Reasons To Love LASIK February Event

Everyone knows that February 14 is a special day for your heart. We’re making February 19 a special day for your eyes, when we host our Reasons To Love LASIKevent in the comfort of our state-of-the-art offices in Grapevine. If you’ve ever considered LASIK, we’ll give you the straight story in a way you might find refreshing; perhaps pick up something you didn’t realize, even if you’ve been doing your homework.

When: Tuesday, February 19, 6:30 to 7:30 PM
Where: Eye Consultants of  Texas, 2201 Westgate Plaza, Grapevine, TX 76051
Cost: Free

Led by one of our expert doctors, you’ll learn all about what LASIK is like – including costs, the procedure and generally what to expect. By the way, if we perform LASIK on anyone who attends (after a thorough evaluation), we’re offering $300 off their LASIK procedure.*

So please join us for this informative, FREE event. Reasons To Love LASIK only lasts 60 minutes and might be just the information you’re looking for. You’ll also have plenty of opportunities to ask questions. To reserve your space, call our Grapevine office at 877-516-4364. We’re conveniently located to Dallas and Fort Worth.

*For attendees scheduling an evaluation who are determined to be a LASIK candidate. Must be 18 years or older to attend. Must be present to receive LASIK offer. 

 

Source: http://www.eyectexas.com/blog/reasons-to-love-lasik-february-event/

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Generic Versus Brand-Name Drugs

Generic drugs account for almost 80 percent of all prescribed medications in the United States and most states allow generic drugs to be dispensed in place of brand-name drugs.  This is quite a large number of generic drugs being taken by quite a large number of the nation’s population.  The possibility of people who take generic drugs and having reactions to the drugs is also large – unfortunately, this is what is happening across the country.  People, who are taking generic drugs, are having severe complications from taking the drugs.  Reactions to these generic drugs are very serious, with some consumers developing inflammatory bowel disease, gangrene, and even movement disorders. 

What is even more distressing is that the manufacturers of these generic drugs are protected by a U.S. Supreme Court ruling.  In a 5-4 decision, the Supreme Court ruled in June 2011 that makers of generic drugs cannot be sued for not including side-effect warnings on their labels, if the warnings are also not on the labels of their brand-name equivalent.  This makes it difficult for consumers who may not know they are receiving a generic form of a drug, such as in a hospital, or may be required by their insurance plan to fill a prescription with a generic drug.  If they develop a medical issue while taking a generic form of a prescription drug, they basically have no legal remedy.

The Supreme Court ruling is based on the Hatch-Waxman Act of 1984.  This law allowed companies to skip the involved process required to approve new drugs, if they could prove that the generic drug was equivalent to its brand-name counterpart.  However, Representative Henry A. Waxman, who co-wrote the Act, has stated that “Congress did not intend for consumers’ rights to be categorically eliminated simply because they purchased a generic rather than a brand-name drug.”  Mr. Waxman is investigating a change in the ruling. 

Consumers should protect themselves and do their own research before taking any drug – check with your doctor about generic versus brand-name prescriptions and find out about all the possible risks and side effects.

Source: http://www.pagingdrblog.com/2012/03/22/generic-versus-brand-name-drugs/

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Food Banks Look to Offer More Nutritious Food

With the holiday season upon us, many turn their thoughts to the importance of food banks to provide healthy meals for those in need. In fact, nearly 6.1 million U.S. households rely annually on food banks and pantries for their meals, and not just at Thanksgiving. To make sure that food banks provide nutrition as well as sustenance, several food banks are redefining their standard food offerings and working to make nutritious, healthy foods more available. The 12 participating food banks are part of the Healthy Options, Healthy Meals™ initiative, a partnership between MAZON: A Jewish Response to Hunger, and Kaiser Permanente. The Center for Total Health blog recently spoke with Marla Feldman, director for the Healthy Options, Healthy Meals™ initiative to learn more about this important work.

CTH blog:
Tell us about your organization and your approach to preventing hunger in our society.

Marla Feldman:

A Jewish Response to Hunger is a national nonprofit organization working to end hunger among people of all faiths and backgrounds in the United States and Israel. Since our founding in 1985, MAZON has practiced and promoted a holistic approach to preventing hunger, advocating to ensure that hungry people have access to the nutritious food they need today and working to develop and advance long-term solutions so that no one goes hungry tomorrow.

CTH blog:

What are you seeing right now in terms of demand for emergency food assistance and how food banks are meeting this demand?

Marla Feldman:

The downturn in the economy has caused tremendous growth in demand at food banks and food pantries—between 30-70 percent year-over-year since 2009—coupled with an appreciable decrease in donations to their organizations. Needless to say, these challenges put a significant strain on emergency food providers’ ability to meet the needs of hungry people in their communities, and many are struggling to keep up.

CTH blog:

You recently partnered with Kaiser Permanente on the Healthy Options, Healthy Meals™ initiative. What is the primary goal of the initiative and how did it originate?

Marla Feldman:

The goal of Healthy Options, Healthy Meals™ is simple: to get healthier food to the people who need it—specifically, those who must rely on food banks to feed their families.

MAZON has been helping to increase capacity within the anti-hunger community for 15 years. From 1998 to 2010, MAZON hosted annual conferences bringing California’s anti-hunger community together to discuss current budget and policy priorities and help direct their advocacy efforts. By 2003, our conference presented workshops that explored ways the anti-hunger community could play a lead role in preventing obesity and diet-related illnesses. Those initial discussions led to the 2007 launch of a three-year California initiative to promote healthier eating in low-income communities. This program attracted the interest of Kaiser Permanente, and Healthy Options, Healthy Meals™ was born.

It is important to note that food banks began in the 1970s with the intention of gathering surplus food to distribute as a stopgap measure to help people get through emergency situations. Whether or not the food that was provided was nutritious wasn’t really a primary issue, because it was providing for a need that was temporary. But as the role of food banks has evolved over time, food banks have had to adapt and grow. Now, with the rise in obesity and its relationship to food insecurity, food banks have come to embrace the role they play not only in alleviating hunger, but also in building healthier communities.

