Understanding LASIK | Your Top 5 Questions Answered

At first glance, LASIK can seem like a confusing or complicated subject.  As a result, many patients don’t explore their LASIK options, for fear of being misinformed or not understanding the procedure completely.  Because we want all our patients to find out what laser vision correction can do for them, we thought we would take a moment to “de-mystify” LASIK and answer some of the most common questions we’re hearing.  It’s time to set the record straight!

Here is our list of the Top 5 Patient Questions About LASIK:

1. What is LASIK in a nutshell? The goal of a LASIK procedure is simple: to improve vision and reduce a patient’s dependence on corrective lenses.  The procedure uses special light energy to reshape the cornea, effectively combating the affects of nearsightedness, farsightedness and astigmatism.
2. Are all LASIK procedures the same? There are several types of LASIK procedures available today – each with their own unique benefits.  Our practice is proud to offer what many are considering the gold standard in modern laser vision correction:  iLASIK™.  Using 3D eye mapping to create a fully-customized treatment plan, iLASIK is completely bladeless and relies on cutting-edge “cool laser” technology to safely reshape the cornea.
3. Is LASIK painful? While tolerance can sometimes vary, LASIK is generally regarded as a “relatively painless” procedure.  Very often, the only sensation patients report is a slight pressure.  Furthermore, we work to ensure patient comfort by administering numbing eye drops before the procedure.
4. Are most patients happy with their results? While each patient is different and can expect unique results, LASIK tends to be a highly successful procedure.  In fact, “LASIK vision correction has the highest patient satisfaction rate of any elective surgery,” reports The Eye Surgery Education Council, “95.4%, according to a 10-year survey of scientific studies from around the world.”
5. How can I find out if LASIK is right for me? In general, LASIK patients tend to be in good health, free of eye conditions such as cataracts, over the age of 21.  But, since there are other factors to consider in determining a good candidate for LASIK, we encourage anyone interested to schedule a consultation and find out what laser vision correction can do for them.

Considering LASIK?  Learn More Today

To learn more about Laser Eye Surgery, 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/uncategorized/understanding-lasik-your-top-5-questions-answered

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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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The flu season has now started!!

Winter flu outbreak has now started – and it looks as though it may be a much worse season than last year.

Just as a couple of winters ago, children seem to be catching flu as well.

Globe Travel Health Centre has stocks of flu vaccine, and will also vaccinate the under 16s…

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

Source: http://www.globetravelhealthcentre.com/travel-advice/the-flu-season-has-now-started.html?utm_source=rss&utm_medium=rss&utm_campaign=the-flu-season-has-now-started

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Reducing our Environmental Impact to Create Healthy Communities

Note: Today we have a guest blog post from Bernard Tyson, president and chief operating officer of Kaiser Foundation Hospitals, Inc., and Kaiser Foundation Health Plan. He recently wrote about Kaiser Permanente’s work to reduce its environmental footprint – not just as an business imperative, but as a core strategy for improving the health of its members and the communities it serves. Read more about Bernard Tyson through his bio in the Kaiser Permanente News Center.

There is little disagreement that greenhouse gas emissions, which are known contributors to climate change, have led to a rise in pollution and adverse health impacts. In fact, the World Health Organization estimates that urban air pollution causes about 1.2 million deaths per year and exacerbates cardiovascular and respiratory illnesses, particularly in sensitive populations like the elderly and young and in minority communities that are disproportionately impacted by urban and industrial activities.

Ironically, the health care industry – responsible for preventing and treating these types of illnesses – also contributes to the problem. According to a study by the University of Chicago, 8 percent of the total carbon emissions in the United States are attributable to health care activities. Not surprisingly, hospitals are by far the largest carbon emitters due in large part to strict requirements for temperature control, ventilation and lighting, and, of course, 24/7 operations.

Compounding the problem is the fact that many hospitals and health care facilities were built decades ago and have not been remodeled to use energy more efficiently. This is a similar situation to many government-owned buildings across the country. Late last year President Obama announced a multi-billion dollar government and private sector commitment to finance building renovations to make government-owned properties more energy efficient, and to create jobs in the process. The energy performance contracts proposed by the federal government, with improvements paid for by energy savings, are similar to those being used by schools, colleges and municipalities.

