The Value of Being an Engaged Patient

It’s easy to wonder, especially when we are sick or dealing with a health issue, if we are doing all we can to be our own best health advocate.

This Thursday, U.S. News and World Report will host a TweetChat about patient engagement featuring Kaiser Permanente physician Ted Eytan, MD.

Dr. Eytan (@tedeytan on Twitter), physician director here at the Center for Total Health for The Permanente Federation, will join a panel of experts to talk about a patient’s role in his or her own hospital and health experience. Panelists will discuss how patients can empower themselves to remain informed and engaged in their treatment.

Expected topics include patient empowerment regarding electronic health records, having candid conversations with one’s doctor, knowing how to maximize medical appointments, and knowing what questions to ask.

The TweetChat will take place Thursday, July 25, from 2 to 3 p.m. Eastern time (11 a.m. to noon Pacific). Follow the hashtag #PatientChat to participate in the conversation.

Source: http://centerfortotalhealth.org/2013/the-value-of-being-an-engaged-patient/

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Guidelines for Protecting Your Eyes This Fall

As the leaves begin to change and the breeze turns a bit chillier, it’s important to prepare your eyes for the autumn weather. Colder conditions and even allergens from foliage can negatively impact your eyes, causing dryness and irritation.

Below are the top five issues that affect eyes during the autumn season, along with tips for how to remedy them:

1. Harsh Sunlight. Although sunglasses are generally viewed as a summer accessory, they should ideally be worn year-round. They protect the eyes from the bright, glaring sunlight of colder months, and should especially be worn when driving during the daytime. Glasses also shield the delicate eye area from harsh winds, as well as the dust and debris that a strong gust could blow into your face.
2. Dryness. Cold, static-inducing days can be rough on the eyes, so use a humidifier when indoors to give them a rest from dry outdoor conditions. Hypoallergenic eye creams can be applied to help hydrate the skin around the eyes and prevent it from becoming dry, cracked and itchy. Artificial tears can also be used to provide additional moisture.
3. Allergies. Autumn’s dead leaves, hayrides and fireplace fumes can trigger allergic reactions. Red, itchy, burning, watery or swollen eyes are common allergy symptoms that can be improved with prescription or over-the-counter antihistamines. Using artificial tears can also help ease the discomfort of eye allergy symptoms.
4. Heating Vents. Although cold weather can be rough on your eyes, indoor heat can be just as harmful – especially if you wear contact lenses. Indoor heat makes air more dry, which causes your skin’s and eyes’ natural moisture to evaporate faster than usual. Sitting near a heating vent can severely dry out your eyes, so make sure that you remain a comfortable distance away the grate and any other heat source. Drinking plenty of water will also ensure that your skin and eyes stay hydrated and healthy.
5. Eye Strain. Whether you’ve noticed that it’s getting increasingly harder to read your favorite book when curled up by the fireplace or that you can’t see as well as you used to when driving home because it’s getting dark out sooner and sooner, the end is result is more eyestrain. Your eye doctor will determine if your eye strain is a sign that you need a new prescription or if there is another underlying problem. Be sure to schedule an annual check-up.

Ophthalmologist in Winchester

To learn more about the effects autumn weather can have on your eyes and 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/guidelines-for-protecting-your-eyes-this-fall

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Top Treatment Options for Glaucoma

Glaucoma occurs when pressure in the eye damages the optic nerve, often causing vision loss. Some symptoms of the condition include blurred vision, nausea, and eye pain. Common risk factors include age, family history, and any past eye injuries.

Glaucoma is diagnosed following a comprehensive exam, as well as an assessment of medical and family history. Once the condition is diagnosed, your doctor will speak with you about what treatment is right for you. When it comes to treating glaucoma, sooner is better. Waiting may result in further damage, or vision loss.

While there is no cure for glaucoma, there are highly-effective treatments available. Let’s take a closer look at some of these treatments.

1. Medication. A variety of medication is available to treat glaucoma. Most commonly, patients will use prescription or over-the-counter eye drops. Eye drops are useful for reducing the pressure levels in the eyes that cause glaucoma. Oral medications are usually recommended for patients who are not responding to eye drops. An eye doctor may also recommend a combination of medications, to control eye pressure.
2. Laser surgery. An outpatient procedure known as “laser trabeculoplasty” is an effective alternative to surgery, for patients who are unresponsive to medication or eye drops. With this procedure, your eye doctor uses a laser beam to open clogged drainage canals in the eye. This allows fluid in the eye to drain easily, reducing pressure in the eye. This may require some downtime, since results of laser surgery take a few weeks to appear.
3. Surgery. Laser surgery may not always be effective in lowering the pressure in the eye. When medications and laser surgery do not work, more extensive surgery is necessary. Conventional glaucoma surgery involves creating a drainage hole in the eye with a small surgical instrument. The opening will allow fluids to bypass the clogged drainage canals, and flow out of the artificial drainage hole. Glaucoma surgery can be performed several times, if necessary, without risk to the eye.

