Friday, May 31, 2013

Radio Interview

Source: http://adventuredoc.net/2013/01/03/radio-interview/

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Eye Consultants Of Texas Patients Tell It Like It Is

We always ask our Dallas/Fort Worth patients if they would mind completing our Patient Satisfaction Survey. This is totally anonymous so patients will feel comfortable sharing their most candid feedback. Naturally, we pay more attention to any areas where we need to do better. But like any business, we are extremely proud to know when we have excelled. Here are just a few stand out comments from individual surveys as each patient wrote them:

“Without a doubt I will refer all of my friends and family to y’all!! The phone call from the nurse after my surgery that afternoon was great. I almost fell out of my chair at 8:40 PM that night when Dr. Labor’s mobile number came up on my Caller ID! What a wonderful, personal touch. Meant millions!”

“My first procedure went so well that I had no concerns for the second. I was impressed with the care the staff gave all the patients.”

“I have never witnessed any medical facility exert as much effort in caring for its patients. I mean, I have never heard of a surgeon calling a patient at 9:00 in the evening with concerns about their condition. OUTSTANDING!”

“I felt like I was a VIP – I have never been at a doctor’s office (in 60 years) and cared for by so many friendly, CARING, professional staff and nurses! God bless you all and thank you for taking care of cry babies!!!”

“Your operation/services are better than [what] is considered normal in our ‘modern’ world!”

“It was like a dance, every step was in place. Everyone knew what to do and when. Thank you for the care. Great job.”

One patient even compared us to his favorite musician:

“Yanni is one of the world’s best composers and always finds top talent to support his work; and he’s clearly at the top of his game. He reminds me of you and your surgical team. Both of my eyes now have similar, amazing vision and I never experienced any pain, or discomfort of any kind. These surgeries have also been very minor disruptions in my schedule, which surprised me. I only wish I had accomplished it much sooner. Thank you for sharing such great talent.”

Visit our Patient Experiences page to read more in-depth testimonials. You can also view testimonial videos on our LASIK and Premium Smart Lens pages.

Source: http://www.eyectexas.com/blog/patient-testimonials/

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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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Malaria Test Kits

Source: http://adventuredoc.net/2012/11/28/malaria-test-kits/

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Thursday, May 30, 2013

Enormity of US Military impedes nuclear abolition (Essay 27)

Source: http://bernardlown.wordpress.com/2011/11/28/enormity-of-us-military-impedes-nuclear-abolition/

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Mustaches For Mankind

Newby’s on Highland
Saturday, November 17th – 8:00pm- 11:30pm

 

Mustache competition
Live bands
Star & Micey/The Incredible Hook

 

Must be 18+ years old
$5 in advance/$8 at the door

 

Proceeds benefit Memphis Health Center, Inc!

Source: http://www.memphishealthcenter.org/blog/?p=220

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The Advantages Of Supreme Greens

Supreme Greens spokesmodel, Carmen Palumbo explains the benefits of Supreme Greens.

 

Source: http://www.abundanthealthcenter.com/blog/the-advantages-of-supreme-greens

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HEALTHY RELATIONSHIPS PROGRAM INTERVENTION


A 5 – session small group-level intervention with African American Men and Women living with HIV. 
Participants will receive information to build healthier/safer sexual relationships. 
Refreshments provided at each session.

Gift card incentive received at the end of 5 week session.

To learn more about Healthy Relationships, please attend our informational session:

When:  Monday, June 10, 2013

Where: Memphis Health Center Main Conference Room, 360 E. H. Crump Blvd

Time:  6:00 pm – 7:00 pm

Contact:  LaTonya Foster, 901-261-2007

 

Source: http://www.memphishealthcenter.org/blog/?p=311

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

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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.

###

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

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Wednesday, May 29, 2013

Molecular outcomes of neuromyelitis optica (NMO)-IgG binding to aquaporin-4 in astrocytes

Vanda A. Lennon, M.D., Ph.D., with the Departments of Laboratory Medicine and Pathology and Neurology, discusses research that identifies critical properties of neuromyelitis optica, a potentially debilitating neurological disease that is often misdiagnosed as multiple sclerosis (MS).

Dr. Lennon’s team isolated and identified an antibody unique to NMO that may interfere with the transport of the water. In some areas of autopsied brain tissue studied, there was an accumulation of water in the myelin itself that the team believes may lead to the secondary destruction of the myelin in NMO and potential misdiagnosis of NMO as MS.