Given that the health care industry in America has nearly 600,000 facilities – and many of their workforces are equal in size to large government agencies (Kaiser Permanente’s workforce, for example, is of similar size as the U.S. Department of Homeland Security), health care organizations have a real opportunity to adopt sustainable business practices that reduce emissions, increase energy efficiency and the use of clean energy. This in turn will better protect public health and create jobs, achieving results that are in line with our focus on wellness and prevention, and helping grow the economy.

In January, Kaiser Permanente set an aggressive business strategy of reducing our greenhouse gas emissions by 30 percent by 2020, as compared to 2008 levels. To achieve this goal, we are adopting sustainable energy measures, both related to the construction of new facilities and the upgrading of existing facilities, such as installing new lights and window-film installations. These measures will not only reduce the impact of our operations on the environment, but are expected to save roughly $1 million per year in energy costs as well, which is good news for our members.

We are also investing in clean energy sources, such as deploying solar energy and fuel cell generation capacity at facilities throughout California.  In Maryland and the District of Columbia, we are purchasing renewable energy credits to offset 100 percent of our carbon intensive activities in those markets.

And Kaiser Permanente is not alone. Last year for Earth Day, Digital Health committed to reducing greenhouse gas emissions and energy use, and increasing sourcing of power to green energy. The University of California at San Francisco has also established a robust sustainability strategy to reduce carbon emissions with an ultimate goal of becoming climate neutral.

I hope these climate change commitments are just the beginning for our industry. Together, we have an opportunity – and a responsibility – to help prevent climate related illnesses and improve the health of our communities.

Source: http://centerfortotalhealth.org/2012/tyson-healthy-communities/

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Dengue fever spreads to Europe

Health surveillance departments in Portugal have expressed concern about the appearance of dengue fever in Madeira in 2012, as there is a possibility of this spreading to mainland Europe.
There were over 2000 cases in Madeira in 2012, but no fatalities.

Dengue fever is generally spread by the Aedes aegypti mosquito, but can also be spread by the Aedes albopictus mosquito, common in mainland Europe. It is an unpleasant disease characterised by fever, rash and severe joint pains, and is commonly known as ‘breakbone fever’.

Travellers to Madeira, particularly in the warmer months, should take precautions against becoming bitten by mosquitos, including during the daytime.

Source: ProMed Newsgroup

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

Source: http://www.globetravelhealthcentre.com/travel-advice/dengue-fever-spreads-to-europe.html?utm_source=rss&utm_medium=rss&utm_campaign=dengue-fever-spreads-to-europe

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Reacquainting with old friends

Source: http://adventuredoc.net/2012/12/16/reacquainting-with-old-friends/

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Increase in mosquitos carrying dengue fever in Cuba

There has been an increase in the numbers of Aedes aegypti mosquitos in urban areas of Cuba, including Havana.

These insects can carry dengue fever, an unpleasant viral disease, (commonly named breakbone fever due to the severe joint and muscle pain involved). The authorities have established a surveillance system to monitor the situation, but travellers should nevertheless take steps to avoid being bitten by these mosquitos, which are active and biting during daylight hours.

Source: Agence France-Presse

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

Source: http://www.globetravelhealthcentre.com/travel-advice/increase-in-mosquitos-carrying-dengue-fever-in-cuba.html?utm_source=rss&utm_medium=rss&utm_campaign=increase-in-mosquitos-carrying-dengue-fever-in-cuba

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Influenza in the United States

There has been a severe start to the flu season in North America, with many more people than usual falling ill.

Travellers visiting America should be vaccinated against influenza.

Influenza may also be caught anywhere where there are crowds of people in close proximity, such as shops, airports, cinemas, etc.

For advice about influenza and other travel related illnesses and vaccinations, contact the Globe Travel Health Centre in Norwich on 01603 667323 – we have influenza vaccine in stock and can vaccinate anybody over the age of one year against flu

Source: http://www.globetravelhealthcentre.com/travel-advice/influenza-in-the-united-states.html?utm_source=rss&utm_medium=rss&utm_campaign=influenza-in-the-united-states

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Nature has the upper hand. So far it has “gently” protested, but …

Source: https://bernardlown.wordpress.com/2013/01/27/441/

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Learn How LASIK Could Make Those Resolutions Easier To Keep

What: Happier New You LASIK event at Eye Consultants of Texas, 2201 Westgate Plaza in Grapevine, conveniently located to Dallas/Fort Worth
When: Tuesday, January 22, 2013, 6:30 to 7:30 PM
Cool Part: $300 off any LASIK procedure just for attending

Now that the big ball has fallen and the calendar has started over, it’s time to think about those new year’s resolutions. Or, more importantly, how to stick to them.