Glaucoma Treatment in Winchester

If you’re living with glaucoma, contact us today to learn about your treatment options.  Our offices are located in Winchester, serving Virginia, West Virginia, and Maryland, and you can reach us directly at (540) 722-6200.  We hope to hear from you soon.

Source: http://www.seeclear.com/blog/glaucoma/top-treatment-options-for-glaucoma

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Article featuring Adventure Doc and what we do

Source: http://adventuredoc.net/2013/03/26/article-featuring-adventure-doc-and-what-we-do/

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Bird flu on the rise again in China

Since March this year, bird flu has again made an appearance in eastern China. The cases have been mainly amongst poultry workers and those working in live animal markets. Travellers should avoid markets where live poultry is sold.

Source: Agence France-Presse

Get in touch

Need advice? Come & get the best advice from the Globe Travel Health Centre in Norwich on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/bird-flu-on-the-rise-again-in-china.html

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How entertainment can facilitate difficult health conversations with teens

Sometimes the best way to broach sensitive health topics with young people is through an unconventional avenue – such as Kaiser Permanente’s Educational Theatre Program, as mentioned in yesterday’s post.

The great thing about live theatre, according to Hannah Cordero of Kaiser Permanente, is that you can take a very difficult subject, like HIV/AIDS, and make it relevant and approachable to teens.

Cordero is part of Northern California’s Educational Theatre Program, which among many educational performances offers “Secrets,” a production that uses the power of live theatre to communicate the facts and dispel the myths about HIV/AIDS and sexual transmitted infections. The characters in the performance model effective negotiation skills and encourage young people to discuss difficult topics with their partners, friends, and adults in their lives. Since it’s inception in 1985, over 1.5 million people have seen “Secrets” throughout Northern California.

In this video, Cordero talks about how they’ve make “Secrets” relevant to students over the years. She adds that while students are now more aware about HIV/AIDS and sexually transmitted infections, their program helps aid students in communicating skills.

ETP is offered to schools and communities free of charge in each of Kaiser Permanente’s eight regions.  The program covers important health topics, such as healthy eating, physical activity, diversity, peer pressure, conflict management, bullying prevention, domestic violence, dealing with grief and loss, depression, sexually transmitted diseases, literacy promotion, and drug, alcohol and tobacco abuse.  Check out their work and educational productions here.

Source: http://centerfortotalhealth.org/2013/how-entertainment-can-facilitate-difficult-health-conversations-with-teens/

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Can you travel abroad with cancer?

Can you travel abroad with cancer? The answer to this is dependent on many factors – your specialist doctor will have the final answer.

There is nothing specific that stops cancer patients from flying on planes. It is still possible for cancer sufferers to get travel insurance and the majority of airlines are exceedingly helpful when it comes to providing specific needs, whether it’s a special seat on the plane, dietary or medical requirements.

However, on many occasions, some elements of travelling abroad can be too demanding on cancer sufferers’ weakened bodies.

Physical demands
Cancer sufferers can often become too tired and weak to withstand long journeys. For some, even travelling to and from the airport can be physically demanding. It’s worth bearing in mind how noisy and humid airports can be and that you often have to sit for hours at a time, which may be a problem for those with an increased risk of blood clots.

Many doctors won’t recommend travelling too soon after major treatments, such as chemotherapy because patients are likely to have a weakened immune system.

It is vital to let airlines know of any medical requirements that may be needed on a flight well in advance of your departure date. Some may seek confirmation from your doctor that you are fit to fly.

Flying abroad
You will need to arrange travel insurance before you fly abroad, so that you don’t have to pay for any medical treatment you may need whilst out of the country.

Some cancer sufferers have found it hard to arrange affordable cover, because many insurers see them as too much of a risk. However, there are number of insurers which specialise in providing affordable premiums for those with pre-existing medical conditions. These specialist companies have staff with the expertise to ask customers the right questions and therefore provide a more accurate assessment of a customer’s risk. This allows them to offer more affordable cover.

It is important for passengers to be fully prepared with all the medication that might be needed during their trip, and in some countries a doctor’s letter may be required in order to bring certain medications into the country. Make a note of where the nearest hospital is and let hotel staff know about any special requests.

Some countries may present more of a risk to cancer sufferers than others. Any countries which require vaccinations may be problematic and this should definitely be discussed with your cancer specialist & a specialist travel health practitioner.

Countries that are endemic for malaria & yellow fever should not be visited by those with weak immune systems, and some vaccinations should not be given within six months of completing treatment. A lot of cancer sufferers are keen to travel abroad, especially if they feel they are losing the battle and might not have long left to live. They might want to visit family or visit a destination they have always wanted to see. As long as the right preparations are made, it may still be possible to do your dream trip.

About the author:
InsuranceWith (www.insurancewith.com) specialise in helping people with existing medical conditions obtain affordable travel insurance. Many high street insurance firms will not cover people with medical conditions because of the perceived risk as opposed to the real risk. Through our services we help people get out and enjoy life.

