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Friday, September 6, 2013

Assess Your Risk: Should You Be Thinking About Glaucoma?

When it comes to protecting our eye health, we all know the most obvious signs and symptoms to watch out for – blurriness, halos and other changes in vision. With glaucoma, however, the condition often doesn’t present any symptoms in its early stages. Often referred to as a “silent thief of sight,” it’s for this reason that patients need to understand potential risk factors for the condition and schedule regular glaucoma screenings. A common and serious condition, we are challenging our patients to consider one important question: Should You Be Thinking About Glaucoma?

Here is our list of the Top 5 Risk Factors for Developing Glaucoma:

Age. Age is one of the most common risk factors for developing glaucoma. In fact, according to the Glaucoma Research Foundation, “You are six times more likely to get glaucoma if you are over 60 years old.”
Family History. Pointing to a genetic link, those with a family history of glaucoma tend to have a much higher chance for developing the condition. It’s important for patients to understand their family’s medical history and share it with their healthcare provider.
Certain Medical Conditions. Certain medical conditions have been marked as potential risk factors for glaucoma. In fact, according to the Mayo Clinic, “Several conditions may increase your risk of developing glaucoma, including diabetes, heart diseases, high blood pressure and hypothyroidism.”
Ethnicity. Some ethnic groups tend to be more vulnerable to developing glaucoma. Typically, these include African Americans and Hispanic populations.
Taking Certain Medications. Certain medications have been marked as potential contributing factors to glaucoma, particularly steroids. According to the GRF, “A 1997 study reported in the Journal of American Medical Association demonstrated a 40% increase in the incidence of ocular hypertension and open-angle glaucoma in adults who require approximately 14 to 35 puffs of steroid inhaler to control asthma.”

Schedule a Glaucoma Screening Today

Whether or not you are in one of these “high risk” categories, understand that glaucoma does not discriminate and everyone is ultimately at risk. This is why we are encouraging all our patients to contact us today and schedule a glaucoma screening. Our offices are located in Winchester, serving Virginia, West Virginia and Maryland, and you can reach us directly at (540) 722-6200.

Source: http://www.seeclear.com/blog/glaucoma/assess-your-risk-should-you-be-thinking-about-glaucoma

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The 7 Steps To Amazing Health

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

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

Yours In Health!

G.E. Moon II

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

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When are you too old to have LASIK?

We continue to grow in the number of LASIK procedures we perform on patients across Dallas/Fort Worth. The question of age, understandably, is one that comes up often in potential LASIK patients. Starting at the minimum required age of 18, LASIK can generally be performed at any age.

The biggest issues that determines if someone is a LASIK candidate? Eye health and general health. There can’t be any presence of cataracts or glaucoma for example. Additional considerations: a family history of corneal disorders, diabetes or other eye disorders.

As our eyes get older, we’re more likely to develop specific conditions, such as cataracts. This is why LASIK is more commonly performed on patients into their 40’s and younger. LASIK, however, can correct the gradual need for reading glasses (called presbyopia) that’s so common after age 40. This may involve a type of added treatment called “monovision,” which often applies to special cases.

“The main thing to keep in mind is that a surgeon should carefully, and diligently, examine every potential LASIK candidate to see if there will be even the slightest problem,” said Eye Consultants of Texas founder, Phillips Kirk Labor, MD. “This is to get the absolute best results regardless of age.”

In recent years, Baby Boomers have been increasingly requesting LASIK. This generation is living longer, and wanting to look younger is more common than ever before. LASIK can be performed on someone into their 70’s or even older. Again, it all depends on your health and the surgeon who is caring for you.

Please contact our office at 877-516-4364 if you’d like to know more about LASIK or to schedule an appointment to see if you’re a candidate. We’re located in Grapevine, convenient to the entire Dallas/Fort Worth Metroplex.

Source: http://www.eyectexas.com/blog/when-are-you-too-old-to-have-lasik/

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All Physical Education is Not Created Equal

SPARK’s Paul Rosengard (and friend)

With the growing epidemic of obesity in the United States, a great deal of focus has been put on schools as the “heart of health” — the best location to address behaviors leading to childhood obesity. Schools are tasked with creating an environment where making the healthy choice is the easy choice, Even with this goal in mind, with limited resources, many schools are faced with reducing the number of physical education hours available to students.