If you’ve worn glasses or contacts for most of your life, you might consider adding LASIK to your 2013 list. Not only can LASIK help you see much clearer, but by not having to depend on corrective eyewear, it can make life a lot easier and generally more fun. Plus, it makes exercise and just getting out easier too. LASIK could possibly even save you money over wearing glasses and contacts. So even if you’re just sticking to the basics of wanting to be healthier, spending less money and having more fun, then LASIK might be a good start to keep you on the right track – 2013 and beyond.

Our Happier New You LASIK event could be the perfect opportunity to get the full story on LASIK and what to expect. It’s free and only 60 minutes long. And, if you decide to have your procedure here you get $300 off just for attending. Call us in Grapevine at 877-516-4364 to reserve your space today or to get more information (must be 18 years or older to attend). We look forward to seeing you!

 

Source: http://www.eyectexas.com/blog/lasik-resolutions/

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Fertility – a much wider issue

When people are broached with the subject of fertility, one often associates it is to an individual family’s desire to have children. However, as Professor Nargund expresses in her paper “Declining birth rate in Developed Countries: A radical re-think is required”, the subject touches society much more widely as a whole for both the developed [...]

Source: http://www.createhealthclinics.org/blog/fertility/fertility-a-much-wider-issue/

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Fertility – a much wider issue

When people are broached with the subject of fertility, one often associates it is to an individual family’s desire to have children. However, as Professor Nargund expresses in her paper “Declining birth rate in Developed Countries: A radical re-think is required”, the subject touches society much more widely as a whole for both the developed [...]

Source: http://www.createhealthclinics.org/blog/fertility/fertility-a-much-wider-issue/

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Baltimore LASIK Surgery Practice Hosts Valentine’s Day Special Offer for BOTOX ® Cosmetic

LASIK Surgeon in Baltimore Announces BOTOX Cosmetic Special Offer for Valentine's Day

Dr. Jay C. Grochmal, a LASIK surgeon in Baltimore, has announced his practice will be hosting a special offer on BOTOX ® Cosmetic to provide patients with a rejuvenated appearance and improved self-confidence at a discounted rate. The offer will run until Valentine’s Day and will give patients the chance to take advantage of reduced pricing on BOTOX in Baltimore in preparation for celebrating the iconic holiday with their loved ones.

At his Baltimore cataract and LASIK surgery practice in Baltimore, Dr. Jay C. Grochmal has announced the beginning of a special offer on BOTOX ® Cosmetic for patients looking to boost their appearance before Valentine’s Day. From now until the upcoming holiday on February 14, the Grochmal Eye Center will be offering BOTOX ® Cosmetic at $9.75 per unit. Dr. Grochmal and his practice provide laser vision correction procedures such as LASIK in Maryland, as well as cosmetic enhancements including BOTOX ® injections, Juvederm®, and eyelid surgery.

Dr. Grochmal says cosmetic procedures such as the non-invasive BOTOX ® Cosmetic and surgical procedures like eyelid surgery can offer patients an aesthetic addition to their LASIK or laser vision correction surgery in order to provide a more comprehensive and noticeable enhancement to their new, clearer vision. Dermal injections like Juvederm® and BOTOX ® Cosmetic are designed to tighten loose skin and treat wrinkles and facial lines. He says with reduced pricing on BOTOX ® Cosmetic and his variety of aesthetic procedures, patients now have the opportunity to improve self confidence and tighten the skin under their eyes for a completely refreshed outlook on life.

For patients interested in taking advantage of the Grochmal Eye Center’s BOTOX ® Cosmetic special for Valentine’s Day, Dr. Grochmal says to contact his practice for more information. He also adds that consulting with an experienced and qualified practice is essential for achieving safe and effective treatment.

