Showing posts with label I. Show all posts
Showing posts with label I. Show all posts

Wednesday, May 17, 2017

My eyes hurt and i have floaters


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Wednesday, January 25, 2017

I Was Quite Thrilled To Find HCG Ultra To Help Me Lose Some Weight


By Jesse L. Millery


While I had always full of ideas of finally getting serious about losing weight, I did not ever really do anything about it until I had the opportunity to purchase some hcg ultra. Of course, like most people I had no idea that this substance even existed and spent years trying to lose weight with half-hearted attempts to exercise, eat nothing but spinach, and slather awful smelling comes on the flabbiest areas of my body.

I would have been doomed to this fate forever if it had not been for the family reunion I went to last summer where I was surprised by the new look of my cousin Donna. Donna had always been overweight as long as I could remember, and we had all just gotten used to that fact, but I was astonished by how trim and fit she looked, and more importantly, she seemed to feel great about her body.

At first, I was hesitant to be so bold as to ask her what she had done, thinking that she might find it offensive, but I overheard her gushing to my brother about something that she referred to as hcg ultra. I could no longer reign in my curiosity, so I approached her and spent the next hour talking to her about this wonderful substance and precisely how it had helped her to lose so much weight.

She was happy to tell me more and informed me that this substance was a natural human hormone that makes it possible for the body to naturally draw on fat stores for energy rather than food, which I thought was awesome. She did tell me that even with using these drops, it still requires some discipline to lose the weight, but that she had found it all totally worth it, as she feels so much more comfortable with her appearance and feels so much healthier and better about herself.

I was so impressed with her story that I asked her to tell me precisely where I could buy hcg ultra diet drops to test them out for myself. She was more than willing to answer my questions and actually wrote down the website where I could order my own drops and begin my own journey and finally do something about my weight issues. Now that I have been using the drops for a couple months I am happy to report that I have lost a good amount of weight and have been able to keep it off, so I am feeling healthy and good about myself, and looking even better!




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Wednesday, September 21, 2016

A Personal Journey How I Went From Being A Bench Chemist to An Expert Resource in Ophthalmology and Medical Lasers


A short while ago, I was asked by Maureen Duffy, editor of VisionAware, the blog of the American Foundation for the Blind, how I became so knowledgeable about ophthalmology and why I started my blog. I prepared some background information for Maureen and she published it as a guest blog on her site, but because of space limitations, she was only able to use an abridged version. Since I don’t have the same space limitations, I decided to publish the “unabridged” version here.

So, here is my story:

The Beginning of My Career in Chemistry

I graduated from the Univ. of Massachusetts in Amherst, MA in 1957 with a B.S. degree in organic chemistry. After three jobs in industry (The Refinery Technology Laboratory of Gulf Oil in Philadelphia – analyzing oils and gas products from the refinery; the Container & Sealant Lab at the Dewey & Almy Div. of WRGrace in Cambridge, MA – working on cap and can sealants for baby food and peanut butter jars and aerosol can valves; and The Exploratory Development Lab at United-Carr Inc. in Watertown, MA – working on adhesives to replace fasteners for automotive applications), I joined the staff of the Product Technology Section of Arthur D. Little (ADL) of Cambridge, MA, the international consulting firm, in March 1969, as a laboratory bench chemist.

Over my twenty-five years at ADL, I worked on hundreds of projects. Among the more memorial assignments were being part of the team that developed the “all plastic pencil” for the Empire Pencil Company (part of Hasbro Toy); working on the development of an erasable pen ink compound for Bic Pen; trying to produce a protective plastic liner for glass Thermos bottles (to protect the food contents of the bottles when school children hit their neighbors on the head with their lunch boxes – which proved a technical success – water, soup and coffee stayed hot overnight, but failed miserably, as the plastic liner took the flavor out of the coffee making it taste terrible!); developing a spin-cast epoxy eyeglass frame compound and manufacturing process for Universal Optical; developing an improved firefighter’s glove for NIOSH and NASA; the development of a unique, disposable, no moving-parts mixer for use in dispensing two-part epoxy and urethane adhesives for the MPB Corporation (now commonly used in all dentist’s offices for dispensing casting compounds and sold in hardware stores for delivering reactive adhesives and sealants); and of course being a part of the team that built and flew a lead balloon to prove that lead balloons really could fly! (In fact I tried to launch the silk purse made from sow’s ears in a basket beneath our lead balloon!)

I have written the stories behind many of the above inventions and products in my “other” blog, ADL Chronicles.