With limited access to PE, it’s important to make all physical activity in K-12 classes count.

In a recent blog post, the Thriving Schools team interviewed Paul Rosengard, author, researcher/educator, and executive director of SPARK programs of San Diego State University. According to its website, SPARK is a research-based, public health organization dedicated to improving the health of children, adolescents, and adults by disseminating evidence-based Physical Education, After School, Early Childhood, and Coordinated School Health programs to teachers and recreation leaders serving Pre-K through 12th grade students.

The blog post is the first in a three-part discussion on what makes quality PE. Rosengard touches on the variances in PE requirements from state to state, as well as how to measure the quality of a PE program (hint: frequency and duration are only part of the story).

Read the first in a series of three posts highlighting this interview with Rosengard on the Thriving Schools website and news blog.

The Center for Total Health has a new, interactive, touch-screen exhibit focused on healthy schools and healthy workplaces, and much of its content addresses the growing challenge of obesity in the United States. If you are in the Washington, D.C. area, we invite you to stop by and experience it — and the rest of the center’s exhibits — first hand. You can find information about visiting the center here.

Source: http://centerfortotalhealth.org/2013/all-physical-education-is-not-created-equal/

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Avoiding Computer Vision Syndrome

We all tend to spend a lot of time staring at a computer monitor, whether it’s for school, work, or leisure. We stare at the screen for hours almost every day, which can cause our eyes to inevitably feel strained or dry. The eye problems caused by computer use are categorized together into one condition known as computer vision syndrome (CVS), which affects over 50-90% of office workers.

CVS is a repetitive stress injury, meaning it is caused and worsened by routine motions over time. Some of its symptoms include blurred vision, dryness, redness, double vision, eye irritation, headaches, and neck or back pain. People who already suffer from other eye conditions are more likely to develop CVS, especially if they are not using a proper eye prescription. Many other factors contribute to the development of CVS, such as age and the computer itself—the brightness, angle of the monitor, position in relation to you, etc.

Let’s keep reading to see how we can prevent CVS.

5 Ways to Avoid Computer Vision Syndrome

Reposition the computer. The screen should be facing you, not off to the side where you have to strain your eyes more to see it. The monitor should be between 4-8 inches under your eyes to keep the neck relaxed, and should be kept an arms length away from you.
Blink. Blinking frequently should help you reduce dryness in your eyes. Another option for increasing moisture is the use of lubricating eye drops or a humidifier. Steer away from air vents, as those can help to further dry out the eye.
Lighting. The lighting might be hurting your eyes as well. To check whether it is playing a part in your eye strain, cup your hands over your eyes like the cap of a baseball hat and observe whether your eyes feel better or not. If they do, you know you have to adjust the lighting to something more comfortable.
Breaks. About every 15 minute while on the computer, you should take a small break and look anywhere but the screen. You can stand, stretch, or just stay in your seat looking away to give your eyes a good break.
Regular check-ups. You may need a new or different prescription without even knowing it. Although you should get regular eye doctor visits anyway, your medical professional can help you prevent and treat CVS and many other harmful eye conditions.

Ophthalmologist in Winchester

Have any questions about computer vision syndrome or any other eye problems? Contact us today to schedule an appointment at our offices in Winchester. We serve Virginia, West Virginia, and Maryland, and can be reached at (540) 722-6200. We look forward to serving you!

Source: http://www.seeclear.com/blog/eye-heath/avoiding-computer-vision-syndrome

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Thursday, September 5, 2013

Standardized RSI protocol

Source: http://adventuredoc.net/2012/12/23/standardized-rsi-protocol/

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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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Morphine and Ketamine in Trauma

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

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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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Radio Interview

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

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Blackwater Tactical Weekly: Malaria Article

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

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Wednesday, September 4, 2013

Successful Natural Cycle IVF helps older women become mothers

TRACY’S STORY… My Husband Andrew and I met in July 2005. Andrew told me he had fertility problem as a result of being a Cystic Fibrosis carrier. He was born with Congenital Absence of the Vas Deferens (no tubes from the testicles to the outside world). As a result our only way of having our [...]

