How to treat dry eyes
How common are dye eyes?The prevalence of dry eyes has been estimated to be 5-30% percent in persons aged 50 years and older, 7% of US adult population has been diagnosed with dry eye disease. The prevalence increases with age (2.7% in those 18 to 34 years old vs. 19% in those aged 75 years and older). Prevalence is higher in women than men (9% versus 4%).What are the risk factors for dry eye disease?- Advanced age- Female gender- Hormonal changes (primarily due to decreased androgens)- Systemic diseases (eg, diabetes mellitus, Parkinson disease)- Contact lens wear- Systemic medications (antihistamines, anticholinergi...
Source: Clinical Cases and Images - Blog - January 2, 2018 Category: Universities & Medical Training Authors: noreply at blogger.com (Ves Dimov) Tags: Ophthalmology Source Type: blogs

Medgadget Boards the Orbis Flying Eye Hospital
Fresh off a project in Cameroon, the Orbis Flying Eye Hospital paid a special visit to the San Francisco Bay Area for fundraising activities and a resupply before spending the holidays in Arizona for maintenance and its next project in Peru. Medgadget was given a private tour and got a close look at everything from the cockpit to the converted cargo hold below. Our tour began as we approached the massive mobile hospital, which was parked on the tarmac at Moffett Federal Airfield in Mountain View, CA. A McDonnell Douglas model MD-10, this plane had previously served as a cargo transport plane for FedEx. FedEx not only gen...
Source: Medgadget - December 18, 2017 Category: Medical Devices Authors: Scott Jung Tags: Exclusive Ophthalmology Source Type: blogs

Palliative Care vs Just Busine$$
Here is a true story of a decision made by the patient and his opthalmologist to allow a terminally ill patient who is expected to die soon and who has cataracts in both eyes to have cataract surgery to be able to see his family before he dies. Th... (Source: blog.bioethics.net)
Source: blog.bioethics.net - December 14, 2017 Category: Medical Ethics Authors: Maurice Bernstein, M.D. Tags: Health Care syndicated Source Type: blogs

Palliative Care vs Just Busine$$
Discussion Blog)
Source: Bioethics Discussion Blog - December 14, 2017 Category: Medical Ethics Source Type: blogs

My Father with Alzheimer's Stares at Us and it Feels Creepy
Think of your father as being swept away by currents of memories that cause him to appear as if he is staring at you, but he may instead be reliving powerful memories.By Rita JablonskiAlzheimer's Reading RoomOur friends at Alzheimer's Team shared this question from a reader with us; and, asked if we could supply some insight.“Don't know who else to ask.My father with Alzheimer's has recently started staring at me or my wife. Now, I understand what his brain is going through. Or what he might be thinking. Butis there any way to make it less Creepy ? Or any info I might not know that can help me understand better...
Source: Alzheimer's Reading Room, The - November 16, 2017 Category: Neurology Tags: alzheimer's team alzheimers reading room alzheimers staring caregiving how to understand memories people rita jablonski support Source Type: blogs

One Last Story on How Life Sucks After Breast Cancer
Okay, maybe I have been in a rut because I have been stuck at home after knee surgery because I can ' t drive. Or maybe because I have a cold that I am obsessing on crappy lives after cancer. Or maybe the internet gods had their stars align and all these stories ended up on my laptop in the same time period. But I hope this will be the last one for a while.Here ' s the story of a young woman who lost both her husband and her sister because of her lengthy cancer treatment." “The reality is that probably four out of seven days I’m in bed,” explains the 39-year-old, who lives with her mother at Bundall.“I’ve had my ...
Source: Caroline's Breast Cancer Blog - November 6, 2017 Category: Cancer & Oncology Tags: being a patient breast cancer bonds breast cancer treatment stress Source Type: blogs

Cataracts in adults: management
National Institute for Health and Care Excellence (NICE) - This new guidance argues that the decision to have cataract surgery should be based on whether the patient thinks surgery is right for them. It provides advice for patients and ophthalmologists to help them decide when surgery is appropriate, taking into account how the condition is affecting a patient ’s sight and their quality of life, the benefits and harms of the operation.GuidancePress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - October 30, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Patient involvement, experience and feedback Quality of care and clinical outcomes Source Type: blogs

The Future of Vision and Eye Care
3D printed digital contact lenses, bionic eye implants, augmented reality eye condition explainers: the future of vision and eye care are full of science fiction-sounding innovations. Here is where digital health will take ophthalmology in the future! More than 80 percent of perception comes through vision Researchers estimate that 80-85 percent of our perception, learning, cognition, and activities are mediated through vision. Compared to that, our hearing only processes 11 percent of information, while smell 3.5 percent, touch 1.5 percent and taste 1 percent. Don’t you think that’s possible? Renowned scholars, ...
Source: The Medical Futurist - October 26, 2017 Category: Information Technology Authors: nora Tags: Augmentation in Medicine Cyborgization Medical Augmented Reality 3d printing AI diabetes digital digital health eye care future guide Healthcare Innovation ophthalmology Personalized medicine technology vision Source Type: blogs