CTH blog:

Why is it so important to establish formal nutrition policies at food banks? Tell us more about the collaborative process you are engaging in to create these policies and the successes you’re seeing.

Marla Feldman:

In a nutshell, formal, written nutrition policies provide a concrete blueprint for how emergency food providers can increase the nutritional quality of the foods and beverages they distribute. Having policies is important for a number of reasons: they provide guidance in ambiguous situations, where “common sense” and good intentions may not be enough; they ensure continuity and consistency through staff changes; they support educating donors about the types of donations they prefer to receive; they help steer outreach and nutrition education efforts; and they change the way food banks are talking about their work. This process is about building organizational culture and making organizational changes that are helping food banks become nutrition banks.

Creating a nutrition policy is a more complex task than you might think, because the most effective ones are created through a deliberate process of cooperation and collaboration of all organizational stakeholders—from the Board of Directors and Executive Director to those who work in the warehouse; from procurement staff to marketing to operations; and from donors to agencies to clients. Engaging so many key stakeholders in the policy development process is not the cultural norm for food banks. That’s why our Healthy Options, Healthy Meals™ initiative is so revolutionary and important.

CTH blog:

What’s the best thing one person can do right now to help those in need get access to nutritious food?

Marla Feldman:

As a long-time employee of an anti-hunger advocacy organization, I’d have to say that it’s paramount that we create the political will to end hunger and malnutrition in America. I’d encourage people to get out and advocate on behalf of those who are vulnerable. Impress upon your federal and state policymakers that we will no longer accept that 50 million people, in the wealthiest country in the world, struggle to put nutritious food on the table. It’s much easier than you think to call your Senator and Congressperson or to make an appointment to speak with someone in their office. And, rest assured, they do want to hear from you, and it does make a difference!

Source: http://centerfortotalhealth.org/2012/food-banks-look-to-offer-more-nutritious-food/

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Reasons To Love LASIK February Event

Everyone knows that February 14 is a special day for your heart. We’re making February 19 a special day for your eyes, when we host our Reasons To Love LASIKevent in the comfort of our state-of-the-art offices in Grapevine. If you’ve ever considered LASIK, we’ll give you the straight story in a way you might find refreshing; perhaps pick up something you didn’t realize, even if you’ve been doing your homework.

When: Tuesday, February 19, 6:30 to 7:30 PM
Where: Eye Consultants of  Texas, 2201 Westgate Plaza, Grapevine, TX 76051
Cost: Free

Led by one of our expert doctors, you’ll learn all about what LASIK is like – including costs, the procedure and generally what to expect. By the way, if we perform LASIK on anyone who attends (after a thorough evaluation), we’re offering $300 off their LASIK procedure.*

So please join us for this informative, FREE event. Reasons To Love LASIK only lasts 60 minutes and might be just the information you’re looking for. You’ll also have plenty of opportunities to ask questions. To reserve your space, call our Grapevine office at 877-516-4364. We’re conveniently located to Dallas and Fort Worth.

*For attendees scheduling an evaluation who are determined to be a LASIK candidate. Must be 18 years or older to attend. Must be present to receive LASIK offer. 

 

Source: http://www.eyectexas.com/blog/reasons-to-love-lasik-february-event/

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Life as a Remote Site Doctor

Source: http://adventuredoc.net/2012/01/31/life-as-a-remote-site-doctor/

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Legionnaires’ disease in Quebec City – 40 sick and 3 deaths

An outbreak of Legionnaires’ disease in Quebec is the largest since 1995. The disease, known also as legion fever, is caused by bacteria that thrive in warm temperatures and can breed in the stagnant water of cooling towers, before being disseminated by the mist released from the system.

Legionnaires’ disease can also thrive in the supply systems of showers and Jacuzzis if the water supply is not kept at a sufficiently high temperature.

Travellers with respiratory symptoms who have used Jacuzzis or showers during their travels, or visited areas where there is known disease should consult their medical practitioners.

Source: ProMed Newsgroup

For further advice, contact the Globe Travel Health Centre on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/legionnaires%e2%80%99-disease-in-quebec-city-%e2%80%93-40-sick-and-3-deaths.html?utm_source=rss&utm_medium=rss&utm_campaign=legionnaires%25e2%2580%2599-disease-in-quebec-city-%25e2%2580%2593-40-sick-and-3-deaths

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Illness following consumption of infected shellfish in the West of Ireland

A dozen people have become ill after gathering and eating shellfish from the shoreline in parts of the west and south-west of Ireland. Illness has been reported in Galway, Mayo and Sligo. It is possible these are linked to marine algal blooms occurring naturally in these areas.

Bivalve shellfish such as mussels, cockles, oysters, scallops and clams should only be purchased from reputable suppliers, (who manage the risks with a national monitoring propramme), not gathered in the wild for home consumption.

Source: ProMed Newsgroup

For further advice, contact the Globe Travel Health Centre on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/illness-following-consumption-of-infected-shellfish-in-the-west-of-ireland.html?utm_source=rss&utm_medium=rss&utm_campaign=illness-following-consumption-of-infected-shellfish-in-the-west-of-ireland

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Federal Government Questions Legality Of Certain ASC-Service Provider Arrangements

Recently, the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services issued an advisory opinion regarding two types of Proposed Arrangements between an anesthesia provider (AP) and physician-owned ambulatory surgery centers (ASCs). This came as a result of a request for an opinion from an AP who, because of competitive market pressures, was considering one of two new business relationship models. Under the AP’s current professional arrangement, the ap offers exclusive anesthesia services to ASCs, employs personnel to meet the anesthesia needs of the ASCs, and independently bills patients and third party payors, including Medicare, for professional fees. The ASCs bill the same parties for professional services plus a facility fee for materials and ancillary staff.