Source: http://www.createhealthclinics.org/blog/natural-cycle-ivf/successful-natural-cycle-ivf-helps-older-women-become-mothers/

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Cataracts | Triggers and Treatment

While it’s normal for our eyesight to start to decline when we get older, there are certain conditions that can make that happen much more quickly. Cataracts are an incredibly common cause of vision loss, affecting over half of all Americans over the age of 65. So what exactly are cataracts, and what are the treatment options available?

Triggers

A cataract is the clouding of our eye’s natural lens, and is typically brought about due to aging – though it is not considered a normal part of the aging process. This clouding is a result of protein buildup in the lens, and can worsen over time. In a normal eye, the lens will be clear, allowing light to pass through it and reach the retina, or the light-sensitive tissue in the back of eye. In eyes that have developed cataracts, the lens is cloudy, causing vision to become blurred. While is there no definitive evidence on what causes cataracts, researchers believe there are certain risk factors, including smoking, diabetes, and prolonged ultraviolet light exposure.

As cataracts develop, patients initially may not experience any symptoms. However, this condition is progressive and with time, patients may experience hazy or blurred vision, reduced vision at night and in bright light, double vision, frequent prescription changes in eyeglasses or contact lenses, and yellowish vision. As these symptoms can worsen over time, this leaves many patients wondering what their treatment options are.

Treatment

The standard treatment for cataracts is cataract surgery; the most commonly performed surgical procedure in the US. With a success rate of over 90%, this is a strong option for patients whose cataracts have begun to interfere with their daily life.

A minimally-invasive procedure, cataract surgery works to remove your eye’s damaged lens and replace it with an artificial intraocular lens, known as an IOL. Your surgeon will make a small incision in the eye, and insert a thin ultrasound probe that works to break up the cataract. Following this, the cloudy lens will suctioned out and replaced with the intraocular implant. The entire procedure is typically painless, performed in under an hour, and can help you once again achieve clear vision. It’s important to always talk to your surgeon before your procedure, as there are a number of factors that need to be discussed — including the type of IOL you want, and any surgical risks.

Cataract Surgery in Winchester

To learn more about cataracts, cataract surgery, or intraocular lenses, contact us today to schedule a consultation. 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 serving you.

Source: http://www.seeclear.com/blog/cataract-treatment/cataracts-triggers-and-treatment

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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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Special Operations Forces Medical Handbook App

Source: http://adventuredoc.net/2013/02/13/special-operations-forces-medical-handbook-app/

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

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

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How to Keep Your Eyes Protected This Summer

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

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

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

How to Protect Your Eyes from the Sun

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

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

Ophthalmologist in Winchester

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

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

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Tuesday, September 3, 2013

Venous Access in Austere Settings: Part One

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

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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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Tough Topics and Kids: Using Theatre to Talk HIV/AIDS

Even after more than three decades since the first diagnosis of HIV/AIDS, Dr. Richard Tharp, PhD of Kaiser Permanente’s Educational Theatre Program in the MidAtantic States, said it is still a very controversial subject to talk about with students.

“We hear from some school districts who tell us that their kids aren’t sexually active, so they feel there’s no reason for a show like this,” Tharp said. “But the schools who have seen our production, “Secrets,” understand the value behind it. Throughout the show we use a lot of irony, humor and music, while at the same time we are giving them valuable information, so they can make the right choices. Additionally, through the magic of theatre, we are able to approach a very serious topic and begin critical conversations with students.”

This year, Kaiser Permanente’s Mid-Atlantic Educational Theatre Program celebrates 20 years of performing “Secrets,” a play for high school students that unmasks the reality behind HIV/AIDS. Students explore resisting peer pressure, positive decision-making, abstinence, parent-teen communications and resource building.

In this video, Dr.Tharp of the Mid-Atlantic Educational Theatre Program talks about how the production has changed over the last 20 years and how, through the art of theatre, they’ve been able to discuss this critical health topic with teens.