Get in touch

Need advice? Come & get the best advice from the Globe Travel Health Centre in Norwich on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/can-you-travel-abroad-with-cancer.html

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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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Wives, Yes; Husbands, No (Essay 26)

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

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The Value of Being an Engaged Patient

It’s easy to wonder, especially when we are sick or dealing with a health issue, if we are doing all we can to be our own best health advocate.

This Thursday, U.S. News and World Report will host a TweetChat about patient engagement featuring Kaiser Permanente physician Ted Eytan, MD.

Dr. Eytan (@tedeytan on Twitter), physician director here at the Center for Total Health for The Permanente Federation, will join a panel of experts to talk about a patient’s role in his or her own hospital and health experience. Panelists will discuss how patients can empower themselves to remain informed and engaged in their treatment.

Expected topics include patient empowerment regarding electronic health records, having candid conversations with one’s doctor, knowing how to maximize medical appointments, and knowing what questions to ask.

The TweetChat will take place Thursday, July 25, from 2 to 3 p.m. Eastern time (11 a.m. to noon Pacific). Follow the hashtag #PatientChat to participate in the conversation.

Source: http://centerfortotalhealth.org/2013/the-value-of-being-an-engaged-patient/

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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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Our new Mobile App is up and running

The Eye Consultants of Texas mobile app is officially live. As a practice that prides itself on using the latest technology, we felt it was definitely time to offer this to our patients across Dallas/Fort Worth. A custom Eye Consultants of Texas App has been created for Android, iPhone, iPad, and iPod Touch devices. All are available for free download at both App stores (see links below).

The new mobile app includes helpful information about us, our services, and contact information similar to our main website. There’s also a “Fan Wall” to post feedback and comments, a link to upcoming events, and a map of shopping and attractions near our office. There’s even a link for making appointments right from your Smartphone, and we’ve included a “Coupons” link to view special offers we’ll be posting from time to time.

In fact, to introduce you to our new mobile app, we’re offering $150 off LASIK for anyone who downloads our new App. Here’s how it works. Once the App is downloaded, simply click on “Coupons” to view and redeem your offer. The offer will be on our mobile site for a limited time. But once you redeem it, it’s yours to use whenever you decide to make an appointment.

We’ll continue to expand and improve our new mobile app to be a useful tool for our current and future patients. We encourage you to give it a try,   and encourage you to post a comment on our Fan Wall to help us make it better than ever. If you have any questions, feel free to call our office in Grapevine at 877-516-4364, or email info@eyecontx.com.

Here are direct links to the new Eye Consultants of Texas App:

For Apple Products 
For Android Products

Source: http://www.eyectexas.com/blog/app/

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Dry Eye | Triggers and Treatments

If you’re experiencing a burning or stinging sensation in your eyes, light sensitivity, eye redness, blurred vision, or any similar concerns, you may be one of the many living with dry eye syndrome.  Also known as keratoconjunctivitis sicca, or KCS, dry eye is estimated to affect over 3.2 million Americans.  So what exactly is this condition, and how can it be treated?

Simply, dry eye occurs when there are not enough to tears to provide the right amount of moisture to your eyes.  Some people may experience dry eye because the tears they are producing are of poor quality, while others simply aren’t producing enough tears at all.  Since the eyes aren’t receiving the right amount of moisture, dryness occurs and can create a great deal of discomfort for patients.  To help further understand dry eye, explore some of the causes of this condition.

Causes of Dry Eye

There are a number of different factors that can bring dry eye about.  Let’s take a look at some of the more common causes.

• Age. Tear production decreases as we age, leaving those over the age of 65 particularly susceptible to the symptoms of dry eye.
• Gender. Women are more likely to develop dry eye than men, due to hormonal changes that can be brought on by anything from menopause to pregnancy.
• Health conditions. Certain medical conditions can increase one’s risk for developing dry eye, like diabetes, rheumatoid arthritis, and any thyroid conditions.
• Environmental factors. Those in dry and windy climates are at a greater risk for dry eye, as are those who are exposed to smoke and anyone who doesn’t blink regularly.
• Medications. Certain blood pressure medications, antihistamines, decongestants, and antidepressants can lead to decreased tear production, thereby causing dry eye in patients taking them.

Dry Eye Treatments

Luckily, there are treatment options available for patients living with the discomfort caused by dry eye.  Artificial tears are commonly used to treat this condition, as well as prescription eyedrops like RESTASIS®.  Use of a punctal plug is also a common treatment option, as it is a tool that prevents liquid from draining from the eye.  Contact your doctor today to find out which option will be the most effective in managing your dry eye symptoms.

Dry Eye Treatment in Winchester

If you’re suffering from dry eye, contact us today to learn about your treatment options.  Our offices are located in Winchester, serving Virginia, West Virginia, and Maryland, and you can reach us directly at (540) 722-6200.  We hope to hear from you soon.