About Jay C. Grochmal, MD

Dr. Jay Grochmal received his medical degree from the University of Maryland, after which he completed a rotating internship at the U.S. Public Health Hospital in Baltimore. During his residency, he achieved the rank of Chief Resident at the Greater Baltimore Medical Center’s Department of Ophthalmology. Dr. Grochmal is on staff with the Greater Baltimore Medical Center and St. Agnes Hospital. He has participated in several medical mission trips to third world countries to provide his expertise in eye care, including Pakistan, Jamaica, and the Bahamas. Dr. Grochmal is also a member of the American Academy of Ophthalmology.

Located at 405 Frederick Road, Suite 102 in Baltimore, MD, the Grochmal Eye Center can be reached at (410) 697-4090. It can also be contacted online via the website grochmaleye.com or facebook.com/grochmaleye.

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Source: http://www.grochmaleye.com/blog/baltimore-lasik-surgery-practice-hosts-valentines-day-special-offer-for-botox-cosmetic/

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It’s World Diabetes Day

In honor of World Diabetes Day, Kaiser Permanente’s Care Stories blog is highlighting stories of patients dealing with the disease. You can view all the stories here. The video below is about a physician who was surprised to find out she was diabetic, herself. Now she says her diagnosis is helping her be a better doctor for her patients.

Learn more about diabetes—including risk factors, warning signs, prevention and treatment—at the International Diabetes Federation website.

Source: http://centerfortotalhealth.org/2012/its-world-diabetes-day/

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Mayo Clinic offers newly approved treatment for GERD

C. Daniel Smith, M.D. , chair of the Department of Surgery at Mayo Clinic in Florida, discusses minimally invasive surgical options for patients with gastroesophageal reflux disease (GERD).  A novel device, a ring of tiny magnetic titanium beads that acts to keep stomach acid from leaking into the esophagus, is now offered at Mayo Clinic in Florida. Read more about the LINX Reflux Management System in the April 11, 2012, edition of MedCity News.

 

 

Mayo Clinic in Florida is one of the first health care institutions in the U.S. to offer a newly approved device to treat GERD. Mayo Clinic in Florida helped test the device in patients. The U.S. Food and Drug Administration (FDA) approved the device and treatment procedure on March 22, 2012, for patients with GERD who continue to have chronic reflux symptoms despite taking medication. Mayo Clinic in Florida was one of 14 centers nationally that participated in a clinical trial that led to the FDA’s approval of the device.

About GERD
In patients with gastroesophageal reflux disease, liquid or food in the stomach flow back up into the esophagus due to the inability of a ring of muscle between the lower esophagus and the top of the stomach to close properly. If drugs aimed at neutralizing the acid in the stomach fails to prevent GERD, an operation designed to correct the mechanical defect is considered. Nearly 2 million patients of those patients could benefit from this treatment, which is much less complex than current surgical options, says Dr. Smith.

The results of the clinical study that led to approval of the device have not yet been published. “The data presented to the FDA, however, revealed striking results when compared to other GERD treatments that have been investigated over the past 20 years,” says Dr. Smith. “The system offers effective control of GERD with limited side effects and thus far an excellent safety record.”

The implanted device is a ring of tiny magnetic titanium beads that is wrapped around the junction between the stomach and esophagus, serving as a mechanical augmentation of the lower esophageal sphincter (the ring of muscle). The magnetic attraction between the beads is strong enough to keep the sphincter closed to refluxing acid, but weak enough so that food can pass through it into the stomach. The device can be implanted using minimally invasive surgery methods.

“I expect this device to be a game changer for the treatment of GERD in select patients who have failed management with drugs,” says Dr. Smith.

Kenneth R. DeVault, M.D. , chair of the Department of Internal Medicine at Mayo Clinic in Florida, also participated in the studies. “I have many patients who are searching for something more than medication for their reflux, but have been hesitant to undergo a traditional reflux surgery,” he says. “I think this procedure may well be a very attractive option for that group.”

Drs. Smith and DeVault were consultants to the company that developed the device and participated in the research study. Mayo Clinic licensed related technology to the company in exchange for equity.

For more information
View the Torax Medical, Inc. presentation at the January 2012 Gastroenterology and Urology Medical Devices Panel Meeting and read the FDA Executive Summary Memorandum.

