Top 5 Myths of Glaucoma

Most people have heard of glaucoma, but few know the whole story.  In short, glaucoma is an eye condition where the optic nerve becomes damaged, usually as a result of increased pressure in the eye.  This damaging of the optic nerve ultimately causes a gradual but serious loss of vision.  Untreated, the disease often results in complete blindness.

Now that you have a basic understanding of glaucoma, let’s clear up a few of the most common myths surrounding this serious condition.

Here are the top 5 myths of glaucoma:

1. Myth:  Glaucoma is rare.
Fact: On the contrary, it has been estimated that over 2 million Americans are suffering from glaucoma.  Even more disturbing is the fact that glaucoma remains a leading cause of blindness in the US.

2. Myth:  Only patients with a family history can develop glaucoma.
Fact: Although certain factors like age and heredity can increase your chances of developing glaucoma, the condition can affect anyone, anywhere and at any age.

3. Myth:  Glaucoma cannot be treated.
Fact: While there is currently no cure, there are a host of Glaucoma Treatments aimed at minimizing the risk of permanent vision loss. These treatments include medications, eye drops and surgery.

4. Myth: Only patients with glaucoma symptoms should get checked out.
Fact: The majority of glaucoma patients do not experience any symptoms before the optic nerve actually becomes damaged.  For this reason, regular glaucoma screenings are vitally important.

5. Myth:  Glaucoma screenings are painful.
Fact: Glaucoma screenings test different things—visual field, pressure in the eye, etc.  Each of these tests are not only quick, but non-painful.

Get Checked!  Schedule a Glaucoma Screening Today

To schedule a glaucoma screening or to learn about any of the ophthalmology services we offer, we encourage you to contact us today.  Our offices are located in Winchester, serving Virginia, West Virginia and Maryland. Book your appointment at (540) 722-6200.  We look forward to seeing you.

Source: http://www.seeclear.com/blog/glaucoma/top-5-myths-of-glaucoma

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Implantable Contact Lenses Certification

Dr. Grochmal recently attended a conference to expand his services to increase his refractive surgery options for his patients in Baltimore. Implantable contact lenses (ICL’s) are a great alternative for patients who are not qualified for LASIK or are borderline. Often times, the glasses’ prescription is outside the range for safe and effective LASIK; or the cornea is too thin for LASIK. ICL’s will correct for high hyperopia as well as high myopia without altering the cornea’s natural refractive powers. Please contact Grochmal Eye Center to learn more.

Source: http://www.grochmaleye.com/continuing-medical-education-cme/implantable-contact-lenses-certification/

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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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So, What Is Presbyopia?

A lot of people have heard the term Presbyopia before, but not everyone knows the whole story.  While the word may sound  complicated, the condition is actually quite simple to understand.  Presbyopia is a change in our eyes’ ability to focus on close objects.  This change is a natural part of the aging process, and it usually presents itself when folks are in their 40s.

Common signs of presbyopia include:

• Blurry vision when focusing on close-up objects
• Trouble reading small print, especially in low light
• Holding objects far away from the face to see them better
• Headaches

So, why does presbyopia happen?  The lens of the eye is responsible for keeping objects in focus.  The unique flexibility of the lens allows us to focus on distant objects as well as close-up objects.   Presbyopia occurs when this soft lens begins to harden, reducing its flexibility and hindering the eye’s ability to focus on nearby objects.

Thankfully, there are many things we can do about it.  Read on to find out a few ways we treat presbyopia today.

Presbyopia Treatments

For some patients, eyeglasses or contact lenses may be enough to combat their presbyopia symptoms.  In more serious cases, or for those wishing to avoid corrective lenses, modern ophthalmology offers a few  solutions.

Here are two of the most common ways we treat presbyopia today:

• CK Surgery: CK Surgery for Presbyopia, also known as Conductive Keratoplasty, is a non-invasive, non-laser treatment.  Instead of a scalpel, a CK procedure uses radio-frequency energy to reshape the cornea and change the way the eye focuses light.
• Presbyopic IOL: A Presbyopic IOL is a replacement lens aimed at total vision correction.  These IOLs, such as the ReSTOR® Multifocal Lens, are implanted through a safe procedure similar to that of a cataract patient.  Furthermore, presbyopic IOLs have the added benefit of preventing cataracts from developing in the future, as the natural lens is completely replaced.

