation have a very
      friend, the “richly faceted silky sounding soprano” (New   the arteries of your legs. This is normally due to cholesterol  high mortality rate. Preventing amputation saves lives
      York Times). Russian baritone Alexey Lavrov sings Sergeant   particles and fats that form plaque. This plaque buildup  and decreases mortality. Before a decision on amputation,
      Belcore. And bass-baritone Musa Ngqungwana, “a rich   in-turn narrows the artery walls causing poor circulation  each patient should undergo a thorough evaluation
      glowing singer with an elegant legato” (New York Times)   throughout the legs. When plaque obstructs nutrient and  for best medical therapy, which can include lifestyle
      from South Africa sings Dr. Dulcamara, who sells the elixir,   oxygen rich blood from transport to leg arteries and on  changes, medication, or open surgical or endovascular
      otherwise known as burgundy wine! David Stern conducts;   to muscles and tissues, limb cells can die. In these severe  revascularization. Endovascular treatment is a minimally
      Greg Ritchey is the chorus master and Fenlon Lamb directs.   cases, PAD can cause pain in the legs with or without  invasive procedure that is performed using a small needle
      For tickets telephone the box office: (561) 833-7888 or book   walking and can even lead to a more serious condition  puncture through which the blockage in the arteries can be
      online: pbopera.org.                                called critical limb ischemia (CLI). Inadequate treatment  removed using balloons and/or stents. Over the past decade,
      Palm Beach Symphony                                 or delay in care for CLI can result in amputation and leg  as endovascular treatment and technologies have become
         Monday, March 7 at 7:30 p.m. in Dreyfoos Hall at   loss. According to the national Institutes of Health (NIH),  more widely available and implemented, amputation rates
                                                          PAD affects between 8-12 million people in the U.S. and  have decreased.
      the Kravis Center sees their fourth concert of the season.   up to 2 million suffer from CLI.        Treatment Options for PAD include:
      With Portuguese piano soloist, Maria Joao Pires playing     Among adults age 65 and older, 12 to 20 percent may  Lifestyle Changes
      Beethoven’s Piano Concerto No. 3 and Mahler’s Symphony      have PAD                                    Quit Smoking
      No. 4 conducted by Maestro Gerard Schwarz. Box Office:      Up to 85 percent of all amputations occur in people     Lowering Blood Pressure
      (561) 281-0145.                                        over the age of 60                              Lower LDL Cholesterol
      The Kravis Center                                      One in three people over the age of 50 with diabetes    Managing diabetes to lower blood glucose levels
         The Lloyd-Webber musical Cats goes up from Feb. 8 to      is likely to have PAD                     Healthy diet
      13; Tuesday, Thursday and Friday at 8 p.m.; Wednesday and   Common Risk Factors for PAD                Regular exercise
      Saturday at 2 p.m. and 8 p.m.; and Sunday at 2 p.m. In the     PAD cases range from mild symptoms consisting of  Medications
      Young Artists Classical series, Anthony Trionfo, flute, gives   leg or calf pain while walking or immediately thereafter     Lower high cholesterol and high blood pressure
      a recital on Wednesday, Feb. 9 at 7:30 p.m. Pianist, Albert   to serious CLI ailments including sores on the foot or leg     Manage diabetes
                                                          that just will not heal, gangrene and pain when at rest. Four     Prevent formation of blood clots
      Cano Smit, accompanies. Next! Philadanco, the innovative   Main Risk Factors for PAD:                   Help improve walking ability and increase
      modern dance troupe from Philadelphia hit the boards from     Hypertension    Diabetes                circulation
      Feb. 11 to 13, Friday, Saturday, and Sunday at 7:30 p.m. in     Smoking     High Cholesterol       Revascularization
      the Rinker Playhouse representing the human spirit through     If left to progress, CLI can result in foot or leg    Angioplasty
      dance. The delightful soprano Audra McDonald appears on   amputation. Up to 650,000 amputations due to CLI occur    Stenting
      Monday, Feb. 14 at 8 p.m. Take your valentine – it’s bound   yearly in the U.S. More than half of these patients had    Atherectomy
      to be good. Miami City Ballet presents Swan Lake on Feb.   not been revascularized meaning they did not have blood     Bypass Surgery
      19 and 20 – music by Tchaikovsky, choreography by Alexei   flow to their limbs improved prior to amputation. Prompt    *Endovascular treatments (fixing the problem from
      Ratmansky; both days Saturday and Sunday at 1 and 7:30   recognition of CLI and aggressive treatment by optimizing  the inside with balloons and stents) has reduced the
      p.m. On Feb. 25 and 26 in Persson Hall, celebrate the wit and   blood flow, leads to amputation prevention. This type of  amputation rate.