An Introduction to Soft Contact Lenses

One of my first assignments at ADL (along with working on chemically stabilizing soils for soft ground tunneling) was to see if there were other uses for hydroxy ethyl methacralate (HEMA), the material that soft contact lenses were composed of. National Patent Development Corp. (NPDC), which had acquired the Czech technology and licensed it to Baush & Lomb, wanted to know if this product could be used for other applications. We thought of applying it to the hull of boats to make them more slippery (and go faster in water and reduce adhesion of barnicles), but the best I could come up with was its use as a slow release reservoir for insecticides to kill mosquito larvae in swampy areas.

A few years later, in June 1972, and because of my knowledge of the properties of HEMA, NPDC asked me to lead a study on the “safety and efficacy” of the B&L Soflens, which had just been approved for marketing (March 1972). (NPDC was going to issue some stock to the public and the underwriters needed this due diligence report for the offering.) The study involved interviewing all of the original FDA clinical investigators for the Soflens. The knowledge about soft lenses I gained led to several papers about the “Outlook for Soft Lenses” that were published by ADL’s Decision Resource Division. Those publications led, over the next fifteen years, to over 150 assignments in the soft lens industry, including about 50 briefings to companies interested in both the technology and financial aspects of soft contact lenses. (How was B&L making so much money with their Soflens business?) It also led to my assisting Johnson&Johnson (Vistakon), Ciba Geigy (CibaVision), and Schering Plough (Wesley-Jessen) in their acquisitions of technology or small companies, to enter the soft lens industry. (In essence, I became the “guru” of the soft contact lens industry!)

Ophthalmology, Lasers and Writing

The soft lens assignments led to assessments of intraocular lenses (IOLs), plastic eyeglass lenses and eventually, in 1983, the just FDA-approved YAG ophthalmic lasers for correcting capsule opacities following cataract procedures. In 1985, I became involved with surgical lasers and in 1986 wrote the first comprehensive research and market report on medical lasers, “Medical Laser Systems: The Surgical Revolution”, that was published by Arthur D. Little’s Decision Resources Division. This was followed by a second comprehensive report on medical lasers, “The Outlook for Medical Lasers: The New Technologies”, published in 1988, also by Decision Resources. That led to my second career at ADL,  involving ophthalmic and medical laser consulting.

In the summer of 1985 I attended a Gordon Research Conference on lasers used with biological materials, where I met many of the leading researchers and surgeons involved in ophthalmic and medical laser technology. In December 1985, I was asked to prepare a market report about the potential for the excimer laser to correct vision. That report, about what I called LRK (Laser Photorefractive Keratectomy), became PRK, or ablation of the surface of the cornea to correct vision. My report was used to raise funds to begin one of the first excimer laser companies, Tauton Technologies (which later acquired VISX and assumed the VISX name).

That led to my entry into consulting in refractive lasers and writing the first market reports about refractive surgery in the mid-1980s and early 1990s. (I later wrote the seminal report on the future of laser refractive surgery for Summit Technoloy in 1992, wherein I predicted that the excimer laser would gain FDA marketing approval would occur by mid-1995. As I recall, I believe I was off by about 4 months.)

As I had begun attending ophthalmic and medical laser industry meetings (AAO, ASCRS, ARVO, ASLMS), I started writing about what I learned at those meetings. I first began writing columns for Vision Monday in 1988, mostly about my contact lens-related work. In 1989, I was asked to write a monthly column for Ophthalmology Management which became my Technology Update column. (Ophthalmology Management stopped publishing in the spring of 1991.) In the fall of 1991, Ocular Surgery News asked me to continue my Technology Update columns for them. This monthly feature, mostly covering new technologies that I discovered at the ophthalmic meetings, ran for over eleven year in OSN.

I was among the first to write about “custom ablation” and LASIK. One of my favorite titles from those times was, “Inlays, Onlays, Rings & Things” which described alternatives to laser refractive surgery.

Retirement and Spectrum Consulting

Finally, in March of 1994, on the anniversary of my 25th year with ADL, I retired from ADL and started my own consulting firm, Spectrum Consulting, continuing my consulting work in ophthalmics and medical lasers. In the fall of that year I started publishing Executive Laser Briefing, a monthly newsletter about current developments in the ophthalmic and medical laser industries. It was begun as an added service for my consulting clients, but I soon realized that others were interested in the publication. I began marketing the newsletter, which grew to a 40-60 page monthly publication, sent out to clients around the world, and it became a major part of my consulting business.

In December 2005, after eleven years, I  sold the newsletter and its client list to the publishers of Trends-In-Medicine, who continue to publish the newsletter today, renamed Executive Laser Report, and retired from active consulting.