• Under Proposed Arrangement A, the AP would continue to provide exclusive anesthesia services to the ASC and to bill independently. Additionally, the AP would pay a market value “management services” fee to the ASC for each non-Federally funded patient. The ASC would both collect this fee and continue to charge a facility fee to Federal and third party payors.
• Under Proposed Arrangement B, the ASC physician-owners would set up a separate subsidiary to exclusively provide anesthesia services to their patients. The subsidiary then would hire the AP as the exclusive independent anesthesia services contractor, handle all billing with the assistance of the AP and its staff, pay the AP out of fees collected, and retain any profits.

In analyzing the legality of the two arrangements, the OIG considered two questions: 1. Does either arrangement violate the Federal anti-kickback statute, and, 2. Would any safe harbor protection apply?

Under the anti-kickback statute, it is a criminal offense to offer, pay, solicit, or receive any remuneration for referrals reimbursable by a Federal health care program. This statute seeks to ensure that referrals are based on sound medical judgment and not financial or other incentives. Regarding Proposed Arrangement A, although the AP would pay a management services fee only for non-Federal health care program patients, this does not reduce the risk that the fee might be paid by the AP to induce referrals from the ASC of all types of patients. Additionally, the arrangement allows the ASC to be paid twice for the same services, and this could unduly influence the ASC to select the AP as the exclusive provider. The OIG concluded that Proposed Arrangement A could violate the anti-kickback statute. No safe harbor protections apply.

Safe harbor protections for ASCs, employment, and personal services and management contracts were determined to not apply to Proposed Arrangement B. The Subsidiary does not qualify as a Medicare-certified ASC because it would not provide surgical services, only anesthesia services. As such, its income and the profits distributed to the ASC physician-owners would not be protected by any safe harbor provisions. Additionally, the OIG is concerned about exclusive arrangements between those who refer business (the ASC physician-owners), and those who furnish goods or services reimbursed by a Federal health care program (the AP). The AP and the ASC physician-owners both would benefit financially in Proposed Arrangement B, with the AP receiving its negotiated rate and the physician-owners receiving residual profits from the subsidiary after expenses and payment to the AP. The OIG concluded that Proposed Arrangement B would permit the physician-owners to receive compensation in the form of profits from the subsidiary from referring patients to the AP; this payment would be for services that they themselves could not provide. The more than minimal risk of fraud and abuse and the prohibited remuneration both would be in violation of the Federal anti-kickback statute.

Physicians should be aware of this development, as it may affect current and future professional relationships. A health care attorney can offer assistance in interpreting the potential impact of the OIG decision and evaluating the need to restructure business arrangements.

Source: http://www.pagingdrblog.com/2012/07/18/federal-government-questions-legality-of-certain-asc-service-provider-arrangements/

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Is LASIK Right for Me?

As an ophthalmologist in Winchester, one of the top questions I’ll hear time and time again is, “Is LASIK right for me?”  And, simply put, there’s no simple answer!  Only a qualified medical professional can determine if LASIK’s right for you.  There are, however, certain factors that good LASIK candidates share.

Not sure where to look?  To get you started, here are a few questions to ask yourself:

• Are you in good health? Good candidates for LASIK are healthy and free of autoimmune disorders such as Lupus, HIV and muscular sclerosis.
• Do you have any eye conditions? Certain eye conditions are not compatible with laser eye surgery.  Often, these include cataracts, chronic corneal infections or keratoconus.
• Are you the right age? In the US, LASIK is FDA approved for patients over the age of 18.  On the other hand, if you’re worried you’re too old for a LASIK procedure, consider this:  Reporting on a recent study on LASIK in older patients, WebMD explains that, “Patients in their 60s were just as likely to have good [LASIK] outcomes as those in their 40s and 50s.”
• Is your dependence on glasses or contacts holding you back? For many patients, reducing their dependence on glasses and contact lenses is a major reason they’re exploring LASIK in the first place.  A lot of folks find glasses and contacts to be uncomfortable, inconvenient and unattractive.  And, while it can’t guarantee that you’ll never need to put on a pair of glasses again, LASIK will very often reduce a patient’s dependence on them.
• Are you ready to learn more? Finally, a good LASIK candidate is an informed LASIK candidate.  Be sure to understand the potential risks and benefits of the procedure, maintain realistic expectations, and most importantly, schedule a consultation with a qualified LASIK surgeon.

Schedule a LASIK Consultation Today

To learn more about laser eye surgery, don’t hesitate to contact us today. Together, we can find the best treatment options for you. Our offices are located in Winchester, serving Virginia, West Virginia and Maryland. Book your appointment at (540) 722-6200.

Source: http://www.seeclear.com/blog/lasik/is-lasik-right-for-me

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Legionnaires’ disease in Quebec City – 40 sick and 3 deaths

An outbreak of Legionnaires’ disease in Quebec is the largest since 1995. The disease, known also as legion fever, is caused by bacteria that thrive in warm temperatures and can breed in the stagnant water of cooling towers, before being disseminated by the mist released from the system.

Legionnaires’ disease can also thrive in the supply systems of showers and Jacuzzis if the water supply is not kept at a sufficiently high temperature.

Travellers with respiratory symptoms who have used Jacuzzis or showers during their travels, or visited areas where there is known disease should consult their medical practitioners.

Source: ProMed Newsgroup

For further advice, contact the Globe Travel Health Centre on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/legionnaires%e2%80%99-disease-in-quebec-city-%e2%80%93-40-sick-and-3-deaths.html?utm_source=rss&utm_medium=rss&utm_campaign=legionnaires%25e2%2580%2599-disease-in-quebec-city-%25e2%2580%2593-40-sick-and-3-deaths

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West Nile Virus infection in many states of USA

The majority of states in the USA have reported cases of West Nile Fever (WNF) this year.

In those people who were severely infected, about half went on to develop meningitis or encephalitis. Most cases however, are mild and without symptoms.

This disease was first detected in the States in 1999, and this year’s numbers are the highest so far.

The greatest numbers of cases have occurred in six states (Texas, Mississippi, Luoisiana, Oklahoma, South Dakota and California), with Texas having almost half of those cases.

WNV virus is spread by Culex mosquitos, which bite mainly from dusk to dawn. Travellers should take measures to avoid mosquito bites, such as covering up after dusk and using effective repellents.