Ophthalmologist in Winchester

To learn more about presbyopia treatment or to schedule an appointment at our Winchester Ophthalmology Offices, we encourage you to contact us today.  We can be reached at (540) 722-6200 and look forward to meeting you soon.

Source: http://www.seeclear.com/blog/presbyopia/so-what-is-presbyopia

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CMS To Discontinue Second Overpayment Notice

As any physician knows, handling Medicare and Medicaid payments can be a very complex and time consuming process.  As a result, many physicians, through no fault of their own, occasionally overcharge Medicare and Medicaid.  To recoup such overpayments, the Centers for Medicare & Medicaid Services (CMS) administers the Medicare Overpayment Notification Process.  Until recently, where an alleged overpayment has not been promptly resolved and refunded, CMS would send physicians a series of three letters: an Initial Demand Letter, a Follow-up-Letter 30 days later, and then an Intent to Refer Letter.  However, CMS recently determined that the second letter was unnecessary because a substantial number of physicians responded promptly to the Initial Demand Letter with a payment.  In addition, a recoupment action occurs on average 41 days after the initial letter, and that action is accompanied with another notice regarding the overpayment. 

Thus, it is important for physicians to respond to the Initial Demand Letter in order to avoid further complications such as a referral to a debt collector.  In fact, if an overpayment is not resolved within 90 days of the Initial Demand Letter, CMS will provide a notice of intention to refer the debt for collection.

 

Source: http://www.pagingdrblog.com/2012/03/12/cms-to-discontinue-second-overpayment-notice/

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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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Experts Weigh in on Preventing and Addressing Obesity

As National Childhood Obesity Awareness Month comes to a close, it’s clear that childhood obesity is an issue supported by communities, parents, schools and community programs around the nation.

Recently, the East Bay Community Foundation partnered with Kaiser Permanente to present the Weight of the Nation—a national public health campaign targeting obesity—at the Council on Foundations’ annual community foundations conference in New Orleans. The East Bay Community Foundation is an important partner in the work to combat obesity in our local communities, and the organization demonstrates how community foundations nationwide can lead collaborative efforts in fighting obesity. In this interview, Nicole Taylor, president and CEO of the East Bay Community Foundation, explains the challenges in Northern California that the East Bay Community Foundation and Kaiser Permanente are working to address.

Although Colorado takes pride in being the leanest state in the nation, the rate of overweight and obesity among children in Colorado is on the rise. In addition, the rate of childhood poverty is rising faster in Colorado than everywhere else in the nation. Children living in poverty are faced with a number of barriers putting them at greater risk for becoming overweight or obese including less access to nutritious foods like whole grains, fruits, and vegetables.

Over the last few years, The Denver Foundation and Kaiser Permanente have both supported a nonprofit aimed at addressing hunger in Colorado. Hunger Free Colorado, formerly known as the Colorado Coalition to End Hunger, is the state’s leading advocate to end hunger. It aims to do this by increasing participation in federal nutrition programs, food stamps, and school breakfast and lunch programs.

In this interview, Barbara Berv, vice president of philanthropic services at The Denver Foundation, speaks about their partnership with Kaiser Permanente and Hunger Free Colorado and the goal of eliminating hunger in Colorado.

The City of New Orleans has been taking bold steps to address obesity and fitness on a local level—most especially for the city’s children. In this recent interview, Dr. Karen DeSalvo, City of New Orleans health commissioner, discusses the Fit NOLA Partnership, which aims to improve fitness levels and combat childhood obesity in New Orleans through a number of innovative, data-driven program and policies. DeSalvo’s vision is that through Fit Nola, New Orleans will become one of the top ten fittest cities in the United States by 2018.

 

Source: http://centerfortotalhealth.org/2012/experts-weigh-in-on-preventing-and-addressing-obesity/

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Remote and Expedition Medicine Classes

Source: http://adventuredoc.net/2011/06/10/remote-and-expedition-medicine-classes/

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Special LASIK Event, October 23, 2012

As we approach Halloween, our thoughts may turn to scary things. But LASIK shouldn’t be one of them. Not sure if LASIK is right for you? Need to know more to put any fears to rest? Come to our October LASIK event for the straight story. One of our expert doctors will explain LASIK in simple terms and tell you everything you need to know. From what’s involved and what it’s like, to pricing and what to expect before, during and after surgery.