A New Blogging Career Begins: Irv Arons’ Journal

That’s when I decided to begin writing my blog, Irv Arons’ Journal. It was originally started as a vehicle to place the more than 150 previously published articles online and accessible for historians and researchers, as I was involved in the beginning of several ophthalmic firsts – among them the birth of soft lenses, IOLs, ophthalmic lasers, refractive lasers, etc. Most of the articles were not available online because they were written prior to the explosion and availability of the web.

However, I quickly became diverted because I realized that I had insight into several new technologies that were entering ophthalmic use and I had access to those in the know who could provide me with the insight to write about these developments.

It all began because of some colleagues writing about what had happened the previous summer at the Retina 2005 Meeting in Montreal. Dr. Phil Rosenfeld presented information about his use of Avastin to stop the wet form of age-related macular degeneration (AMD) cold in its tracks and to provide improved vision to some patients. His presentation wowed the audience, but other than the retinal surgeons present at the meeting, no one else in the ophthalmic world was aware of the significance. I decided I needed to tell this story – Avastin: A New Hope for Treating AMD -- and so began my blogging career with an emphasis on new technologies for treating retinal diseases.

Since that start in December 2005, I now have over 270 articles posted online, mostly about new treatments for both dry and wet AMD, but also including writeups about new devices used to both treat and detect AMD.

Along the way, I have also written about the use of lasers to treat eye floaters, about the history and use of femtosecond lasers, including their use in treating cataracts, an overview of treatments for glaucoma, including the use of the then new SLT laser.

A Developing Interest in Stem Cells and Gene Therapy

Over the past several years, I became interested in the use, first of stem cells, and then gene therapy in the treatment of ophthalmic diseases. In September 2010 I wrote A Primer on the Use of Stem Cells in Ophthalmology, which was followed in November 2010 with my first writeup on the use of gene therapy in ophthalmology, The Use of Gene Therapy in Treating Retinitis Pigmentosa and Dry AMD. Since then, I have followed with more than 15 updates on stem cell treatments and more than a dozen for gene therapies.

In addition, I have put together comprehensive tables of the companies and institutions involved in both stem cells and gene therapies, the ophthalmic applications under evaluation, and data about the clinical trials underway and completed for both therapies. All of this information is now available online via my blog.

And, the Story Continues

I hope this overview has given you a glimpse into how I went from being a bench chemist to becoming an authoritative resource in the new technologies for treating ophthalmic diseases and conditions, starting at the front of the eye and working my way into the back of the eye.

For continual updates, please visit Irv Arons’ Journal and follow me on Twitter @iarons.



Monday, September 19, 2016

Respond To Where Can I Buy Wheatgrass And Its Merits


By Ines Flores


Made of seeds of the wheat plant, this grass has a rich source of physiological benefits that has sparked the increased interest in them. This grass is edible in juice form and in powder. This drink is an energy packed delicacy and ideal for body building. It also has enzymes that improve the digestive system. Where can I buy wheatgrass in Charlotte in North Carolina could be a hard task to accomplish.

The most confusion with this grass is the malt. The malt is almost similar to the wheatgrass however this one is left to grow longer. In the winter this grass grows better in the winter. It can be grown inside or outdoor. Indoor planting is done through trays and also in pots. While planting, you should cut shoots to allow others to come up even stronger. When it reaches jointing, the nutritional content is optimum and it is ready for harvest.

There are a number of positive things one can derive from the consumption of this plant. The nutritional benefits are the well-known ones. It contains a lot of minerals, 17 amino acids that do play a key role in protein boost in a body and it also has vitamins. This plant has enzymes that neutralize toxins and clean the liver. As a result, these contents aid the body to easily grow and heal.

The key mineral in the wheatgrass is the chlorophyll. The green pigment in plant is gold in and of itself. This taps light energy abundantly which is transferable to the human body. This is good for building the body too. It also joins with the blood to give hemoglobin that is important for respiration. The hemoglobin content joined up with the copper in a body slows down the aging process.

Chlorophyll in wheatgrass also helps in fighting body bacteria. The closeness to the soil minerals is the other benefit. This grass does not grow that long unlike other plants. This makes it easier to access the 100 plus soil nutrients vital for the body. It again helps in skin care and repair. This is evident in ointments that use the wheatgrass contents for cure for bites from insects and burning.

Health wise, this plant can cure sinuses and colds. There is proof that this plant can open up a clogged wind pipe and effectively cure in a day. To add on this, it also levies the sore throat problem. It also aids in the teeth and cavity issues. Wheatgrass plant in general optimizes the function of the heart, liver and other major organs.

There is no much need to go down into the detail on how to effectively plant this. Get to a juice bar near you. There are a number of them in Charlotte. They include Juice Co, Smoothie King, Planet Juice, Green Brother, Jamba Juice, Energy Cafe, and the Viva Raw. Just to mention

On the contrary, you can go the greener way and get the raw leaves than make your home made smoothie. You can find this in the Fresh Market. Choose a convenient method and that you can comfortably afford.