Clinical trials at Mayo Clinic
Gastroesophageal reflux disease (GERD)

Source: http://physicianupdate.mayoclinic.org/2012/04/17/mayo-clinic-offers-newly-approved-treatment-for-acid-reflux-disease/

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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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Take A Walk On The Grass

Take A Walk On The Grass

When is the last time that you took off your shoes and yours socks and you walked barefoot on the grass.  If you’re older than twelve I’m guessing it has been quite some time.  It’s funny, when we’re kids, if we see a mud puddle we JUMP right in it.  When we become adults we walk around the mud puddle.  Not only do we walk around the mud puddle…we complain about it! 

Stop complaining.  It’s not really serving you.  Start living.  Get outside and re-connect with our planet.  This isn’t some hippy dippy statement.  We (human beings) are electrical beings.  That’s right, we are electrical beings.  Electricity is constantly flowing through our bodies.   In fact, without electricity you wouldn’t be reading this post right now.  Without electricity running through your body your brain would cease to function. 

Sometimes we need to re-charge.  We need to “ground” ourselves.  One of the ways to do this is by getting outside and walking barefoot on the grass.  While you’re walking (barefoot of course) do some deep breathing – you’ll be accomplishing two things at the same time (there is nothing like multi-tasking when it comes to your health).  Walking barefoot on the grass will “ground” you, literally.  Doing this will help you release built up electrical energy that’s in your body.

As stated above, your entire nervous system is run on electrical energy.  Get walking, ground yourself, do your deep breathing, and make some positive changes in your life.  This doesn’t cost you a dime.  What have you got to lose?

Yours In Health!

G.E. Moon II

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Source: http://www.abundanthealthcenter.com/blog/takeawalkonthegrass

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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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Baltimore Laser Eye Surgeon Discusses the Future of Advanced Cataract Surgery

Cataract Surgeon in Baltimore Discusses the Future of Advanced Procedures

Baltimore, MD — According to the latest statistics from the American Academy of Ophthalmology (AAO), cataracts affect nearly 22 million Americans age 40 and older. However, Dr. Jay C. Grochmal, a LASIK and cataract surgeon in Baltimore, says with the recent advancements in cataract surgery, patients do not have to let blurring vision hinder their daily life. Dr. Grochmal discusses the latest innovations in refractive-cataract surgery and how they can benefit patients looking to improve their vision.

At his Baltimore cataract surgery practice, Dr. Grochmal says the aging baby boomer population has brought an influx of patients needing vision correction for cataracts and other age-related conditions. Cataracts develop as people get older and are exhibited in a clouding and opaqueness of the natural lens inside one’s eye, causing vision to blur. The AAO report also shows that by age 80, more than half of all Americans will have visually significant cataracts. Dr. Grochmal says while cataracts can be a bothersome medical issue, the good news is that advancements in ophthalmology and surgical techniques have made clear vision an affordable and effective option through cataract surgery.

With procedures such as laser refractive cataract surgery on the horizon, Dr. Grochmal says treatment is now ultimately safer than ever before and more successful in helping patients achieve improved vision with less dependence on glasses. He says other innovations have helped create smaller incisions for lens extraction and replacement during cataract surgery, and through technology such as the Zeiss IOL Master, doctors can better measure the power of the intraocular lenses and offer more accurate visual results. “With the safety of cataract surgery improving, patients no longer have to wait for their vision to drastically deteriorate before undergoing cataract surgery. Also, the quality of newer IOL’s are allowing excellent vision after surgery,” says Dr. Grochmal.

Thanks to a diverse arsenal of lenses such as toric and multifocal IOL’s, Dr. Grochmal says patients can now enjoy the benefits of custom treatment for their individual eye condition and lifestyle needs. Whether patients wish to enhance their vision up close or far away or find a balance of clarity in both distance and near vision, he says there is a solution for every patient’s desires. Dr. Grochmal says cataract surgery recovery is now also much quicker and requires less trauma to the function of one’s eye. “With such small incisions now possible and the availability of toric IOL’s, post operative astigmatism can be minimized if not completely corrected,” he says.

Regardless of whether patients are looking for cataract surgery or another vision correction procedure such as LASIK in Baltimore, Dr. Grochmal says the advancements in ophthalmology are making significant strides towards helping people attain perfect, lasting eyesight. He adds that he is excited to see the further development of patient comfort and care and hopes patients continue to take advantage of the benefits that procedures like cataract surgery can offer.