Kaiser Permanente’s ETP departments are committed to working with schools and nonprofit organizations to pinpoint issues and customize services specific to their needs. Each of Kaiser Permanente’s eight regions has its own ETP program which provides multiple interventions into the community. The programs are developed by theatre professionals in collaboration with health educators, community advisory committees and Kaiser Permanente physicians. The performances cover 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.

Source: http://centerfortotalhealth.org/2013/tough-topics-and-kids-using-theatre-to-talk-hivaids/

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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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How to Keep Your Eyes Protected This Summer

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

How to Protect Your Eyes from the Sun

Ophthalmologist in Winchester

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

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Social Responsibility of Physicians (Essay 29)

Source: http://bernardlown.wordpress.com/2012/04/29/social-responsibility-of-physicians/

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Monday, September 2, 2013

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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Blocked fallopian tubes – successful Natural IVF

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

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

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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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Tough Topics and Kids: Using Theatre to Talk HIV/AIDS

Source: http://centerfortotalhealth.org/2013/tough-topics-and-kids-using-theatre-to-talk-hivaids/

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Baltimore Eye Surgeon Now Performing Cosmetic Eyelid Surgery

Baltimore, MD – According to the Administration on Aging (AOA), persons 65 and older represented nearly 13% of the U.S. population in 2009, and are expected to represent 19% by 2030. The Bureau of Labor Statistics finds that the number of older Americans in the workforce is growing as well. As the population and workforce ages, Baltimore eye surgeon Jay C. Grochmal, MD says his patients that are late stage baby-boomers are under extreme pressure to maintain a high level of performance in the workplace, and portraying a vivacious and youthful appearance is essential to continued success.

While helping patients improve their vision with procedures such as LASIK and cataract surgery is important to success in the workplace, Dr. Grochmal says the desire to help his patients enhance their aesthetic appearance has become an important part of his practice as well. He says this growing demand for increased confidence and a natural-looking enhancement is what led him to the decision to add cosmetic eyelid surgery to his list of procedures: “Our society places such a high value on appearance and equates a youthful look with the likelihood of business and social success. Baby boomers are still very active and productive and a refreshed look can eliminate unwarranted bias in career choices.”

As the number of cosmetic procedures performed in the U.S. continues to increase, Dr. Grochmal says the desire to look younger longer is obvious, adding that a tough economy and high unemployment rate further contribute to the stress his older patients must endure. Because he constantly strives to improve patient care while providing the latest and safest procedures, Dr. Grochmal says providing cosmetic treatments for his patients is a result of his original commitment to provide the most effective treatments available to meet any and all needs of his patients: “As the cliche goes now, 50 is the new 40 and 60 is the new 50, and so on. My patients want to look as young as they feel and be able to see well too. Ultimately, we believe providing cosmetic eyelid surgery will improve their chances of success in the workplace.”

About Jay C. Grochmal, MD

After earning his medical degree from the University of Maryland, Dr. Jay C. Grochmal completed his residency while achieving the rank of Chief Resident at the Greater Baltimore Medical Center’s Department of Ophthalmology. In addition to being on staff at some of the leading hospitals in the Baltimore area, Dr. Grochmal has traveled on a number of missions dedicated to improving eye care around the world.

Grochmal Eye Center is located in the Catonsville Professional Center at 405 Frederick Rd., Ste. 102, Baltimore, MD 21228, and can be reached at (410) 697-4090. Dr. Grochmal and his team can also be reached at grochmaleye.com or their Baltimore Eye Care Facebook page.

Source: http://www.grochmaleye.com/oculoplastic/baltimore-eye-surgeon-now-performing-cosmetic-eyelid-surgery/

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A difficult Airway

Source: http://adventuredoc.net/2012/12/22/a-difficult-airway/

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Sunday, September 1, 2013

Google Glass: It’s a Wrap (Up)

By all accounts, the second-ever Center for Total Health tech focus was a great success. We were pleased to welcome a small in-person audience along with more than 80 guests via webcast to discuss the potential of wearable computers to change and improve health care — as well as check out Google Glass in action. (Kaiser Permanente and the Center for Total Health host these conversations to explore ideas and the potential of new technology; there is no implied endorsement by KP or CTH of any participating product or company.)

