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Scott Schachter, OD added optomap to his practice in 2004 after his patients started saying that automatic dilation was keeping them away.  optomap, which is complimentary to dilation, provides him with clinical data for those patients who want an alternative or want to schedule dilation for a different time.
Over the years, optomap has enabled him to diagnose and treat a variety of diseases and to utilize optomap as part of a year-over-year treatment tool. The images provide the doctor with valuable clinical data for quality patient care and patients who have conditions such as diabetes can see the impact of the disease and understand the need for compliance better. A young woman with a history of depression, drug & alcohol abuse was seen in a Houston clinic after injecting isopropyl alcohol into her left eye. The ultra-widefield optomap documented the far peripheral hole with this challenging patient and also helped guide the laser treatment. Contact us to learn more about partnering with Optos to benefit your patients and your practice.
The BC Doctors of Optometry 2015 Annual Conference includes a program for doctors of optometry which provides 28 courses and up to 36 hours of CE credits upon completion. Optos would like to encourage you to visit with us during the OPTOFAIR to learn more about our UWF retinal imaging technology and how it can help your practice thrive. The ability to see this far into the periphery with our optomap® technology provides the opportunity to detect potential problems much earlier than exams with traditional equipment can. Mark your calendar, and do not forget to stop by and speak to us while you attend the BC Doctors of Optometry 2015 Annual Conference and OPTOFAIR.
A 15 year-old African American female with a history of bilateral threshold retinopathy of prematurity was seen for a routine annual visit. From a business perspective it makes sense if the pharmacist knows about diabetes, doesn’t it?
For those of you who do not use a mail order pharmacy, I ask you to chime in today how important is your pharmacist in your diabetes care, or the care of your child.  If they are not involved or do not help, let us know that too. This entry was posted in Uncategorized and tagged d-dads, Dad, diabetes advoacte, diabetes advocate, diabetes article, Diabetes Blog, diabetes blogger, Diabetes Blogging, diabetes columnist, diabetes dad, diabetes journey, diabetes pharmacist, Diabetesdad, pharmacist, pharmacy diabetes by diabetesdad. As a pharmacist and a certified diabetes educator, I love that I have gotten to expand my practice. While I may be a little biased as this is my profession, I am also a Type 1 (35 years) and have always sought the advice of pharmacists in caring for my diabetes.
Yes the people who get paid to provide the supplies we need should know everything they can about conditions they provide for.
My apologies for getting to this blog late but felt I wanted to add a couple of comments to some already very good ones. Thanks Jerry—you are a huge advocate and I thank you so much for stopping by and adding your insight. Vitamin A may be obtained from carrots, broccoli, sweet potato, butter, spinach, pumpkin, egg, papaya, mango, pea and milk, among others. If you are not getting enough vitamin A from the food you eat, you can try taking supplements. Make sure to discuss with your doctor before you start including vitamin A supplements in your diet.
Good sources of vitamin C include broccoli, bell peppers, parsley, cauliflower, lemon juice, strawberries, papaya, cabbage, romaine lettuce, oranges, cantaloupe, grapefruit, pineapple, tomatoes, spinach, green beans, asparagus and watermelon. Similar to the two vitamins mentioned above, Zinc is also essential in improving the responsiveness of our bodies’ immune system. Zinc may be obtained from oysters, cereals, chicken, cashews, cheese, oatmeal, almonds, kidney beans and peas, among others. Dr Jim Kokkinakis (Optometrist) graduated in 1983 from the Optometry School University of NSW.
He has a specialist clinical practice in the Sydney CBD with interests in Eye Strain, Computer Vision problems, Treatment of Eye Diseases and complex Contact lens Fittings. Obesity has long been a problem in the US, but in 1998 the numbers jumped dramatically and have been rising ever since. To make you feel slightly better, it’s important to realize that in 1998 the government redefined what it meant to be obese by lowering the standard BMI (body mass index). Well, other than the reduction of BMI acceptable levels, and a possible change of that standard in the future from 30 to 25, our current lifestyles really aren’t helping. We live in a scheduled world where minor changes to our lives are disruptive, and can become more difficult and stressful than they initially sound.