It’s only one hour. So you don’t have to fear a long, boring night. We’ll even give away a special gift at the end of the evening.

Where: Eye Consultants of Texas, 2201 Westgate Plaza, Grapevine, TX 76051

When: Tuesday, October 23 from 6:30-7:30 PM

Must be 18 years or older to attend. Must be present to win.

Please call us in Grapevine at 877-516-4364 today to reserve your space.

Source: http://www.eyectexas.com/blog/special-lasik-event-october-23-2012/

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New ORA video provides firsthand glimpse at procedures

Eye Consultants of Texas has released a new video to help educate potential patients about the ORA System, and how it works. The ORA System is an updated version of what was previously called ORange, the world’s first technology that measures cataract surgery results in real time; a technology we introduced to Dallas/Fort Worth in 2011.

The short video features Eye Consultants of Texas founder, and Chief Surgeon, Phillips Kirk Labor, MD as narrator. Speaking both on and off camera, Dr. Labor highlights key points about how the ORA works, and how it can greatly benefit the patient. In addition, it shows various shots of he and his staff in action. The entire video was filmed, unscripted, the morning several ORA procedures were performed, in order to capture everything as it happened.

To learn more about the ORA System or cataract treatment, please call our office locally in Grapevine at 877-516-4364.

Source: http://www.eyectexas.com/blog/ora-video/

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Mayo Clinic offers newly approved treatment for GERD

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

 

 

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

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

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

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

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

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

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

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

Clinical trials at Mayo Clinic
Gastroesophageal reflux disease (GERD)

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

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Private Practice Or Hospital Employment?

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

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

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

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

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

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Blog changes

Source: http://adventuredoc.net/2012/01/21/blog-changes/

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Motivation – It’s An Internal Game

What are are the recurring thoughts that are occuring in the space between your ears?  Are your thoughts usually ones of doom and gloom?  We’ve all heard it said before, “Change Your Thoughts, Change Your Life”.  What if each day you started off your morning like little Jessica in this video…how different would your day be? 

Take the time to start each new day with better thoughts…the changes can be powerful.

Yours In Health!

G.E. Moon II

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Source: http://www.abundanthealthcenter.com/blog/motivation-its-an-internal-game

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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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Wives, Yes; Husbands, No (Essay 26)

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

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Malaria Prevention

Source: http://adventuredoc.net/2011/07/06/malaria-prevention/

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Dr. L. Shay Richardson, MD, Chattanooga, TN, 37404

Website Address: 

Center for Sports Medicine and Orthopaedics Website

Phone: 

4236242696

Source: http://www.spine-health.com/doctor/interventional-pain-medicine-physician/l-richardson-chattanooga-tn

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Rubella (German measles) in Japan

The total number of cases of rubella reported in Japan in the month of July alone was equal to the total number of cases in 2011. Cases have occurred in Tokyo, Osaka, Kanagawa and Kyoto.

Travellers are advised to consider having MMR vaccine if they have not had the disease or been immunised against it. Two doses of the vaccine give good protection.

Source: www.japan.people.com

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

Source: http://www.globetravelhealthcentre.com/travel-advice/rubella-german-measles-in-japan.html?utm_source=rss&utm_medium=rss&utm_campaign=rubella-german-measles-in-japan

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Dr. George Martin, MD, El Paso, TX, 79902

Website Address: 

Southwest NeuroSpine Institute Website

Phone: 

(915) 590-2225

Fax: 

(915) 590-2229

Source: http://www.spine-health.com/doctor/neurosurgeon/george-martin-el-paso-tx

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So, What Is Presbyopia?

A lot of people have heard the term Presbyopia before, but not everyone knows the whole story.  While the word may sound  complicated, the condition is actually quite simple to understand.  Presbyopia is a change in our eyes’ ability to focus on close objects.  This change is a natural part of the aging process, and it usually presents itself when folks are in their 40s.

Common signs of presbyopia include:

• Blurry vision when focusing on close-up objects
• Trouble reading small print, especially in low light
• Holding objects far away from the face to see them better
• Headaches

So, why does presbyopia happen?  The lens of the eye is responsible for keeping objects in focus.  The unique flexibility of the lens allows us to focus on distant objects as well as close-up objects.   Presbyopia occurs when this soft lens begins to harden, reducing its flexibility and hindering the eye’s ability to focus on nearby objects.