The study was published online in the Proceedings of the National Academy of Sciences on Nov. 29, 2011.

ABSTRACT
The astrocytic aquaporin-4 (AQP4) water channel is the target of pathogenic antibodies in a spectrum of relapsing autoimmune inflammatory central nervous system disorders of varying severity that is unified by detection of the serum biomarker neuromyelitis optica (NMO)-IgG. Neuromyelitis optica is the most severe of these disorders. The two major AQP4 isoforms, M1 and M23, have identical extracellular residues.

This report identifies two novel properties of NMO-IgG as determinants of pathogenicity: 

  • The binding of NMO-IgG to the ectodomain of astrocytic AQP4 has isoform-specific outcomes. M1 is completely internalized, but M23 resists internalization and is aggregated into larger-order orthogonal arrays of particles that activate complement more effectively than M1 when bound by NMO-IgG.
  • NMO-IgG binding to either isoform impairs water flux directly, independently of antigen down-regulation.

We identified, in nondestructive central nervous system lesions of two NMO patients, two previously unappreciated histopathological correlates supporting the clinical relevance of our in vitro findings:

  • Reactive astrocytes with persistent foci of surface AQP4
  • Vacuolation in adjacent myelin consistent with edema

The multiple molecular outcomes identified as a consequence of NMO-IgG interaction with AQP4 plausibly account for the diverse pathological features of NMO: edema, iflammation, demyelination and necrosis.

Differences in the nature and anatomical distribution of NMO lesions, and in the clinical and imaging manifestations of disease documented in pediatric and adult patients, may be influenced by regional and maturational differences in the ratio of M1 to M23 proteins in astrocytic membranes. 

Authors
Shannon Hinson, Ph.D., Michael F. Romero, Ph.D., Bogdan F. Popescu, M.D., Ph.D., Claudia F. Lucchinetti, M.D., James (Jim) P. Fryer, Hartwig Wolburg, Petra Fallier-Becker, Susan Noell, Vanda A. Lennon, M.D., Ph.D.

Source: http://physicianupdate.mayoclinic.org/2012/03/22/molecular-outcomes-of-neuromyelitis-optica-nmo-igg-binding-to-aquaporin-4-in-astrocytes/

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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 4th 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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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

 

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

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HEALTHY RELATIONSHIPS PROGRAM INTERVENTION


A 5 – session small group-level intervention with African American Men and Women living with HIV. 
Participants will receive information to build healthier/safer sexual relationships. 
Refreshments provided at each session.

Gift card incentive received at the end of 5 week session.

To learn more about Healthy Relationships, please attend our informational session:

When:  Monday, June 10, 2013

Where: Memphis Health Center Main Conference Room, 360 E. H. Crump Blvd

Time:  6:00 pm – 7:00 pm

Contact:  LaTonya Foster, 901-261-2007

 

Source: http://www.memphishealthcenter.org/blog/?p=311

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Radio Interview

Source: http://adventuredoc.net/2013/01/03/radio-interview/

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Tuesday, May 28, 2013

Rock Health: Accelerating Innovation in Health Care

Innovation starts with a seed, an idea fueled by passion and a desire to make meaningful change by building on that which has come before and making it better. In no field is this perhaps more vital than in health care.

Rock Health, a seed accelerator and nonprofit foundation focused on the intersection of health care and technology, develops global strategies to enhance care delivery, patient-clinician relations, and the health and well being of people the world over.  The organization is partnering with organizations, entrepreneurs, researchers, thought leaders and innovators across multiple fields, including medicine, technology, venture capital, and corporate industry to advance digital technology in health care – two fields that touch each of our lives. Through start-up funding, research and public events, the foundation supports next generation health entrepreneurs committed to supporting digital innovation in health care.

Kaiser Permanente recently announced its partnership with Rock Health as a sponsor to provide financial support and work closely with the seed accelerator’s network of change makers to explore new ways to leverage digital innovation to improve the health of communities across the globe. In this move, Kaiser Permanente joins several other health and business leaders—including the Mayo Clinic, Harvard Medical School, General Electric, Nike, Genentech and others—who support Rock Health and the important work it is doing.

For more information on Rock Health, including its incubator program, its events, its own blog, and more, check out the website here.