Center for Total Health Medical Director Ted Eytan, MD, and Executive Director Keith Montgomery kick off the live broadcast.

We had lively audience participation and interaction during the Tech Focus event (see the full chat here), and wanted to highlight a few of the most common and most interesting questions raised.

Availability
Google Glass is not yet widely available to consumers, and we aren’t sure when they will be. For those who are lucky enough to snag a pair (mostly developers), the price tag today is $1,500.

Privacy and Security
Information gathered by this device is not currently encrypted or HIPAA compliant, though this would certainly have to be addressed before Glass could be used in a clinical setting (just like any other device). A few folks asked about privacy – specifically if there’s any way for bystanders to know that Glass is taking photo or video. Such a feature does not exist in the current design, but members of our smart audience suggested that a recording light (not unlike those on video cameras) would do the trick.

Ideas for Use

Antonio Zugaldia and CTH Operations Manager Yen Greene rehearse before the broadcast.

Folks tuning into the webcast were not short on ideas for how wearable computers might someday be used to promote health and facilitate care delivery in a clinical setting:

Closed captioning or hearing aid for the hearing impaired;
Capturing the patient perspective of an office visit;
Visualizing veins for blood draws;
Promoting healthy behavior and choices by helping the wearer locate nearby farmers markets, parks, and health food stores;
Real-time communication between pre-hospital providers, transferring facilities and accepting teams; and
Improving safety for cyclists by warning them about cars and pedestrians.

If you have other questions or ideas, we’d love to hear from you in the comments below (or via Twitter – we are @kptotalhealth).

Source: http://centerfortotalhealth.org/2013/google-glass-its-a-wrap-up/

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Blowing our own trumpet

We are very excited about our 2011 success rates and here are the reasons why. Most people use success rate statistics when making a decision about which IVF clinic to use, but these figures should not be taken in isolation. You should always talk to the clinic about your individual likelihood of success in relation [...]

Source: http://www.createhealthclinics.org/blog/success-stories/blowing-our-own-trumpet/

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Dry Eyes in the Winter Months

The cold dry air that is common in the winter months can have adverse effects on the moisture in your eyes. But what many people may not realize is that your eyes can become just as dry while trying to keep warm inside. The heat produced in our homes is a very common cause of not only dry skin, but dry eyes as well. By taking a few simple precautions — both inside and outside — you can ensure that dry and itchy eyes are avoided. In most cases, dry eyes are caused by the quick evaporation of moisture from our tear ducts. In dry weather, hot or cold, this can occur quickly and cause itching and dryness that is very uncomfortable.

Take Steps to Keep your Eyes Moist

• Artificial Tears – Using artificial tears as directed can help keep your eyes moist when your tear ducts may not be able to keep up with the dryness of the air.

• Sunglasses – Wearing sunglasses when out in the cold weather can shield them from direct contact with the cold dry air particularly when it is windy.

• Humidifiers – When indoors, use a humidifier to make the environment less dry. Indoor heat can dry the air, making your natural moisture dry up faster than usual.

• Cut down on coffee – Qe already drink more warm liquids during the winter months in order to warm up, but coffee is a mild diuretic that can cause dryness in your eyes and skin. Monitoring your coffee consumption may aid in keeping your eyes more moist.

By making sure that your eyes are moist at all times, you can experience less discomfort while both inside and outside during the winter.

Do you have more questions?

If you feel you’re experiencing Chronic Dry Eye, and would like more information on treatment, we encourage you to contact us today. Dry eye is a common condition especially in the colder seasons, and we can work together to find the best treatment options for you. Our offices are located in Winchester, serving Virginia, West Virginia and Maryland. We can be reached at (540) 722-6200. Call today to make an appointment.

Source: http://www.seeclear.com/blog/dry-eye-carerestasis/dry-eyes-in-the-winter-months

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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

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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Take A Walk On The Grass

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

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

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

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

Yours In Health!

G.E. Moon II

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

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