Source: ProMED-Mail

For further advice, contact the Globe Travel Health Centre on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/west-nile-virus-infection-in-many-states-of-usa.html?utm_source=rss&utm_medium=rss&utm_campaign=west-nile-virus-infection-in-many-states-of-usa

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Baltimore Laser Eye Surgeon Dr. Grochmal Launches New Website

Dr. Jay C. Grochmal, a laser eye surgeon in Baltimore, is launching an innovative website to enhance his ability to help his vision correction patients. In collaboration with Rosemont Media™, a medical website design firm in San Diego, CA, Dr. Grochmal’s new website is a comprehensive resource of information showcasing the range of procedures he offers, including vision correction procedures such as LASIK, and treatment for eye diseases such as glaucoma and cataract surgery in Baltimore, MD and the Washington, DC area.

Dr. Grochmal’s website features detailed descriptions of both corrective and cosmetic procedures such as eyelid surgery in Baltimore, as well as a doctor biography, patient testimonials, and financing options. In addition to the in-depth breakdown of the procedures and treatments Dr. Grochmal provides, his website also includes direct links to his social media sites, such as Facebook and Twitter to foster the growth of an online community centering around his practice and his patients’ experiences. Please welcome to the web, www.grochmaleye.com!

Source: http://www.grochmaleye.com/uncategorized/baltimore-laser-eye-surgeon-dr-grochmal-launches-new-website/

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How and When to Get a Second Opinion before Spine Surgery

It is often said that no one should have spine surgery unless they receive a second opinion from another surgeon. On the surface, this advice would sound like good old common sense, as two opinions are better than one. However, there is a trap in this line of thinking. When a patient sees a physician for a second opinion, this next opinion has a tendency to always sound smarter than the first opinion. This is a well-recognized phenomenon, but in reality the second opinion may not be the best one.

Source: http://www.spine-health.com/blog/how-and-when-get-second-opinion-spine-surgery

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One thousand patients with primary myelofibrosis: The Mayo Clinic experience

Ayalew Tefferi, M.D., with the Department of Hematology at Mayo Clinic in Rochester, Minn., discusses the results of a study of 1,000 patients who have primary myelofibrosis.

Key findings
Researchers found that when patients with myelofibrosis present, their clinical features are not at a steady state and usually progress within the first few months of the diagnosis. It is best to wait a several months before providing a prognostic score.

Many patients with primary myelofibrosis can live a long life (exceeding 15 years) and patients who won’t live that long can be identified.

The most recent version of DIPSS-plus scoring system performed much better than prior versions, helping researchers to determine what proportion of patients with myelofibrosis are suitable for therapies. More than 50 percent of patients require observation alone.

A description of the study is included in the January 2012 issue of Mayo Clinic Proceedings.

ABSTRACT
Objective
To share our decades of experience with primary myelofibrosis and underscore the importance of outcomes research studies in designing clinical trials and interpreting their results.

Patients and methods
One thousand consecutive patients with primary myelofibrosis seen at Mayo Clinic between Nov. 4, 1977, and Sept. 1, 2011, were considered.

The International Prognostic Scoring System (IPSS), dynamic IPSS (DIPSS), and DIPSS-plus were applied for risk stratification. Separate analyses were included for patients seen at time of referral (N=1000), at initial diagnosis (N=340), and within or after 1 year of diagnosis (N=660).

Results

To date, 592 deaths and 68 leukemic transformations have been documented. Parameters at initial diagnosis vs time of referral included: 

• Median age (66 vs 65 years)
• Male sex (61% vs 62%)
• Red cell transfusion need (24% vs 38%)
• Hemoglobin level less than 10 g/dL (38% vs 54%)
• Platelet count less than 100 × 10⁹/L (18% vs 26%)
• Leukocyte count more than 25 × 10⁹/L (13% vs 16%)
• Marked splenomegaly (21% vs 31%)
• Constitutional symptoms (29% vs 34%)
• Abnormal karyotype (31% vs 41%)

Mutational frequencies were 61% for JAK2V617F, 8% for MPLW515, and 4% for IDH1/2.

DIPSS-plus risk distributions at time of referral were 10% low, 15% intermediate-1, 37% intermediate-2, and 37% high. The corresponding median survivals were 17.5, 7.8, 3.6, and 1.8 years vs 20.0, 14.3, 5.3, and 1.7 years for patients younger than 60 years of age.

Compared with both DIPSS and IPSS, DIPSS-plus showed better discrimination among risk groups. Five-year leukemic transformation rates were 6% and 21% in low- and high-risk patients, respectively.

Conclusion
The current document should serve as a valuable resource for patients and physicians and provides context for the design and interpretation of clinical trials.

AUTHORS
Ayalew Tefferi, M.D.,  Terra L. Lasho, M.T., Thitina Jimma, M.D., Christy M. Finke, B.S., Naseema Gangat, MBBS, Rakhee Vaidya, MBBS , Kebede Hussein Begna, M.D., Aref Al-Kali, M.D., Rhett P. Ketterling, M.D., Curtis A. Hanson, M.D., Animesh Pardanani, MBBS, Ph.D.

Source: http://physicianupdate.mayoclinic.org/2012/03/15/one-thousand-patients-with-primary-myelofibrosis-the-mayo-clinic-experience/

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Wives, Yes; Husbands, No (Essay 26)

Source: http://bernardlown.wordpress.com/2011/09/19/wives-yes-husbands-no/

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Simplifying LASIK Basics – Part 3: Safety and Results

Is LASIK just a passing thought? Or, are you ready to jump in with both feet, so to speak? Either way, two of the first things to consider are safety and what types of results you can expect. Continued advancements make LASIK safer and more effective than ever before. Still, LASIK is surgery, and you owe it to yourself to choose a reputable doctor and practice, who, in turn, owe you a full disclosure – standard procedure at Eye Consultants of Texas. As the third in our Simplifying LASIK Basics series, here are a few highlights about what you should know.