      wisdom of the Great American Song Book. Showtimes are   vascular care called limb salvage is a procedure performed    Joseph J. Ricotta, MD, MS,
                                                          by vascular surgeons to improve the blood circulation to  FACS, DFSVS, is the National
      Friday at 8 p.m. and Saturday at 8 p.m.: A special surprise   a limb in an effort to save the leg. This re-supply of blood  Medical Director of Vascular
      will be presented here!                             can help the leg and any wounds on the affected area heal  Surgery and Endovascular
         On Monday, Feb. 28 in the Regional Arts Classical   from the limb down to the toes.               Therapy for Tenet Healthcare,
      Concert Series at 8 p.m. the great concert violinist, and all      Up to 650,000 lower-limb amputations are performed  and Professor of Surgery
      American, Joshua Bell conducts and plays with London’s      each year in the U.S. for critical limb ischemia (CLI)  and Program Director of the
      Academy of St. Martin-in-the-Fields. Then again on Tuesday,     Of all lower-limb amputation, more than 60 percent  Vascular Surgery Fellowship
      March 1 at 2 p.m. the same team presents a second different      occur among people with diabetes    at  The Charles E. Schmidt
      concert. Do not miss them. March 2, a Wednesday, the Kravis     Up to 50 percent of people who have had an     College of Medicine at
      Center Pops Orchestra appears with that darling of the social      amputation, have never had a diagnostic angiogram  Florida Atlantic  University.
      set, Mr. Michael Feinstein, who conducts and sings. Also, the      to determine if blood flow could be restored  Dr. Ricotta’s medical office
      other excellent, upcoming local dance troupe, Ballet Palm   Early Screening of Patients for PAD      and office-based laboratory are
                                                            Noninvasive diagnostic testing can be completed as  located at the Prime Vascular Institute in Delray Beach
      Beach, present Giselle from March 4 to 6. Contact the box   an outpatient in the office such as ankle-brachial index,  and he is on-staff at Delray Medical Center where he
      office at (561) 832-7469.                           segmental pressures, pulse volume recordings and arterial  operates in a state-of-the-art $7 million Hybrid Operating
      Rex’s Review                                        duplex. Computer tomography angiography (CTA) and  Room. Experienced, highly skilled and trained in general
                                                          angiography are also tools used to diagnose PAD in the  surgery from Johns Hopkins, fellowship-trained in
                                                          hospital setting. Common factors of PAD and CLI include:  Vascular and Endovascular Surgery from the Mayo Clinic
      Brilliance All Around At Palm Beach                   Over 50-years-old                             College of Medicine and in Endovascular Surgery by the
      Symphony                                              Current or past smoker                        Cleveland Clinic Foundation, Dr. Ricotta uses the latest
                                                            Kidney disease                                technology and provides vascular and endovascular
      Kravis Center Concert, Jan. 10                        High blood pressure                           care that is unsurpassed in South Florida. Dr. Ricotta
      Review by Rex Hearn                                   High cholesterol                              specializes in minimally invasive endovascular therapy,
         This orchestra gets better and better. Ninety players     Leg fatigue, heaviness, or cramping    endovascular robotic surgery, aortic  and peripheral
                                                                                                           aneurysms, carotid/cerebrovascular disease, transcarotid
                                                            Toes or feet that look pale, discolored or bluish
      with astonishing pedigrees reminded us how great they can     Pain in the legs and or feet that disturbs sleep  artery revascularization, peripheral arterial disease (PAD)/
      sound. In music by three Russians: Liadov, Rachmaninoff      Sores/wounds on toes, feet or legs that heal slowly   limb salvage, venous disease, thoracic outlet syndrome,
      and Shostakovich they shone like a bright new penny, each      or not at all                         renal/mesenteric disease, dialysis access and pulmonary
      section brilliant when their solo time came. Due to the COVID      One leg or foot that feels colder than the other  embolism care.
      pandemic I watched them reluctantly “live streamed” in my      Poor nail growth and decreased hair growth over     Dr. Ricotta is board-certified in vascular surgery
      home, dreading the “sardine tin” sound effects experienced      time on toes and legs                and general surgery and has pioneered several different
      before in such situations. Happily it was not the case. The   Endovascular and Surgical Treatment    treatments for patients with vascular disease, as well as
      sound was delightful. Balance favored the lower registers,     Patients who have non-healing wounds are more likely  having authored over 200 publications, been an investigator
      perhaps. A real bonus was watching the conductor, Gerard   to require future hospital care. In fact, more people die each  in over 60 clinical research trials, and delivered over 300
      Schwarz, from his front. Cameras fixed on him and orchestra   year from CLI/PAD then stroke, cancer or heart attacks.  lectures both on the national and international stage.
      members. What we saw and heard was magnificent. Schwarz   Throughout our U.S. communities, PAD Awareness is    Visit delraymedicalctr.com to make an appointment.
      belongs with the immortals; his baton technique is impeccable,                             Paid Advertisement
      crisp, deliberate and masterful. Dale McNulty, of happy
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