Source: http://centerfortotalhealth.org/2012/rock-health-accelerating-innovation-in-health-care/

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Mayo Clinic study finds that cardiac rehab reduces mortality by 45 percent

Randal J. Thomas, M.D., director of Mayo Clinic’s Cardiovascular Health Clinic, and colleagues found that patients who participate in cardiac rehabilitation after having heart interventions such as angioplasty, stents and clot-busting drugs have a 45 percent lower mortality rate.

The research team studied data from more than 2,300 patients between 1994 and 2008, and recently published the results in Circulation 

Only about 40 percent of patients in the study participated in cardiac rehabilitation. These findings are particularly important for interventional cardiologists, Dr. Thomas says, because encouraging patients to pursue cardiac rehab after their procedure can potentially save more lives than previously thought.

Authors: Kashish Goel, M.B.B.S.; Ryan J. Lennon, M.S.; R. Thomas Tilbury, M.D.; Ray W. Squires, PhD; Randal J. Thomas, M.D., M.S.

Source: http://physicianupdate.mayoclinic.org/2012/04/03/mayo-clinic-study-finds-that-cardiac-rehab-reduces-mortality-by-45-percent/

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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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Dr. Labor Publishes New Technology Article In National Publication

Cataract & Refractive Surgery Today, a major industry publication, recently asked Phillips Kirk Labor, MD to share his expertise about a revolutionary cataract surgery technology he introduced to Dallas/Fort Worth in 2011. The result was an article Dr. Labor authored, Updating Your Practice With Advanced Technology, with the subtitle, Intraoperative aberrometry is a worthwhile investment for the practice and provides added security for cataract patients. The article appeared nationwide in the October 2012 issue.

A prime example of intraopertive aberrometry he discusses is the ORA System. This is a “wavefront aberrometry device,” the first of its kind to measure cataract surgery results in real time – during the procedure. Previously called ORange, Dr. Labor was the first metro Dallas/Fort Worth eye surgeon to use this technology when it was introduced in 2011. When ORange changed to the further enhanced ORA System, Dr. Labor remained at the forefront as an early adopter of this newer, better technology. Today, he is one of the top ORA surgeons in the world.

Cataract & Refractive Surgery Today is a trusted, highly regarded publication among leading surgeons all over the world. I was grateful when they contacted me, and didn’t hesitate to do it,” Dr. Labor said. “Although written for our industry, my main goal, however, was to share my experiences and successes related to how this benefits the patient first.”

To learn more about the ORA System, or any our comprehensive eye care services, please call us in Grapevine at 877-516-4364. We’re conveniently located to all of Fort Worth and Dallas.

Source: http://www.eyectexas.com/blog/dr-labor-publishes/

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Rossville Health Center Community Events

Rossville Youth Fishing Rodeo hosted by the City of Rossville & Tennessee Wildlife Resource Agency (TWRA)  on Saturday, June 1, 2013, Registration at 7 am.  Rossville Health Center will have an informational table and offer blood pressure and glucose screenings for the adults.

Source: http://www.memphishealthcenter.org/blog/?p=304

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Monday, May 27, 2013

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

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

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Extubation in remote locations

Source: http://adventuredoc.net/2012/12/22/extubation-in-remote-locations/

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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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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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Special Operations Medicine Journal

Source: http://adventuredoc.net/2013/05/11/special-operations-medicine-journal/

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Morphine and Ketamine in Trauma

Source: http://adventuredoc.net/2013/05/11/morphine-and-ketamine-in-trauma/

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Sunday, May 26, 2013

Dr. Labor Publishes New Technology Article In National Publication

Cataract & Refractive Surgery Today, a major industry publication, recently asked Phillips Kirk Labor, MD to share his expertise about a revolutionary cataract surgery technology he introduced to Dallas/Fort Worth in 2011. The result was an article Dr. Labor authored, Updating Your Practice With Advanced Technology, with the subtitle, Intraoperative aberrometry is a worthwhile investment for the practice and provides added security for cataract patients. The article appeared nationwide in the October 2012 issue.

A prime example of intraopertive aberrometry he discusses is the ORA System. This is a “wavefront aberrometry device,” the first of its kind to measure cataract surgery results in real time – during the procedure. Previously called ORange, Dr. Labor was the first metro Dallas/Fort Worth eye surgeon to use this technology when it was introduced in 2011. When ORange changed to the further enhanced ORA System, Dr. Labor remained at the forefront as an early adopter of this newer, better technology. Today, he is one of the top ORA surgeons in the world.