How Safe Is LASIK? Any surgery comes with risks, and amazing advancements have proven LASIK to be one of the safest surgical procedures today. At Eye Consultants of Texas, we won’t perform LASIK if we determine a patient is at high risk, which, according to the American Academy of Ophthalmology (AAO), is low. Generally speaking, AAO suggests that 2% or less of all patients have complications or side effects; from discomfort or difficult vision (that usually disappears over time), to more extreme cases where it can last longer. A thorough, necessary examination can reveal potential risks, and determine if you’re a candidate for LASIK at all. If it turns out that you are not a candidate, there are other vision correction options you and your doctor can discuss.

What Types Of Results Can You Expect? If you’re a LASIK candidate, it must be medically verified that you can achieve a level of visual improvement that makes the surgery worth it in the first place. Everyone expects to see 20/20 without corrective eye wear, and a majority of patients achieve this. There are also cases where the result may be less than 20/20. This can depend on how severe your eyesight is prior to surgery, which you can discuss with your doctor. Our LASIK patients generally tell us that they can see better without glasses or contacts than with them before they had the procedure. Once again, your doctor should only perform LASIK if he or she honestly feels you really need it.

How Quickly Does Your Vision Improve? Most of our LASIK patients are amazed at how well they can see right after surgery. Vision should continually (and gradually) improve over the next few days, and continue to improve after that. The thing to remember: your eyes will need time to adjust and heal. There may be some mild “scratchiness” and discomfort right after surgery. This should go away, and prescribed medication will help with discomfort and healing. Necessary follow-up visits carefully monitor your progress, to ensure proper healing and that there are no complications.

Can You Ditch Glasses And Contacts Altogether? LASIK isn’t permanent, and, in some instances, glasses may be needed for reading or seeing up close. The natural aging of the eyes can also have an effect. So why have it in the first place? Most people who have LASIK can see a noticeable improvement in their vision for many years, with far less dependency on corrective eye wear for simple day-to-day tasks. Which can be life-changing if you’ve had to rely on glasses or contacts for most (or all) of your life! Here are a few things patients tell us, quoted from our Patient Experiences page on our website:

“No more fumbling for my glasses and bumping into furniture just to get to the bathroom in the morning. This has been the coolest part…Eye Consultants of Texas did a fantastic job and I could not be happier with the results.” 

“If I would have known how easy my life would be after LASIK, I would have had the surgery a long time ago! I had four pairs of glasses for different purposes; I probably spent $1,000 a year on eye care. Dr. Labor and his team were very patient with me and listened to all of my concerns.”

Until our next Simplifying LASIK Basics blog, if you’d like to know more about LASIK at Eye Consultants of Texas, please call our office in Grapevine at 877-516-4364, conveniently located to Dallas/Fort Worth.

This blog is a broad overview of LASIK surgery for general informational purposes only. In no way is it intended as actual medical advice. Safety and results are assessed as they apply to each specific patient. Always seek a medical or eye care professional for advisement based on your individual health and specific eye care needs. 

 

 

Source: http://www.eyectexas.com/blog/lasik-safety-and-results/

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Myelopathy Video

Compression on the spinal cord is known as myelopathy. This occurs when the spinal canal becomes restricted in the neck or upper back. This may be due to degeneration in the discs and facet joints (spondylotic myelopathy) or bone spur formation in the spinal canal (stenosis with myelopathy).

[TOC]

Short Teaser: 

Compression of the spinal cord can be a serious medical condition.

Thumbnail: 

Related Articles: 

Cervical Stenosis with Myelopathy

Cervical Spondylosis with Myelopathy

Spinal Cord and Spinal Nerve Roots

Related Videos: 

Cervical Spinal Stenosis Video

Spondylosis Video

Source: http://www.spine-health.com/video/myelopathy-video

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Healthy Aging in the New Year

At a time when most of us are digging deep to find the passion and will power that will help us make healthy changes in the new year, it is inspiring to come across a personal story like this one — someone who has made changes and continues those healthy habits (to great success) at the age of 85.

Jane Carlstrom didn’t start exercising regularly until she was 50. After more than 30 years, she actually enjoys spinning classes and weightlifting. She has found her activities support her physical health as well as her social well being. Check out Jane in action in this video.

 

If you are looking to become—and stay—more active in 2013, Kaiser Permanente’s Bob Sallis, MD, offers tips to help you stay on track with a walking regimen in the video below.

Here’s to a year of healthy choices and healthy changes in 2013!

Source: http://centerfortotalhealth.org/2013/healthy-aging-in-the-new-year/

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Cholera outbreak in Malaysian Borneo

New cases of cholera continue to reported in the Bintulu district of Borneo. Travellers should avoid buying drinks with ice, uncooked salad dishes and ice-cream, as the water used may not have been boiled to decontaminate it. They should also avoid premises that are not spotlessly clean.

Source: ProMed Newsgroup

For further advice, contact the Globe Travel Health Centre on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/cholera-outbreak-in-malaysian-borneo.html?utm_source=rss&utm_medium=rss&utm_campaign=cholera-outbreak-in-malaysian-borneo

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Glaucoma Worsens in Winter, Reports National Post

Sad as it is, Summer is almost at its end.  Soon, we’ll be trading in our swimsuits and sandals for scarves and sweaters.  And, while we typically associate the season with shorter days, changing leaves and cooler weather, researchers are now explaining that the cold months of winter may also have a profound impact on something far more important – your eye health.

“A study done at the Devers Eye Institute in Portland, Ore., found [Glaucoma] worsens in cold weather, especially among people in early stages of the disease,” reports Canada’s National Post.  “The more extreme the weather patterns, the greater the impact on a person’s intraocular pressure and sensitivity.”  Glaucoma, which is the leading cause of blindness and visual impairment in the US, is commonly associated with an increased pressure in the eye.  The condition can affect patients of all ages, many of whom do not experience any symptoms and may not be aware that they have the disease.

And, while still a new study, these findings serve as an important reminder: although winter is still a few months out, take the time to come in for a glaucoma screening.  If you think you may already be suffering from the condition, explore glaucoma treatment today!