Source: http://www.seeclear.com/blog/dry-eye-carerestasis/dry-eye-triggers-and-treatments

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Here’s What People are Saying about our LASIK

We recently released a video featuring testimonials from Eye Consultants of Texas patients who had LASIK performed by Dr. Labor. This follows another video we released last Summer featuring Dr. Labor’s Premium Smart Lens patients from around the Dallas/Fort Worth area. This one, however, was a bit unique in that one of the LASIK patients was interviewed just before her LASIK procedure as well as several months later, and includes footage from her actual surgery. Just like our premium lens video, this one was non-scripted. We wanted our patients to openly and honestly share their experiences – what they felt and expected, as well as how LASIK has impacted their lives.

LASIK surgery has made tremendous strides over the years. The technology continues to gets better, improving precision, surgery time and recovery. In the comfort of our offices, Dr. Labor combines the advanced IFS™ Femtosecond Laser with VISX® technology for an all-laser procedure called iLASIK, designed to increase comfort and safety while achieving the best possible outcome.

Yet no matter how much LASIK surgery advances, the need for genuine “old fashioned” care will never change. Dr. Labor is well-known for his strong devotion to every patient, which is evident in our videos. We are extremely grateful to all patients who have taken the time to share their stories on camera.

 

Source: http://www.eyectexas.com/blog/what-people-are-saying-lasik/

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European tourists returning from Egypt with hepatitis A

Many European countries have reported an increase in hepatitis A cases, where travellers have been to Egypt. Many of the travellers had been to Sharm-el-Sheik or Hurghada in the south of the country.
Infection with the virus will result in a prolonged illness that affects liver function (so no alcohol for many months after infection).

The perception among travellers is that if they are staying in luxurious accommodation, particularly all-inclusive, then there is little risk. Hepatitis A is spread through poor kitchen or staff hygiene.

The disease has a very long incubation period (2-6 weeks), so vaccination can be taken on the day of travel and still be fully effective.

Source: ProMed Newsgroup

Get in touch

Unsure? Call the Globe Travel Health Centre in Norwich on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/european-tourists-returning-from-egypt-with-hepatitis-a.html

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New Tuberculosis drug and a TB refresher

Source: http://adventuredoc.net/2013/01/02/new-tuberculosis-drug-and-a-tb-refresher/

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Baltimore Eye Surgeon Discusses Revival in Popularity of PRK Surgery

LASIK Surgeon in Baltimore on the Revival of PRK Surgery

According to a recent study by the American Academy of Ophthalmology, 800,000 refractive surgical procedures were performed in 2010. A similar study reports that among people age 40 and older, more than 3.6 million are visually impaired (defined as 20/40 or worse vision in the better eye even with eyeglasses). Dr. Jay C. Grochmal, a vision correction and LASIK surgeon in Baltimore, says that one of the contributing factors to such a high number of refractive surgical procedures is the resurgence in popularity of photorefractive keratectomy, or PRK. Dr. Grochmal discusses the benefits of a PRK procedure and reasons for its increasing demand.

The American Academy of Ophthalmology (AAO) shows in its latest report that eye doctors performed 800,000 refractive surgical procedures in 2010. The AAO also indicates that more than 3.6 million people age 40 and older are visually impaired, or have 20/40 or worse vision in the better eye even with eyeglasses. At his Baltimore LASIK surgery and eye care practice, Dr. Jay C. Grochmal says many of his patients are choosing PRK surgery as an alternative to LASIK to correct their poor vision. He also says the procedure is rapidly growing in popularity again as patients are beginning to see the benefits it can offer for those who are not candidates for LASIK.

While LASIK surgery accrues more popular attention because of its well-known success and prevalence, Dr. Grochmal says PRK is extremely successful and can oftentimes be the best option for patients who meet certain criteria. Unlike LASIK, where a flap is created to perform the surgery, the surgeon removes the epithelial layer of the cornea and then reshapes the cornea using an excimer laser. Because the procedure does not involve flap creation on the eye, he says patients with thin corneas can often achieve the most effective results through a PRK procedure. Dr. Grochmal says the procedure can also work effectively for patients seeking enhancement of a previous LASIK procedure.

Dr. Grochmal says PRK can also be used for treatment of epithelial distrophy, or issues with the epithelium of the cornea. He adds that PRK’s other benefits include removal of scars on the cornea, strengthening the cornea through cross-linking, and reduced formation of scar tissue. “PRK uses the same laser as LASIK and is adaptable for ‘advanced’ procedures, such as CustomVue, in order to obtain the best visual results. For those with thin or borderline thickness corneas, as well as higher myopic refractive errors, PRK can be performed with the confidence of assuring the patient’s long-term corneal stability.”

While some patients may only qualify for either LASIK or PRK based on an assessment of their individual eye, Dr. Grochmal says both procedures have proven effective and successful. He also recommends consulting with a highly trained and experienced eye surgeon before undergoing any procedure. “Every patient is unique and requires individualized care. A surgeon experienced in PRK and LASIK can help guide the patient in the better treatment for him or her with the goal of preserving corneal health.”