Cataract & Refractive Surgery Today is a trusted, highly regarded publication among leading surgeons all over the world. I was grateful when they contacted me, and didn’t hesitate to do it,” Dr. Labor said. “Although written for our industry, my main goal, however, was to share my experiences and successes related to how this benefits the patient first.”

To learn more about the ORA System, or any our comprehensive eye care services, please call us in Grapevine at 877-516-4364. We’re conveniently located to all of Fort Worth and Dallas.

Source: http://www.eyectexas.com/blog/dr-labor-publishes/

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MHC to hold World AIDS Day Event

World AIDS Day is held each December 1st as an opportunity for people to unite in the fight against HIV/AIDS by increasing awareness, fighting prejudice and improving education. It is also an opportunity to show support for people living with HIV and to commemorate people who have died.

Memphis Health Center, Inc. will observe Word AIDS Day on Friday, November 30, 2012 with a Candle Light Memorial in our main conference room located at 360 E. H. Crump Blvd 10:45 am – 12:00 pm. This event will highlight HIV awareness, and the importance of testing. We will also feature a video & testimonials of individuals that have been impacted by this disease.

For more information, please contact Latonya Foster, Health Educator, at (901) 261-2007 or by email at lfoster@mphshc.org.

Source: http://www.memphishealthcenter.org/blog/?p=226

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Venous Access in Austere Settings: Part One

Source: http://adventuredoc.net/2012/12/02/venous-access-in-austere-settings-part-one/

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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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Blackwater Tactical Weekly: Malaria Article

Source: http://adventuredoc.net/2013/05/11/blackwater-tactical-weekly-malaria-article/

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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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Molecular outcomes of neuromyelitis optica (NMO)-IgG binding to aquaporin-4 in astrocytes

Vanda A. Lennon, M.D., Ph.D., with the Departments of Laboratory Medicine and Pathology and Neurology, discusses research that identifies critical properties of neuromyelitis optica, a potentially debilitating neurological disease that is often misdiagnosed as multiple sclerosis (MS).

Dr. Lennon’s team isolated and identified an antibody unique to NMO that may interfere with the transport of the water. In some areas of autopsied brain tissue studied, there was an accumulation of water in the myelin itself that the team believes may lead to the secondary destruction of the myelin in NMO and potential misdiagnosis of NMO as MS.

The study was published online in the Proceedings of the National Academy of Sciences on Nov. 29, 2011.

ABSTRACT
The astrocytic aquaporin-4 (AQP4) water channel is the target of pathogenic antibodies in a spectrum of relapsing autoimmune inflammatory central nervous system disorders of varying severity that is unified by detection of the serum biomarker neuromyelitis optica (NMO)-IgG. Neuromyelitis optica is the most severe of these disorders. The two major AQP4 isoforms, M1 and M23, have identical extracellular residues.

This report identifies two novel properties of NMO-IgG as determinants of pathogenicity: 

  • The binding of NMO-IgG to the ectodomain of astrocytic AQP4 has isoform-specific outcomes. M1 is completely internalized, but M23 resists internalization and is aggregated into larger-order orthogonal arrays of particles that activate complement more effectively than M1 when bound by NMO-IgG.
  • NMO-IgG binding to either isoform impairs water flux directly, independently of antigen down-regulation.

We identified, in nondestructive central nervous system lesions of two NMO patients, two previously unappreciated histopathological correlates supporting the clinical relevance of our in vitro findings:

  • Reactive astrocytes with persistent foci of surface AQP4
  • Vacuolation in adjacent myelin consistent with edema

The multiple molecular outcomes identified as a consequence of NMO-IgG interaction with AQP4 plausibly account for the diverse pathological features of NMO: edema, iflammation, demyelination and necrosis.

Differences in the nature and anatomical distribution of NMO lesions, and in the clinical and imaging manifestations of disease documented in pediatric and adult patients, may be influenced by regional and maturational differences in the ratio of M1 to M23 proteins in astrocytic membranes. 

Authors
Shannon Hinson, Ph.D., Michael F. Romero, Ph.D., Bogdan F. Popescu, M.D., Ph.D., Claudia F. Lucchinetti, M.D., James (Jim) P. Fryer, Hartwig Wolburg, Petra Fallier-Becker, Susan Noell, Vanda A. Lennon, M.D., Ph.D.