Treatments for Glaucoma

Glaucoma is a progressive condition, and once it has been diagnosed, treatment should begin as soon as possible to help minimize the risk of permanent vision loss. While there is no cure for glaucoma, there are treatments available.  These tend to focus on relieving symptoms and preventing further damage from occurring.

Common glaucoma treatments include:

• Eye Drops: Glaucoma eye drops are typically used to reduce fluid production in the front of the eye or to help drain excess fluid.
• Laser Surgery: Laser surgery for glaucoma works to increase the outflow of fluid from the eye or eliminate fluid blockages.
• Microsurgery: Microsurgery works to reduce pressure in the eye by creating a new drainage channel, allowing fluid to drain from the eye.

Glaucoma Treatment in Winchester

To schedule an eye exam or to learn more about Glaucoma Treatment, contact us today.  Our Ophthalmology Offices are located in Winchester, serving Virginia, West Virginia and Maryland. Book your appointment at (540) 722-6200.  We look forward to hearing from you.

Source: http://www.seeclear.com/blog/glaucoma/glaucoma-worsens-in-winter-reports-national-post

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Generic Versus Brand-Name Drugs

Generic drugs account for almost 80 percent of all prescribed medications in the United States and most states allow generic drugs to be dispensed in place of brand-name drugs.  This is quite a large number of generic drugs being taken by quite a large number of the nation’s population.  The possibility of people who take generic drugs and having reactions to the drugs is also large – unfortunately, this is what is happening across the country.  People, who are taking generic drugs, are having severe complications from taking the drugs.  Reactions to these generic drugs are very serious, with some consumers developing inflammatory bowel disease, gangrene, and even movement disorders. 

What is even more distressing is that the manufacturers of these generic drugs are protected by a U.S. Supreme Court ruling.  In a 5-4 decision, the Supreme Court ruled in June 2011 that makers of generic drugs cannot be sued for not including side-effect warnings on their labels, if the warnings are also not on the labels of their brand-name equivalent.  This makes it difficult for consumers who may not know they are receiving a generic form of a drug, such as in a hospital, or may be required by their insurance plan to fill a prescription with a generic drug.  If they develop a medical issue while taking a generic form of a prescription drug, they basically have no legal remedy.

The Supreme Court ruling is based on the Hatch-Waxman Act of 1984.  This law allowed companies to skip the involved process required to approve new drugs, if they could prove that the generic drug was equivalent to its brand-name counterpart.  However, Representative Henry A. Waxman, who co-wrote the Act, has stated that “Congress did not intend for consumers’ rights to be categorically eliminated simply because they purchased a generic rather than a brand-name drug.”  Mr. Waxman is investigating a change in the ruling. 

Consumers should protect themselves and do their own research before taking any drug – check with your doctor about generic versus brand-name prescriptions and find out about all the possible risks and side effects.

Source: http://www.pagingdrblog.com/2012/03/22/generic-versus-brand-name-drugs/

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Welcome to Our Blog

Hello and welcome to the blog for Grochmal Eye Center! We’ve created this resource to assist our patients who are considering vision correction. Our goal is to provide you with information about the latest technology and procedures in vision care. Our blog will also serve as a forum for patients to learn about their surgical options from our Baltimore, Maryland Ophthalmologist, Dr. Jay C. Grochmal.

Source: http://www.grochmaleye.com/uncategorized/hello-world/

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Private Practice Or Hospital Employment?

According to data released by Medscape Medical News, physician employment by hospitals has increased since 2000.  This increase is partly due to the protection that working for a large entity affords a physician.  Many physicians feel that they can truly focus upon their specialized field by working in a hospital environment, as opposed to opening a private practice.    

Working for a hospital relieves the physician of trying to keep up with complex private health care insurance and government regulations, investing in medical equipment and technology, marketing and HR issues.  While owning a private practice gives a physician more independence and the physician is not constrained by the hospital’s policies or procedures, the private-practice physician must be concerned with all the business issues, which could be undertaken by a hospital employer. 

It seems the current  trend is leaning toward more physicians choosing to work for a hospital, with the private-practice physician becoming rare.  But, as Uwe Reinhardt, Ph.D., a healthcare economist at Princeton University, told Medscape, “Don’t forget, there are cycles.  Some years from now, there will be a whole new trend.  Physicians working in hospitals will see what is profitable and what is not, and will jump out and establish practices in the profitable things.”

Meiselman, Denlea, Packman, Carton & Eberz P.C. offers legal advice to physicians on medical issues.  If you need legal assistance or guidance on a matter regarding your practice, please call our office.

Source: http://www.pagingdrblog.com/2012/04/12/private-practice-or-hospital-employment/

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How to start a Walking Movement in the United States

With obesity among Americans at an all-time high, it’s more important than ever to encourage people of all ages to be active. On December 5, more than one hundred people convened at the Center for Total Health to formulate a plan to advance walking and activity in the United States. Participants came from a variety of organizations working on transportation, public health, science, medicine, and children’s issues.

Highlights of the day included two walking meetings (indoor and out) for all participants and remarks from the nation’s physician, U.S. Surgeon General Regina Benjamin, MD (seen in the photo above, talking with Kaiser Permanente’s Bob Sallis, MD), Scott Bricker, Executive Director of America Walks, and Tyler Norris, Vice President of Kaiser Permanente.

For more information on the benefits of walking, visit Every Body Walk!’s website or follow them on Twitter. More photos from the event can be seen here.

 

Source: http://centerfortotalhealth.org/2012/how-to-start-a-walking-movement-in-the-united-states/

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Shopping for LASIK? Want a chance to win the NEW iPad Mini?

Attend our How To Shop For LASIK event November 13, 6:30-7:30 PM.

It’s almost gift-giving season. If you have to depend on glasses or contacts every day, LASIK could be one of the best gifts you can give yourself. Whether you’ve been shopping for LASIK or not, our How To Shop event can help you shop smarter. In just 60 minutes, one of our expert doctors will give you the honest scoop in a simple way you can understand – what the procedure’s like, costs, financing, generally what to expect, and if you’re a candidate for LASIK.