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The researchers showed a 20-minute funny video to a group of healthy, elderly participants and a group of elderly individuals with diabetes. Cortisol levels decreased in both groups who watched the video, and there was a greater improvement in all areas of memory assessment compared to the control group that didn’t watch the video.
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Proper dietary choices you make today very well might play a major role in preventing obesity, cancer, heart disease, osteoporosis and type 2 diabetes later in your life.
The term nutrition refers to the science of how living organisms obtain and use food to support all the processes required for their existence. Nutrients are needed by your body to provide structure, regulate chemical reactions (metabolism) and supply energy. Vitamins are abundant in most naturally occurring foods – especially fruits, vegetable, and grains. Enter your email address to subscribe to this blog and receive notifications of new posts by email. He says, “The more images I see, the more I realize that I might not see them if I wasn’t using this technology.” Patient education and quality of care has helped him maintain a high acceptance rate, even after eight years. According to the patient, her eye was bothering her and she believed the rubbing alcohol would help.
Being held at the Westin Bayshore Hotel from 28 February through 2 March 2015.  The event will feature education and networking opportunities for doctors of optometry, optometric assistants, and opticians. Our UWF technology produces a high resolution 200 degree image of the retina in a single capture, and improves patient comfort since dilation is not necessarily required. You will achieve better patient outcomes since you will be able to detect, monitor, and treat eye pathologies earlier. For the past 12 years, he had a history of chronic central serous retinopathy and his vision had always recovered after each recurrence. The ‘gutter-like’ appearances of the broad hyperfluorescent areas are characteristic of chronic central serous retinopathy. The mottled appearance of the focal lesions and the broad hyperfluorescent streaks on the optomap af images are indicative of chronic central serous retinopathy as well as the “smoke-stack” leakage in the late fluorescein angiogram images. Sadda, MD, of the Doheny Eye Institute found that the optomap af images demonstrate a classic case of CSR findings.
As an infant, she was treated with scatter laser photocoagulation two months after her birth.
The lesion was determined to be reactive angiomatous proliferation – a rare vascular proliferation which has been reported to occur in various chronic retinal diseases, such as retinitis pigmentosa and Coats’ disease. MacCumber, MD, PhD, concluded that optomap color and fa widefield imaging successfully captured, documented, and allowed the investigation of this rare vasoproliferative condition. He is able to answer any of our questions and stocks all of our diabetes supplies except for our pump consumables.
We have to travel over 3 hours to see our daughters endo and diabetes care team so having the pharmacist available to us is a huge bonus. As one of the fortunate pharmacists who is a CDE, has his own practice and trains pharmacists on a regular basis in diabetes care, I want to encourage those with diabetes to take the extra step and find those pharmacists, like some mentioned above, who have taken extra training in diabetes care and find the time to do so. The use of supplements and other alternative treatments are said to help remove or prevent the infection. He needs to know your over-all health as well as the current supplements and medications you are taking since additional vitamin A supplements might interfere with your other medical conditions and treatments.
As we age the incidence of infective conjunctivitis tends to be viral as opposed to bacterial and whether any of these supplements actually in fact protect us from conjunctivitis is debatable.  What is not debatable though is that if you do get a case of conjunctivitis a visit to your therapeutically trained optometrist will sort it out for you sooner rather than later. Now the requirement for obesity is a BMI over 30, while 27 and 28 used to be acceptable for men and women respectively. Of course there are genetic factors that some struggle with more with than others, but in all honesty, there are some key factors that separate us from nations that don’t have the epidemic type problem that we do with weight.
Respecting ourselves and our bodies seems to be something often put on the bottom of the priority list. A new study by researchers at Loma Linda University in California shows that laughter can reduce stress by decreasing the hormone cortisol. Both groups were asked to complete a memory assessment, measuring learning, recall, and sight recognition.
A dilated retinal exam was performed with findings of retinal infarct, vascular pruning and a few intra-retinal hemorrhages, macular edema, rare vitreous cell and possible operculated hole at 3:00.
The patient was admitted to hospital for a psychiatric evaluation following the laser treatment. It is likely that eye steering with a camera would not have been possible due to the condition and cooperation of the patient.