Source: http://physicianupdate.mayoclinic.org/2012/03/22/molecular-outcomes-of-neuromyelitis-optica-nmo-igg-binding-to-aquaporin-4-in-astrocytes/

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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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Saturday, May 25, 2013

Rural and Remote Medical Textbook

Source: http://adventuredoc.net/2013/03/13/rural-and-remote-medical-textbook/

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Blocked fallopian tubes – successful Natural IVF

Claudia*, 35, already had a child after aggressive, conventional IVF, and wanted another. However, because she had blocked tubes, she needed IVF. She was exhausted after her conventional IVF and said “never again”! It had been very aggressive IVF, had cost her nearly £9000 and she had lots of unpleasant side effects. She had never [...]

Source: http://www.createhealthclinics.org/blog/natural-cycle-ivf/blocked-fallopian-tubes-successful-natural-ivf/

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How to Keep Your Eyes Protected This Summer

With summer rapidly approaching, it’s time to make sure we take the proper precautions.  It’s not only important to protect our skin from the sun’s harmful ultraviolet rays, but our eyes as well.  Since exposure to the sun can be damaging to our eyes, preparation is key in keeping them safe.  So what exactly is the relationship between the sun’s UV rays and our eyes?

Both short-term and long-term sun exposure to the sun can have damaging consequences.  Short-term exposure can cause conditions like photokeratitis, an inflammation of the cornea that can cause eye pain and discomfort — similar to a sunburn.  The effects of long-term sun exposure are much more serious, and can include:

  • Cataracts
  • Macular degeneration
  • Pterygia, or benign tissue growth
  • Skin cancer near the eyes

How to Protect Your Eyes from the Sun

There are some simple, yet important, steps we can take to help protect our eyes from the sun’s damaging rays.  One of the most crucial steps is simply investing in the right pair of sunglasses.  When looking for a pair of sunglasses, it’s important to make sure that they block 99-100% of UVA and UVB rays, as these will offer the greatest amount of protection.  Wearing a wide-brimmed hat can also be an effective way to protect your eyes, as they will cover sun that can sneak in through the top or sides of your sunglasses.  Additionally, it’s important to be aware of the sun’s peak times – 10 a.m. to 4 p.m.  Extra protection is advised during these times, as this is when the sun is the strongest.

It’s also important to remember that just because it’s cloudy outside, doesn’t mean the sun isn’t out.  The sun’s rays can pass through thin clouds, so sunglasses and hats are always important.

Ophthalmologist in Winchester

To learn more about the effects the sun can have on your eyes or how to stay protected, contact us today and schedule an appointment.  Our offices are located in Winchester, serving Virginia, West Virginia, and Maryland, and you can reach us directly at (540) 722-6200.  We look forward to hearing from you

Source: http://www.seeclear.com/blog/eye-heath/how-to-keep-your-eyes-protected-this-summer

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Laugh More

I remember reading some years ago that children laugh somewhere around 300 – 400 times a day.  In the same article it said that adults laugh as little as 15 times a day.  Wow, that is a huge difference.  To me it is sad statement that as we grow older we “lose” (or maybe we stifle) our ability to laugh.  Me, I love to laugh.  I don’t think that I am quite up to 300 laughs a day…but I get in about 100 a day.  I believe that laughter is beneficial and extremely healing.  I believe that it can be very therapeutic…not only for yourself, but those around you.

Dr. Richard Schulze said in an interview once that he encouraged his patients to learn 1,000 jokes as part of their healing process.  While you might think this to be a tedious and unneccesary task to learn so many jokes, why not instead think of the laughter his patients got from taking on the assignment.  While learning 1,000 jokes do you think their minds were focused on their illness or on laughter?  I’m guessing that they were focused on laughing. 

In his groundbreaking book, “Anatomy Of An Illness”, Norman Cousins describes how he started watching “The 3 Stooges” on a daily basis to “activate” his sense of humor and “regain” his laugh. 

 
There is power in laughter.  I encourage you to laugh more every day.  I encourage you to make those around you laugh whenever you can.

Yours In Health!

G.E. Moon II

 

 

Source: http://www.abundanthealthcenter.com/blog/laugh-more

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