But it gets even better.

Just for attending, you could win a cool new iPad Mini* we’ll give away that night! That’s right, this is a brand new iPad just announced, and sure to be the hottest ticket this holiday season. In fact, the new iPad Mini is so new, it may still be on order as of the date of this event. If you win, we’ll notify you immediately upon it’s arrival.

Remember that LASIK is an elective procedure, so it’s important to shop with your eyes open. Our How To Shop For LASIK event, November 13, is a good place to start. It’s Free, and we’re hosting it at our beautiful Grapevine offices. We’re located just off Hwy 114, convenient to Fort Worth and Dallas Metro.

To reserve your space, call us in Grapevine at 877-516-4364 today.

*Single winner will be determined by random drawing. There’s no purchase necessary, but you must be 18 years or older to attend, and be present to win.

Source: http://www.eyectexas.com/blog/shopping-for-lasik/

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Safety Of Medical Implants Questionable

Millions of Americans receive medical implants yearly and those who do presume that the implants are safe and will alleviate, or at least help to ease, their specific medical problem.  However, according to a May 2012 article in Consumer Reports, “Dangerous Devices”, most implants (artificial joints, defibrillators, surgical mesh) have not been tested for safety and effectiveness.  The “testing” is done on the patient who has the medical device implanted.  In other words, patients are living with implants that often times give them more pain and suffering than not having had the implant at all.  According to the article, the FDA is not testing medical devices and most times all that is needed for the device to be placed on the market is for the manufacturers to “. . . file some paperwork and pay the Food and Drug Administration a user fee of roughly $4,000 to start selling a product that can rack up millions of dollars in revenue. . . .”   Frequently, it takes years before the FDA even tests a product or reclassifies it to a high-risk category.

It is crucial for doctors, as well as their patients, to research a medical implant thoroughly before implantation, as the consequences can be debilitating.  An orthopedic surgeon, for example, who had an all-metal hip replacement (the same type of device he implanted in his patients) experienced medical issues of increased chromium and cobalt levels in blood, sleep disturbance, constant pain, mood swings and anxiety, hearing loss, tinnitus, and visual problems.    

Meiselman, Denlea, Packman, Carton & Eberz P.C. offers legal advice to physicians on medical issues.  If you need legal assistance or guidance on a matter regarding your practice, please call our office.

Source: http://www.pagingdrblog.com/2012/05/08/safety-of-medical-implants-questionable/

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Simplifying LASIK Basics – Part 4: Trusting Your Doctor

Although relatively simple, LASIK is surgery. So like any medical procedure, finding a reputable, skilled surgeon you can trust is important to your outcome. Dr. Labor, our doctors, and staff all work to earn the trust of our Dallas/Fort Worth patients by taking the time to understand their overall health, particular condition, and only provide what is truly needed. In this 4^th Simplifying LASIK series blog, here are some things we would encourage our patients to consider related to the issue of trust.

How Can I Trust My Doctor? The best way to judge, of course, is face to face. Certainly, you want to learn about the doctor’s credentials and expertise beforehand. And there’s no substitute for word of mouth, so ask around. If you set an appointment, it’s not uncommon to be seen first by a staff Optometrist, and later by your surgeon. Were you given the proper time and attention? Did you feel that the doctor has your best interest at heart? In addition, did you feel like he or she was honest about recommending only what you really needed? Use your best judgment, and, as always, don’t hesitate to ask questions.

How Can I Trust The Price? The best rule of thumb is usually the old rule of thumb – you get what you pay for. At Eye Consultants of Texas, our pricing is in line with the high quality expertise and care we provide, competitive with the most reputable practices, and we quote you an accurate, realistic price up front. A word about unbelievably low, wow pricing: If the price in a LASIK ad seems too good to be true, you may want to grab your glasses and read the fine print. The price may only apply to a very small percentage of patients. Naturally, you deserve to get the most for your money. But LASIK is an investment in your precious eyesight, and, if performed properly by the right surgeon, it can pay dividends for many years to come.

Phillips Kirk Labor, MD is an internationally respected LASIK specialist who has earned the trust of numerous patients across the Dallas/Fort Worth Metroplex. If you’d like to know more about LASIK at Eye Consultants of Texas, please call our office in Grapevine at 877-516-4364.

This blog is a broad overview of LASIK surgery for general informational purposes only. In no way is it intended as actual medical advice. Safety and results are assessed and apply to each specific patient. Always seek a medical or eye care professional for advisement based on your individual health and specific eye care needs. 

 

Source: http://www.eyectexas.com/blog/trusting-your-doctor/

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Clinical trials aid PSC diagnosis and treatment

Jayant A. Talwalkar, M.D., a hepatologist with the Department of Gastroenterology and Hepatology and the Mayo Clinic Transplant Center in Rochester, Minn., discusses diagnosis, complications, liver transplantation, and Mayo’s role in the development of new diagnostic tests and effective therapies for patients with primary sclerosing cholangitis (PSC).

Dr. Talwalkar notes that PSC is the last major liver disease without effective treatment. There is currently no effective medical therapy to halt disease progression and so avoid complications such as liver failure or bile duct cancer for patients with PSC. PCS is considered an autoimmune condition. It develops silently, most often in patients 40-50 years.

Dr. Talwalkar’s team focuses on clinical trials for the development of diagnostic tests and effective drug therapies for PSC, before transplant is needed. Mayo specialists see several hundred patients with PSC each year.

Clinical trials at Mayo Clinic
Primary sclerosing cholangitis (PSC)

Research profiles
Jayant A. Talwalkar, M.D.

Source: http://physicianupdate.mayoclinic.org/2012/05/02/clinical-trials-aid-psc-diagnosis-and-treatment/

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Grochmal Eye Center in the News with New Technology

Grochmal Eye Center Adds Hi-Def Cirrus Laser Eye Surgery Technology

The Grochmal Eye Center is a Baltimore LASIK surgery practice, offering complete and comprehensive eyecare for the entire family. Dr. Jay C. Grochmal is announcing the addition of the Cirrus™ HD-OCT by Zeiss, which he says helps him visualize and analyze the status and health of the retina. In particular, the Cirrus™ technology allows him to assess the health of his patients’ eyes prior to performing a number of procedures, including traditional cataract surgery and refractive lens exchange.