About Jay C. Grochmal, MD

Dr. Jay Grochmal received his medical degree from the University of Maryland and completed a rotating medical and surgical internship at the U.S. Public Health Hospital in Baltimore, Maryland. He completed his residency at the Greater Baltimore Medical Center’s Department of Ophthalmology, achieving the rank of Chief Resident. He is a member of the American Academy of Ophthalmology, the American Society of Cataract and Refractive Surgeons and the Maryland Society of Eye Physicians.

Located at 405 Frederick Rd., Suite 102 in Baltimore, MD, Dr. Grochmal’s practice can be reached at (410) 697-4090 and online at the website grochmaleye.com or facebook.com/pages/Grochmal-Eye-Center/144885478861116.

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Source: http://www.grochmaleye.com/uncategorized/baltimore-eye-surgeon-discusses-revival-in-popularity-of-prk-surgery/

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Guidelines for Protecting Your Eyes This Fall

As the leaves begin to change and the breeze turns a bit chillier, it’s important to prepare your eyes for the autumn weather. Colder conditions and even allergens from foliage can negatively impact your eyes, causing dryness and irritation.

Below are the top five issues that affect eyes during the autumn season, along with tips for how to remedy them:

1. Harsh Sunlight. Although sunglasses are generally viewed as a summer accessory, they should ideally be worn year-round. They protect the eyes from the bright, glaring sunlight of colder months, and should especially be worn when driving during the daytime. Glasses also shield the delicate eye area from harsh winds, as well as the dust and debris that a strong gust could blow into your face.
2. Dryness. Cold, static-inducing days can be rough on the eyes, so use a humidifier when indoors to give them a rest from dry outdoor conditions. Hypoallergenic eye creams can be applied to help hydrate the skin around the eyes and prevent it from becoming dry, cracked and itchy. Artificial tears can also be used to provide additional moisture.
3. Allergies. Autumn’s dead leaves, hayrides and fireplace fumes can trigger allergic reactions. Red, itchy, burning, watery or swollen eyes are common allergy symptoms that can be improved with prescription or over-the-counter antihistamines. Using artificial tears can also help ease the discomfort of eye allergy symptoms.
4. Heating Vents. Although cold weather can be rough on your eyes, indoor heat can be just as harmful – especially if you wear contact lenses. Indoor heat makes air more dry, which causes your skin’s and eyes’ natural moisture to evaporate faster than usual. Sitting near a heating vent can severely dry out your eyes, so make sure that you remain a comfortable distance away the grate and any other heat source. Drinking plenty of water will also ensure that your skin and eyes stay hydrated and healthy.
5. Eye Strain. Whether you’ve noticed that it’s getting increasingly harder to read your favorite book when curled up by the fireplace or that you can’t see as well as you used to when driving home because it’s getting dark out sooner and sooner, the end is result is more eyestrain. Your eye doctor will determine if your eye strain is a sign that you need a new prescription or if there is another underlying problem. Be sure to schedule an annual check-up.

Ophthalmologist in Winchester

To learn more about the effects autumn weather can have on your eyes and 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/guidelines-for-protecting-your-eyes-this-fall

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Guidelines for sore throat management

Source: http://adventuredoc.net/2012/11/14/guidelines-for-sore-throat-management/

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New Tuberculosis drug and a TB refresher

Source: http://adventuredoc.net/2013/01/02/new-tuberculosis-drug-and-a-tb-refresher/

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Increasing malaria in Greece

Malaria cases in Greece are increasing each summer, and whilst most of the cases are occurring in the more rural parts of the country away from the main tourist areas, travellers should be aware of the situation. There is not enough malaria present to warrant taking anti-malarial medication, but travellers to affected areas should sleep in air-conditioned rooms or under treated mosquito nets, and should cover up when out during the hours of dusk & darkness. An effective insect repellent should be used on exposed areas. Any fever occurring up to a year after visiting a country with malaria should be taken seriously, and medical help should be sought – don’t forget to mention that you have visited a malaria endemic country.

Source: Center for Disease Control (USA)

Get in touch

Holidaying in Europe? Make sure, take expert advice. Call the Globe Travel Health Centre in Norwich on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/increasing-malaria-in-greece.html

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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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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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Special Operations Medicine Journal

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

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An Apple a Day — as Prescribed by the Doctor

For parents struggling to encourage kids to eat more fruits and veggies, this may help.

A post today on the TEDMED blog highlights reports by the New York Daily News that there are now two hospitals in New York City (Harlem Hospital and Lincoln Medical Center) that are launching the Fruit and Vegetable Prescription Program (FVRx).  In it, clinicians will assess eating habits of patients and prescribe fruits and vegetables along with what they are calling “health bucks” for purchasing the produce at participating farmers markets.  The hope is that this program will help address the obesity epidemic as well as the diseases that stem from obesity.

The concept is not brand new.  A similar program was launched in Massachusetts three years ago and is reportedly seeing success.  Here’s hoping more efforts like these are on the horizon.

Read more in the press release.  What do you think about this concept?  Comment or let us know on Twitter:  @kptotalhealth.