About Jay C. Grochmal, MD

Dr. Jay C. Grochmal received his medical degree from the University of Maryland, after which he completed a rotating internship at the U.S. Public Health Hospital in Baltimore. He also completed a residency in the Department of Ophthalmology at the Greater Baltimore Medical Center, where he was Chief Resident. A member of the American Academy of Ophthalmology and the American Society of Cataract and Refractive Surgery, Dr. Grochmal has participated in several medical mission trips to offer his experience and skills in vision correction to patients in Pakistan, Jamaica, and the Bahamas. He is currently on staff with the Greater Baltimore Medical Center and St. Agnes Hospital. He is the medical director at the Snowden River Surgery Center.

Located at 405 Frederick Rd, Suite 102 in Baltimore, MD, Dr. Grochmal’s practice can be reached at (410) 697-4090. He can also be contacted online via the website grochmaleye.com or facebook.com/grochmaleye.

Contact:
Rosemont Media
Aaron Hurst
aaron@rosemontmedia.com
(858) 200-0044
www.rosemontmedia.com

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Source: http://www.grochmaleye.com/blog/baltimore-laser-eye-surgeon-discusses-the-future-of-advanced-cataract-surgery/

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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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It’s World Diabetes Day

In honor of World Diabetes Day, Kaiser Permanente’s Care Stories blog is highlighting stories of patients dealing with the disease. You can view all the stories here. The video below is about a physician who was surprised to find out she was diabetic, herself. Now she says her diagnosis is helping her be a better doctor for her patients.

Learn more about diabetes—including risk factors, warning signs, prevention and treatment—at the International Diabetes Federation website.

Source: http://centerfortotalhealth.org/2012/its-world-diabetes-day/

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Severe endometriosis – successful Natural IVF

Abigail was a 36 year old when she came to us, she had severe endometriosis and she was not able to undergo ovarian stimulation because she suffered from extreme pelvic pain with ovulation and ovarian stimulation could make her endometriosis worse. Her husband’s sperm was normal. She had damaged tubes and needed IVF to help [...]

Source: http://www.createhealthclinics.org/blog/natural-cycle-ivf/severe-endometriosis/

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It’s World Diabetes Day

In honor of World Diabetes Day, Kaiser Permanente’s Care Stories blog is highlighting stories of patients dealing with the disease. You can view all the stories here. The video below is about a physician who was surprised to find out she was diabetic, herself. Now she says her diagnosis is helping her be a better doctor for her patients.

Learn more about diabetes—including risk factors, warning signs, prevention and treatment—at the International Diabetes Federation website.

Source: http://centerfortotalhealth.org/2012/its-world-diabetes-day/

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Functional – Movement – Kettlebells – CrossFit

Here is a great interview of the owner of, CrossFit Seattle – Dave Werner.  The interview was conducted by, Dr. Wendy Schauer, D.C., R.K.C. of – www.HappyNewYou.com.  The interview has many references to some of the leading researchers and their findings on how important “Functional Movement” is to over all health, especially back pain.  It also covers the role that the Russian Kettlebell can play in overall health and fitness.

Here is the link to the interview:

 http://happynewyou.com/interview-with-dave-werner-rkc-and-owner-of-crossfit-seattle

Yours In Health!

G.E. Moon II

 

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Source: http://www.abundanthealthcenter.com/blog/functional-movement-kettlebells-crossfit

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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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Functional – Movement – Kettlebells – CrossFit

Here is a great interview of the owner of, CrossFit Seattle – Dave Werner.  The interview was conducted by, Dr. Wendy Schauer, D.C., R.K.C. of – www.HappyNewYou.com.  The interview has many references to some of the leading researchers and their findings on how important “Functional Movement” is to over all health, especially back pain.  It also covers the role that the Russian Kettlebell can play in overall health and fitness.

Here is the link to the interview:

 http://happynewyou.com/interview-with-dave-werner-rkc-and-owner-of-crossfit-seattle

Yours In Health!

G.E. Moon II

 

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Source: http://www.abundanthealthcenter.com/blog/functional-movement-kettlebells-crossfit

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Filariasis basics for travelers

Source: http://adventuredoc.net/2012/04/29/filariasis-basics-for-travelers/

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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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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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