The Grochmal Eye Center was founded in 1978, and continues to provide state-of-the-art eye care and laser eye surgery procedures, such as PRK and LASIK in Maryland under the leadership of Dr. Jay C. Grochmal. As part of their commitment to the cutting-edge of ophthalmic technology, Dr. Grochmal is announcing the latest addition to the practice: the Cirrus™ HD-OCT by Zeiss. He says the new technology will help him and his staff diagnose any changes in the macula caused by different diseases, such as macular degeneration, diabetic retinopathy, or glaucoma. He adds that early detection of these diseases will enable him to start treatment before permanent vision loss occurs.

Zeiss is one of the world’s leading medical technology companies. Founder Carl Zeiss was the first to commercialize the OCT technology, and the first to deliver the high definition 3D maps created by the Cirrus™ HD-OCT. Dr. Grochmal says the new technology not only helps him detect potentially damaging eye conditions, but also helps him improve the overall level of care he can offer his patients. The printouts from the OCT are very helpful, according to Dr. Grochmal, as they aid in educating his patients and help them gain a better understanding of the disease and procedure.

Whether he is performing refractive or cataract surgery, LASIK or PRK, Dr. Grochmal says he and his team tirelessly pursue the latest advancements in eye care and laser eye surgery to ensure their patients receive the best care available. “The advancements in ophthalmology in just the last ten years are astounding; staying on top of these developments is essential to our continued dedication to providing state-of-the art treatment. Our patients deserve only the best, and that is what we constantly strive to offer.”

About Dr. Grochmal

Dr. Jay Grochmal earned his medical degree from the University of Maryland. He then completed a rotating internship with the U. S. Public Health Hospital in Baltimore, MD. After becoming the Chief Resident at the Greater Baltimore Medical Center’s Department of Ophthalmology, he completed his residency and established the Grochmal Eye Center. Dr. Grochmal is currently on staff at some of the top hospitals in Baltimore, and continues to offer his expertise and skill to medical missionary trips around the globe.

The Grochmal Eye Center is located at 405 Frederick Rd., Ste. 102 in Baltimore, MD 21228, and can be reached at (410) 697-4090, or found online at www.grochmaleye.com or the Grochmal Eye Center Facebook page.

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Source: http://www.grochmaleye.com/uncategorized/grochmal-eye-center-in-the-news-with-new-technology/

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3 Eye Conditions You Need to Be Thinking About

As we age, it’s not uncommon to face all different types of health concerns and challenges.  And, when it comes to your eye health, there’s no exception.

Did you know that eye disorders are much more common among those of a certain age?  We’re not just talking about needing a stronger eyeglass prescription, but rather diseases that can completely reduce your ability to see if left untreated.  Want to know what to watch out for?

Here is our list of the Top 3 Age-Related Eye Conditions You Need to Be Thinking About:

1. Macular Degeneration: Age-related macular degeneration (AMD) can present itself in different ways – from a blurry area of vision to a dark blind spot.  The condition occurs when arteries that nourish the retina harden. Now deprived of vital nutrients, these retinal tissues begin to weaken, which ultimately causes vision loss.  As the number-one cause of vision loss in the US, any AMD symptoms need to be addressed as soon as possible.  The best way is to schedule a Macular Degeneration Evaluation.
2. Cataracts: Cataracts are one of the most common eye concerns for those over the age of 65.  The condition, which affects millions of people each year, causes a clouding of the eye’s natural lens.  Often, the only good cataract treatment is surgery.  During a typical Cataract Surgery, the eye is numbed and a small ultrasonic probe is inserted.  This probe breaks up and removes the affected cloudy lens.  A clear new artificial lens called an IOL is then implanted into the eye.
3. Glaucoma: Glaucoma is a common eye condition, commonly associated with an increased pressure in the eye.  This increased pressure can damage the optic nerve and ultimately cause a gradual but serious loss of vision.  Untreated, the disease often results in complete blindness.  While not curable, modern medicine offers several advanced Glaucoma Treatments.  These include medications, eye drops and sometimes, surgery.

Get Checked!  Schedule an Appointment Today

To learn more about these or any of the age-related conditions you should be watching out for, contact us today and schedule an appointment.  Our offices are located in Winchester, serving Virginia, West Virginia and Maryland. Call us directly at (540) 722-6200.  We look forward to meeting you.

Source: http://www.seeclear.com/blog/eye-heath/3-eye-conditions-you-need-to-be-thinking-about

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The 7 Steps To Amazing Health

We are excited to announce that Dr. Wendy Schauer, D.C., the author of, “The 7 Steps To Amazing Health” will be a featured guest today for Jim Edwards from 7 Day eBook and I Gotta Tell You.  Jim will be interviewing Wendy on her book and how she came to write it. 

As soon as the interview is available we will be sure to post it here.

Yours In Health!

G.E. Moon II

 

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Source: http://www.abundanthealthcenter.com/blog/the-7-steps-to-amazing-health

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11 Unconventional Sleep Tips: How to Get to Sleep and Stay Asleep

I have a lifelong difficulty with falling asleep at night--and even more problematic -- staying asleep. I don’t have a medical cause for insomnia or any sleep disorders, just a brain that likes to go into overdrive when my body finally has a chance to lie down and rest.

I’ve looked to the Internet for sleep advice, but have found only the most obvious sleep tips such as “avoid coffee in the evening” and “make your room dark”. It’s taken me a bit of trial and error, but finally I’ve found a number of things that really do work in helping me get to sleep and stay asleep long enough to get enough deep restorative sleep to wake up feeling rested and refreshed in the morning.

Source: http://www.spine-health.com/blog/11-unconventional-sleep-tips-how-get-sleep-and-stay-asleep

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