Source: http://centerfortotalhealth.org/2013/an-apple-a-day-as-prescribed-by-the-doctor/

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The Value of Being an Engaged Patient

It’s easy to wonder, especially when we are sick or dealing with a health issue, if we are doing all we can to be our own best health advocate.

This Thursday, U.S. News and World Report will host a TweetChat about patient engagement featuring Kaiser Permanente physician Ted Eytan, MD.

Dr. Eytan (@tedeytan on Twitter), physician director here at the Center for Total Health for The Permanente Federation, will join a panel of experts to talk about a patient’s role in his or her own hospital and health experience. Panelists will discuss how patients can empower themselves to remain informed and engaged in their treatment.

Expected topics include patient empowerment regarding electronic health records, having candid conversations with one’s doctor, knowing how to maximize medical appointments, and knowing what questions to ask.

The TweetChat will take place Thursday, July 25, from 2 to 3 p.m. Eastern time (11 a.m. to noon Pacific). Follow the hashtag #PatientChat to participate in the conversation.

Source: http://centerfortotalhealth.org/2013/the-value-of-being-an-engaged-patient/

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Dr. Labor Voted Best Ophthalmologist in Reader’s Poll

Eye Consultants of Texas founder Phillips Kirk Labor, MD was voted top Ophthalmologist in 2013 for Northeast Tarrant County by the readers of Living Magazine. Print and online voting was conducted over several months beginning in February 2013, and announced just recently. According to Living Magazine’s data from issues mailed, its Northeast Tarrant County audience extends to Southlake, Grapevine, Colleyville, Westlake, Trophy Club, North Richland Hills, Roanoke, Rockwall and Rowlett. The magazine states that approximately 80,000 issues are mailed to this area each month.

“I first want to thank the readers of Living Magazine for this honor. I cherish any recognition that singles me out, but it’s also a compliment to my amazing staff,” Dr. Labor said. “The honor is made even more special by the fact that readers are more likely patients – either those I’ve treated or who voted for me on reputation.”

This isn’t the first time Dr. Labor has been recognized in local publications. He has been voted a Top Doc in Fort Worth and Tarrant County by Fort Worth, Texas magazine, and voted “#1 Favorite Ophthalmologist” in 2010 and 2011 in a Star Community Newspapers Readers‘ Choice Awards survey. He has also been voted a top Ophthalmologist by the Consumers’ Research Council of America, which conducts unbiased research of professional services offered across the U.S.

 

Source: http://www.eyectexas.com/blog/voted-best-ophthalmologist/

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A Maverick’s Lonely Path in Cardiology (Essay 28)

Source: http://bernardlown.wordpress.com/2012/03/10/mavericks-lonely-path-in-cardiology/

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Extubation in remote locations

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

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Baltimore Ophthalmologist Addresses the Importance of Routine Eye Exams

At Grochmal Eye Center, ophthalmologist Dr. Jay C. Grochmal encourages patients to attend eye exams on a regular basis for the prevention and early detection of eye diseases.

Baltimore, MD - Dr. Jay C. Grochmal, an ophthalmologist in Baltimore, advises his patients at Grochmal Eye Center to schedule a regular eye exam every one to three years, depending on the age and health of the individual. By doing so, he is able to check for a variety of visual and muscular problems that can easily go undetected and permanently damage sight.

The frequency of exams depends on the needs of each patient and any pre-existing medical conditions. He recommends patients over 40 get a complete eye exam every two years, which is especially important for those with cataracts or glaucoma. For patients with diabetes, he advises more frequent eye exams with at least one per year to monitor any changes.

According to Dr. Grochmal, eye exams can be made less frequently with younger patients, as they have a lower risk of developing severe eye problems. He points out they can get by with an appointment every three years. At approximately age six, Dr. Grochmal encourages parents to set up a baseline exam for their children. However, if there is a family history of eye muscle problems and signs are apparent in the child, an exam should be made around age three or earlier.

“The reason for regular exams goes well beyond ‘good’ vision,” Dr Grochmal explains. He identifies these exams as preventative measures for his patients. Since many medical diseases have adverse signs within the eye, and inherent eye diseases can manifest silently, not showing many, if any symptoms early on, they can be progressing unchecked, causing needless damage. To detect problems early and prevent permanent damage, Dr. Grochmal performs a thorough inspection of his patients’ eyes.

During these exams, Dr. Grochmal monitors any visual or muscular changes. Depending on the patient’s unique case and whether they have undergone vision correction procedures such as LASIK or PRK, additional tests may be needed for effective disease prevention; but generally, patients can expect the following in a complete exam:

• Vision check with and without glasses
• Careful exam of the orbital area including eyelids
• Eye muscle balance evaluation
• Magnified exam of the eye interior from the cornea to the retina
• Measurement of intraocular pressure

With their personal touch and advanced technology, Dr. Grochmal says the physicians at Grochmal Eye Center are helping preserve and improve patient eye health one routine screening at a time. Overall, he stresses the importance of frequent eye exams with an experienced and qualified ophthalmologist.