Large Hospital Chains Developing More Specialized Standalone Centers
We are moving toward a future where inpatient admissions are becoming less common with more specialized, remote centers becoming more numerous. More hospitals are also being designed as"bedless" facilities (see:The Design of Bedless Hospitals Continue to Evolve Based on Cost and Technology;The Future of Healthcare: Virtual Physician Visits& Bedless Hospitals;Some Additional Ideas About the Bedless Hospitals of the Future). A recent article discussed how large hospital chains seems to be moving in this direction (see:Warding Off Decline, Hospitals Invest in Outpatient Clinics). Below is an excerpt from i...
Source: Lab Soft News - September 30, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Business Healthcare Delivery Hospital Executive Management Hospital Financial Radiology Source Type: blogs

The Case For Confronting Long-Term Opioid Use As A Hospital-Acquired Condition
The first principle of medicine is to “do no harm.” Over the past two decades, the medical community has attempted to honor this principle by treating patient pain with opioid prescriptions. Unfortunately, these good intentions have driven an epidemic of opioid addiction and drug overdoses, now the leading cause of accidental death in the United States. Inpatient overprescription of opioids such as morphine, oxycodone, and hydrocodone happens in a variety of ways—doctors prescribe too many doses, too large a dose, or allow patients to continue opioid treatment for too long. And many times, doctors could avoid opi...
Source: Health Affairs Blog - September 8, 2017 Category: Health Management Authors: Michael Schlosser, Ravi Chari and Jonathan Perlin Tags: Featured Health Professionals Hospitals Population Health hospital-acquired condition opioid epidemic overprescribing opioids pain management Source Type: blogs

Can we zap eye floaters away?
There it goes again: a big blob or “floater” drifting across my right eye. It’s not dangerous and it doesn’t hurt, but it sure is annoying having cloudy vision for a few seconds until the blob moves on. I have quite a few floaters — so do a lot of middle-agers — and I’ve learned to live with them, since there’s never been much in the way of treatment. But that may be changing. Understanding floaters Floaters are usually pieces of debris that come from the vitreous — a thick, jelly-like substance that fills the center of the eye. The vitreous attaches to the retina, which captures light and sends it to the...
Source: Harvard Health Blog - August 8, 2017 Category: Consumer Health News Authors: Heidi Godman Tags: Eye Health Source Type: blogs

The truth behind the 27 contact lenses stuck in the patient ’s eye
By now I’m sure you’ve heard about British woman who reportedly showed up for cataract surgery only to have her doctors discover that 27 contact lenses were unknowingly stuck IN her eye: After this news story broke, many friends and family reached out to me asking how this could be possible! Here I will explain how this is (and isn’t) possible by clarifying some basics of eyelid anatomy. Steve Christiansen is an ophthalmology resident who blogs at EyeSteve.  He can be reached on Twitter @EyeSteve. Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find ou...
Source: Kevin, M.D. - Medical Weblog - July 18, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/steve-christiansen" rel="tag" > Steve Christiansen, MD < /a > Tags: Video Specialist Source Type: blogs

Making Practice Guidelines And ‘Choosing Wisely’ More Effective
I always thought I was an informed patient, favoring conservative treatment and helping to save Medicare and the health system money; but when push came to shove, I was a coward that did not speak up when unnecessary tests were ordered. I think my reaction says something about the limits that even informed patients have in their ability to save the system money and ultimately raises questions about the usefulness of practice guidelines, “choosing wisely,” and evidence-based medicine to do the same. This isn’t an attack on these crucial efforts to bring more science to the practice of medicine. It is a plea for them t...
Source: Health Affairs Blog - June 20, 2017 Category: Health Management Authors: William Vaughan Tags: Costs and Spending Featured Medicare Quality Choosing Wisely practice guidelines Source Type: blogs

The Private Sector Can Lead In Delivery System And Payment Reform
Editor’s Note: This is the fourth in a five-part Health Affairs Blog series, produced in conjunction with the Bipartisan Policy Center, examining current issues and care models in the delivery system reform effort. Each post will be jointly authored by Democratic and Republican leaders in health policy. Check back for more posts in the series. Employers and other private purchasers of medical services have played an important role in spurring health care delivery system and payment reform. The development of managed care has been accelerated by federal and state policies over the years but originated with private sector...
Source: Health Affairs Blog - June 8, 2017 Category: Health Management Authors: Chris Jennings and James Capretta Tags: Costs and Spending Featured Organization and Delivery Payment Policy bipartisan delivery system reform CalPERS reference pricing shoppable services Source Type: blogs