Thankfully, there are many things we can do about it.  Read on to find out a few ways we treat presbyopia today.

Presbyopia Treatments

For some patients, eyeglasses or contact lenses may be enough to combat their presbyopia symptoms.  In more serious cases, or for those wishing to avoid corrective lenses, modern ophthalmology offers a few  solutions.

Here are two of the most common ways we treat presbyopia today:

• CK Surgery: CK Surgery for Presbyopia, also known as Conductive Keratoplasty, is a non-invasive, non-laser treatment.  Instead of a scalpel, a CK procedure uses radio-frequency energy to reshape the cornea and change the way the eye focuses light.
• Presbyopic IOL: A Presbyopic IOL is a replacement lens aimed at total vision correction.  These IOLs, such as the ReSTOR® Multifocal Lens, are implanted through a safe procedure similar to that of a cataract patient.  Furthermore, presbyopic IOLs have the added benefit of preventing cataracts from developing in the future, as the natural lens is completely replaced.

Ophthalmologist in Winchester

To learn more about presbyopia treatment or to schedule an appointment at our Winchester Ophthalmology Offices, we encourage you to contact us today.  We can be reached at (540) 722-6200 and look forward to meeting you soon.

Source: http://www.seeclear.com/blog/presbyopia/so-what-is-presbyopia

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Private Practice Or Hospital Employment?

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

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

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

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

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

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Simplifying LASIK Basics – Part 1: Starting Points

As we’ve mentioned here before, LASIK has become a household word to anyone relying on glasses or contact lenses for everyday things. There’s no shortage of info out there, and much of it can be confusing, or written like an owner’s manual. At Eye Consultants of Texas, we cover the bases in educating our Dallas/Fort Worth LASIK patients, and try to do this as simply as possible. With that in mind, this is the first in a series of blogs we’ll be posting to highlight the basics of LASIK, in hopes of putting LASIK medical-speak more into simple-speak.

First Things First. LASIK is a simple, painless procedure that can be performed quicker and safer than ever before, mostly thanks to technological advancements. LASIK is also surgery on your eyes, so you owe it to yourself to understand the benefits, risks, and everything else about it. And to choose a skilled doctor who’s on your side.

How Long Has LASIK Been Around? A question to this that often follows is, “how many LASIK procedures have been performed?” To answer this objectively, we’ll go to a reputable source. According to the American Academy of Ophthalmology (AAO), LASIK was first FDA-approved in 1998. Since then, the AAO estimates that nearly 10 million procedures have been performed in the U.S. (an average of 700,000 each year). Worldwide, this number is double by some estimates you might find.

Why Would Someone Get LASIK? People who have LASIK performed are usually those that have to rely on glasses or contact lenses for everyday activities. Sometimes they opt for LASIK so they can see better and look better, or simply because they’re tired of having to wear glasses all the time. Sometimes LASIK may be the best solution if corrective eyewear is no longer doing the trick. Whatever the reason, it’s important that your vision health and overall health checks out, that you’re fully informed, and that you’re over 18 years of age. In other words, you have to be a candidate for LASIK to have it done. If for any reason you’re not, there are other options your doctor can tell you about.

Look for more in our next Simplifying LASIK Basics blog coming soon. Meanwhile, 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 general overview of LASIK surgery for general informational purposes only, and in no way intended as actual medical advice. Always seek a medical or eye care professional for advisement based on your individual health and eye care needs. 

 

Source: http://www.eyectexas.com/blog/lasik-basics-part-1/

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Carrying Home Medication While Traveling

Source: http://adventuredoc.net/2011/08/15/carrying-home-medication-while-traveling/

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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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New test post from the road

Source: http://adventuredoc.net/2011/12/02/new-test-post-from-the-road/

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Top 5 Myths of Glaucoma

Most people have heard of glaucoma, but few know the whole story.  In short, glaucoma is an eye condition where the optic nerve becomes damaged, usually as a result of increased pressure in the eye.  This damaging of the optic nerve ultimately causes a gradual but serious loss of vision.  Untreated, the disease often results in complete blindness.

Now that you have a basic understanding of glaucoma, let’s clear up a few of the most common myths surrounding this serious condition.

Here are the top 5 myths of glaucoma:

1. Myth:  Glaucoma is rare.
Fact: On the contrary, it has been estimated that over 2 million Americans are suffering from glaucoma.  Even more disturbing is the fact that glaucoma remains a leading cause of blindness in the US.