About Jay C. Grochmal, MD

After graduating from the University of Maryland, Dr. Jay C. Grochmal interned at the U.S. Public Health Hospital in Baltimore, Maryland. Three years later, he was named Chief Resident at the Greater Baltimore Medical Center’s Department of Ophthalmology before completing his residency. It was at this point when Dr. Grochmal opened his private practice in ophthalmology. In addition to his eye center, he is on the staff of top Baltimore hospitals, including the Greater Baltimore Medical Center and St. Agnes Hospital. He currently is the medical director at Snowden River Surgery Center (one of the busiest ambulatory centers for eye surgery in the state). Dr. Grochmal is available for interview upon request.

Source: http://www.grochmaleye.com/uncategorized/baltimore-ophthalmologist-addresses-the-importance-of-routine-eye-exams/

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Major outbreak of Typhoid in Malawi

There have been 30,000 confirmed cases of typhoid fever each month so far this year at Malawi’s central hospital. This disease is spread by food or water contaminated with typhoid organisms (often as a result of inadequate handwashing by the cook or consumer).

Travellers should take care to with hand hygiene and source food or drink from clean and reputable establishments. Drink only water that is pure, and use it to clean the teeth as well.
There is a worldwide shortage of typhoid vaccine at present, and those travelling to areas where clean water is unobtainable should do their best to obtain the vaccine before travel.

Source: ProMed Newsgroup

Get in touch

For advice, call the Globe Travel Health Centre in Norwich on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/major-outbreak-of-typhoid-in-malawi.html

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What is Natural Cycle IVF?

Conventional IVF Today’s conventional IVF is ‘stimulated’ – drugs are used to prompt the woman’s ovaries to produce several eggs, rather than just one. The eggs are mixed with her partner’s or a donor’s sperm to become fertilised. Women take a course of ovarian-suppression hormones to shut down their menstrual cycle to control ovulation. Then [...]

Source: http://www.createhealthclinics.org/blog/natural-cycle-ivf/what-is-natural-cycle-ivf/

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Baltimore Ophthalmologist Addresses the Importance of Routine Eye Exams

At Grochmal Eye Center, ophthalmologist Dr. Jay C. Grochmal encourages patients to attend eye exams on a regular basis for the prevention and early detection of eye diseases.

Baltimore, MD - Dr. Jay C. Grochmal, an ophthalmologist in Baltimore, advises his patients at Grochmal Eye Center to schedule a regular eye exam every one to three years, depending on the age and health of the individual. By doing so, he is able to check for a variety of visual and muscular problems that can easily go undetected and permanently damage sight.

The frequency of exams depends on the needs of each patient and any pre-existing medical conditions. He recommends patients over 40 get a complete eye exam every two years, which is especially important for those with cataracts or glaucoma. For patients with diabetes, he advises more frequent eye exams with at least one per year to monitor any changes.

According to Dr. Grochmal, eye exams can be made less frequently with younger patients, as they have a lower risk of developing severe eye problems. He points out they can get by with an appointment every three years. At approximately age six, Dr. Grochmal encourages parents to set up a baseline exam for their children. However, if there is a family history of eye muscle problems and signs are apparent in the child, an exam should be made around age three or earlier.

“The reason for regular exams goes well beyond ‘good’ vision,” Dr Grochmal explains. He identifies these exams as preventative measures for his patients. Since many medical diseases have adverse signs within the eye, and inherent eye diseases can manifest silently, not showing many, if any symptoms early on, they can be progressing unchecked, causing needless damage. To detect problems early and prevent permanent damage, Dr. Grochmal performs a thorough inspection of his patients’ eyes.

During these exams, Dr. Grochmal monitors any visual or muscular changes. Depending on the patient’s unique case and whether they have undergone vision correction procedures such as LASIK or PRK, additional tests may be needed for effective disease prevention; but generally, patients can expect the following in a complete exam:

• Vision check with and without glasses
• Careful exam of the orbital area including eyelids
• Eye muscle balance evaluation
• Magnified exam of the eye interior from the cornea to the retina
• Measurement of intraocular pressure

With their personal touch and advanced technology, Dr. Grochmal says the physicians at Grochmal Eye Center are helping preserve and improve patient eye health one routine screening at a time. Overall, he stresses the importance of frequent eye exams with an experienced and qualified ophthalmologist.

About Jay C. Grochmal, MD

After graduating from the University of Maryland, Dr. Jay C. Grochmal interned at the U.S. Public Health Hospital in Baltimore, Maryland. Three years later, he was named Chief Resident at the Greater Baltimore Medical Center’s Department of Ophthalmology before completing his residency. It was at this point when Dr. Grochmal opened his private practice in ophthalmology. In addition to his eye center, he is on the staff of top Baltimore hospitals, including the Greater Baltimore Medical Center and St. Agnes Hospital. He currently is the medical director at Snowden River Surgery Center (one of the busiest ambulatory centers for eye surgery in the state). Dr. Grochmal is available for interview upon request.