For optometric assistants and opticians, there are 19 courses and up to 28 hours of CE credits. Additionally, FD-OCT images were acquired and showed massive fibrinous exudates in the subretinal space.
The benefit of the widefield optomap images is it can help identify patterns which are not discernible when focusing on a small retinal area only. Areas of hyper- and hypofluorescence in the mid-periphery reveal the need for widefield autofluorescence imaging in CSR cases.


Most recently, it has been reported to have occurred in a 14 year-old female with a remote history of retinopathy of prematurity, similar to our patient. To find out more about our 200Tx with fluorescein angiography, contact us to learn how partnering with Optos can enhance your patient care. I remember one Sunday when my husband was overseas our daughter’s pump failed and we had to go back to needles. When our daughter started on a pump our pharmacist arranged to be able to bring in our pump supplies for us so we would be able to get 1 month worth at a time. Note, however, that before you begin taking supplements and alternative treatments, makes sure to consult your optometrist first to know whether or not these might work for you.
This is essential when you are suffering from conjunctivitis because it is the inflammation of the white part of the eye that causes severe redness in this eye condition. Seeing easy, grease caked, quick food as a motivator or positive reward in any way, creates a pathway to addictive issues. Sedentary lifestyles can easily be fallen into, considering the access we have to so much information while sitting at our computers or in front of the TV.
At the expense of ourselves, we will skip meals, chose the quick but mediocre solution, and stress about anything and everything in our path.
Changing your environment, especially when it comes to living situations and friends, is near impossible without incredible will power.
An optomap was taken and confirmed an operculated hole and air bubble with a small hemorrhage superiorly, near the hole where patient performed the self-injection.
Four days post laser treatment, the exam showed no visual acuity changes, the vitreous had cells and an optomap was performed, which documented that the air bubble was gone, grid laser treatment stable and a small hemorrhage at edge of laser treatment, which will reabsorb with time. The patient underwent a fluorescein angiogram after optomap af images were acquired, which confirmed the diagnosis of CSR.
The left eye did not have similar lesions, but did have evidence of previous laser treatment in the temporal periphery.
She underwent cryotherapy to the lesion, and early involution of the lesion was present one month following treatment. Our pharmacist knew I had been up all night and insisted on dropping by with everything I could possibly need to get by until our new pump arrived. He is an indispensable part of our daughters diabetes care team and he is the reason I will stick with his independent drug store and not move to a big box store, regardless of rewards! However, there are instances when you can develop a more serious case of conjunctivitis that would require medications like eye drops.
Not the greatest feeling for those people, but scientific advances in nutrition have guided and changed definitions before.
Temptation is a strong pull, and it has become ingrained in our thought process that this type of food is a satiating experience. It becomes more exhausting and stressful when you have to battle yourself over the microwave burrito you would have never brought home in the first place.
Communicating with family and friends, no longer requires leaving the house or even standing, if you can teach the dog to get beer from the fridge for you.
We not only lack respect for ourselves, but for the food we consume and the culture we cultivate. A control group of elderly participants also completed the assessment, but did not watch the video.
The imaged confirmed the diagnosis of retinal toxicity, vascular ischemia, hemi-retinal artery occlusion, macular edema and a retinal hole. The work-up for hypercortisolism was negative and the patient was otherwise healthy, he was observed without treatment. If your friends or family have obesity problems, or just poor diet and exercise habits, your standards slowly drop to an unhealthy level. Cars, busses, any type of transport really, are lifesavers some days, but on others, getting outside and walking 6 blocks to the store isn’t something that should be a hassle. Look at the statistics again, and think of the future health of yourself and those around you.
So despite the definition of overweight becoming more inclusive, the bulk of the obesity numbers fall upon our daily choices. Taking a bit of time to both mentally rest and indulge  in the ritual of enjoying a well prepared meal, can actually improve your efficiency, stress level and metabolism. No one ever said it’s going to be easy, but it is more than evidently necessary to not put changing off any longer. Online pharmacies aren’t a big thing in Australia as of yet, but I think I will be sticking with a face to face pharmacist.



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