2. Myth:  Only patients with a family history can develop glaucoma.
Fact: Although certain factors like age and heredity can increase your chances of developing glaucoma, the condition can affect anyone, anywhere and at any age.

3. Myth:  Glaucoma cannot be treated.
Fact: While there is currently no cure, there are a host of Glaucoma Treatments aimed at minimizing the risk of permanent vision loss. These treatments include medications, eye drops and surgery.

4. Myth: Only patients with glaucoma symptoms should get checked out.
Fact: The majority of glaucoma patients do not experience any symptoms before the optic nerve actually becomes damaged.  For this reason, regular glaucoma screenings are vitally important.

5. Myth:  Glaucoma screenings are painful.
Fact: Glaucoma screenings test different things—visual field, pressure in the eye, etc.  Each of these tests are not only quick, but non-painful.

Get Checked!  Schedule a Glaucoma Screening Today

To schedule a glaucoma screening or to learn about any of the ophthalmology services we offer, we encourage you to contact us today.  Our offices are located in Winchester, serving Virginia, West Virginia and Maryland. Book your appointment at (540) 722-6200.  We look forward to seeing you.

Source: http://www.seeclear.com/blog/glaucoma/top-5-myths-of-glaucoma

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Is LASIK Right for Me?

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

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

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

Schedule a LASIK Consultation Today

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

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

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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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Cholera in Cuba

The first outbreak of cholera in over a century has been reported by the Cuban Ministry of Public Health. The risk to travellers is low, but they should be aware that Cholera can be spread via food being prepared by a person who is ill with the disease.

Travellers are advised to take care with food and water, and to ensure they eat seafood such as crabs and crayfish only when it has been cooked through and is thoroughly hot.

Source: ProMed Newsgroup Aug 2012

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

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

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Is LASIK Right for Me?

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

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

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

Schedule a LASIK Consultation Today

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

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

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

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

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

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

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

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

About Jay C. Grochmal, MD

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

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

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

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Federal Government Questions Legality Of Certain ASC-Service Provider Arrangements

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

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

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

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

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

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

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

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New e-edition newsletter delivers Cancer Center research information quarterly

Forefront is a complimentary magazine from the Mayo Clinic Cancer Center, a National Cancer Institute-designated cancer center located in Arizona, Florida and Minnesota. The Cancer Center specializes in translational research and the effort to discover better ways to prevent, detect and treat cancer. It serves diverse patient populations across a broad geographic area and collaborates across the full spectrum of cancer research, from basic biology to treatment.

Email edition available
Forefront articles highlight Mayo Clinic’s cancer research and its translation into clinical advances. Forefront is published in print and online annually, but beginning in summer 2012 a complimentary quarterly email edition will also be available. Subscribers to the email version receive:

• A personal message from Robert B. Diasio, M.D., Cancer Center director
• Updates about research conducted by Cancer Center scientists and physicians
• A regular column that features and discusses Cancer Center statistics
• Stories about patients whose lives were impacted by Cancer Center research
• Administrative updates on the Cancer Center’s ongoing efforts to ensure that the needs of the patient come first

Subscribe to Forefront today
Receive complimentary, quarterly emailed news and information from the Mayo Clinic Cancer Center.

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Source: http://physicianupdate.mayoclinic.org/2012/05/29/new-e-edition-newsletter-delivers-cancer-center-research-information-quarterly/

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Private Practice Or Hospital Employment?

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

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

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

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

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

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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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Special LASIK Event, October 23, 2012

As we approach Halloween, our thoughts may turn to scary things. But LASIK shouldn’t be one of them. Not sure if LASIK is right for you? Need to know more to put any fears to rest? Come to our October LASIK event for the straight story. One of our expert doctors will explain LASIK in simple terms and tell you everything you need to know. From what’s involved and what it’s like, to pricing and what to expect before, during and after surgery.

It’s only one hour. So you don’t have to fear a long, boring night. We’ll even give away a special gift at the end of the evening.

Where: Eye Consultants of Texas, 2201 Westgate Plaza, Grapevine, TX 76051

When: Tuesday, October 23 from 6:30-7:30 PM

Must be 18 years or older to attend. Must be present to win.

Please call us in Grapevine at 877-516-4364 today to reserve your space.

Source: http://www.eyectexas.com/blog/special-lasik-event-october-23-2012/

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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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