Source: http://www.grochmaleye.com/uncategorized/baltimore-ophthalmologist-addresses-the-importance-of-routine-eye-exams/

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KP’s Member Mobile App Gets a Makeover, Inside and Out

Mobile apps that support health continue to be wildly popular among consumers looking for ways to access and track health information and resources.  Today, one health organization — Kaiser Permanente — unveiled a new and improved mobile app for its members that promises improved ease of use and functionality.

KP’s original member app was launched in 2012 and so far has been downloaded 600,000 times.  The app made it possible for users to securely email their doctors, refill prescriptions and check lab results from anywhere with a smartphone.  All of those features continue to be available in the refreshed version.

But this app has definitely had a face lift — most noticeable is the colorful and streamlined interface.  According to Brian Gardner, executive director of KP’s mobility center of excellence — it was purposely designed so that users can find what they are looking for in “the first few swipes” of the app.

According to the press release, the new design works with smartphone technology, greatly improving functionality.  Now when KP members schedule an appointment using the mobile app, that can be saved right to the device’s own calendar.  And on the appointment screen, a map with driving directions is included.  The upgraded interface is also ADA-compliant for the vision and hearing impaired.

The app is available to the 4 million registered users of Kaiser Permanente’s PHR, My Health Manager, on kp.org, and it can be downloaded for free at the Apple App Store.

 

Source: http://centerfortotalhealth.org/2013/kps-member-mobile-app-gets-a-makeover-inside-and-out/

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US Media: Unending Frustration (Part III) (Essay 24)

Source: http://bernardlown.wordpress.com/2011/08/22/us-media-unending-frustration-part-iii-essay-24/

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Doctor as scientist, healer, magician, business entrepreneur, small shopkeeper, or assembly line worker — which is it? (Essay 30)

Source: http://bernardlown.wordpress.com/2012/06/26/doctor-as-scien/

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Books Feed Your Head

It’s true, books really do, “Feed Your Head”.  In 1991 there was an award winning MTV campaign that promoted reading.  It was a revolutionary, ground breaking, and cutting edge style of mixing literature with a short film.  This was when MTV still contained the word “music” in the logo, Tom Freston was the President and CEO of the network, the influence of Bob Pittman was still around, and it offered up value and creativity to viewers.  Unfortunately it seems those days have passed.

Because of this campaign to promote reading I was introduced to the works of Franz Kafka and more importantly the works of Donald Barthelme.  To me, Donald Barthelme is the master of the short story.  I read almost every single day.  I will admit that there are days when I am on vacation that I might miss the opportunity to read in exchange for the opportunity to explore a new city. 

Many years ago, Jim Rohn (author and personal development trainer) said, “If you read one book every month about your industry, in 10 years you’ll have read 120 books. That will put you in the top one percent of your field.”  Mr. Rohn was 100% correct and he was just talking about the lazy way to do it.  I once heard someone say, “Skip a meal, but never skip the opportunity to read.”  If you just invest 20 – 30 minutes a day in yourself, to read, there isn’t any reason that can’t read at least one book a week.  If you were to read one book a week that would mean at the end of year you would have read 52 books.  At this rate you would be in the top one percent in two years instead of 10. 

For myself, I find that reading in a 80/20 ratio works best for me.  Eighty percent of the books that I read are for knowledge and learning.  Twenty percent of the books that I read are for humor, pleasure, and escapism.  I would personally get bored if all I did was read for learning.  I also need to be entertained when I read. 

Please don’t tell me you don’t have enough time to read.  If you really don’t think that you have the time to read…then I suggest that you at least make the time to read, “The 168 Hour Week” by, Dr. Kevin Hogan.

 

 

You can find the time to read.  You just have to do it.  I truly believe that reading is a great exercise that you can and should do for your brain everyday to keep it healthy and active.  Think of your brain as muscle…exercise it and make it grow.  The dividends that it will pay you can be huge.

If you’re looking for a new author to read or you want to start reading a new genere of books, then I suggest you take a look at the works of Thorne Smith.  You can find out more about Thorne Smith at the blog and and website created by, Michael Walker at   http://www.thornesmithblog.com/

Grab a book and start reading today.  Remember, “Books Feed Your Head”.

Yours In Health!

G.E. Moon II

 

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

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Changes are Coming to Your Health Savings Accounts

It’s the season of open enrollment for health insurance plans, and if you have an HSA (Health Spending Account – sometimes called a Health Reimbursement or Flex Spending Account), it’s time to max it out! Tax laws have changed, and this coming year, 2012, is the last year that you can place the maximum $5,000 in your HSA. Starting in 2013, the maximum allowed in any Health Savings Account will be $2,500, which means that the entire cost of laser eye surgeries such as LASIK cannot be covered by your HSA pre-tax dollars after 2012.

If you have questions about the coming changes, or if you would like to set up a consultation for LASIK or other laser vision correction procedures, please contact Grochmal Eye Center at (410) 697-4090.

Source: http://www.grochmaleye.com/blog/hsa-flex-spending-account/

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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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