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Wednesday, August 10, 2016

AM I A CANDIDATE FOR TREATMENT


Everyday I get email inquiries, or posts in the comments section of this web site from people all over the world describing very briefly what they experience and then asking me if they would be a candidate for treatment here in my office in Southern California.

The short answer is that “No, I can’t simply tell you that“.

Every eye is different when it comes to treating floaters. It would be irresponsible for me to tell someone that I could treat them without seeing their eye and without establishing a doctor patient relationship. What I can do is describe some of the typical characteristics that, statistically and empirically, would make someone more likely to be treatable using the laser. So you might go through this list of features and characteristics and see if you are more likely or less likely to be treatable here.

YOUR AGE
If you are younger, in your teens or older up through the age of 30-35 years or so, you will less likely be a candidate for treatment. Young people can have very bothersome moving shadows, but the source of these shadow floaters is quite often microscopic condensations that site very close to the retina. Floaters that are less than 3-4 mm from the retina are general not candidates for treatment.
If you are older, generally older than 45-50 years, you will more likely be a candidate for treatment. I can treat less than 5% of the younger age group, and 95% or so of the older age group.
The in-between group, 30-50 years of age, is harder to characterize and predict.ONSET OF SYMPTOMS
If your floater symptoms came on very quickly, out of nowhere, then it may be associated with a posterior vitreous detachment. If the floaters have been there since your teens, or they have been very gradual, then it could be the characteristic floaters seen in younger patients. By the way, it is possible to be in your 40's, maybe older and still have the same floaters that are typical of the younger patients.FLOATER CHARACTERISTICS
Transparent, thread-like floaters that have very distinct border/edges, or small grape clusters or separate small round dot/specks are more likely to be located very close to the retina and are less likely to be candidates for treatment with the laser.
Larger, less distinct floaters with a softer border or edge are more likely to be further away from the retina, where they may be better candidates for treatment if the floater has a very characteristic ring-like shape or appears to be part of a ring-like shape,  in the then it may be a characteristic Weiss ring type of floater. these floaters are the most successfully treated floaters in our practice.  A Weiss Ring, by definition, is created as part of a posterior pictures detachment.  Not all posterior vitreous detachments (PVD’s) develop Weiss rings or are even symptomatic for that matter. Weiss ring is part of the outer layer of the vitreous that peels off the back wall of the eye. they are dense and so absorbed the laser energy quite well.  And they’re usually tethered in a good position in the middle part of the eye.YOUR DOCTOR’S EXAMINATION
Here is where it gets a bit tricky. Most eye floaters are relatively difficult to see with the usual examination, devices and techniques.  The ophthalmic scopes and lenses that we use are very good and designed for the anterior part of the eye to include the cornea Iris and linens and with a quick switch of lenses in the attention of the doctor is then directed to the retina in the far posterior or back of the eye.  Usually the vitreous is just something you look through to get at the retina. so when you go to your local eye care provider with the complaint of moving shadows in your vision.  The doctor is probably thinking floaters, but is obligated to rule out any retina pathologies such as holes, tears, hemorrhage and detachments. there’s really no incentive for the them to spend any time looking for the floaters or trying to map them out in their location in three-dimensional space.  In fact, the diagnosis of floaters can be made based entirely on the patient’s description of moving shadows and the absence of any retinal pathology. What I am saying here is that the doctor does not necessarily need to see the floaters for them to confidently make the diagnosis of floaters.   This may lead to a confused answer when I asked the potential patient.  If their doctor saw the floaters.
The reason this may be important is that if your eye doctor quite confidently saw a prominent floater in the mid-portion of the eye, and at the time of the examination exclaimed something like: “Oh, there it is.  That’s a doozy.” that sounds to me like a positive affirmation that they are actually seeing the floater in question. If on the other hand, they mutter something about eye floaters and that you just had to get used to them than we really don’t know whether they actually saw the floaters are not.
floaters that are readily and obviously seeing in the middle part of the eye are much more likely to be treatable.  Define and microscopic floaters associated with younger patients are extraordinarily difficult to see on examination.  Sometimes I might spend 10 to 15 minutes trying to find them.  And I would imagine that I am more motivated than most doctors to try to find a document these floaters.
Now, as with everything, there are exceptions to these general guidelines.  There is what I now call the smokescreen floater.  You can read about it on a recent post. All that does is through up a smokescreen and confuse the picture. For these reasons and more, I find it not very helpful to rely on other eye doctor’s evaluations of eye floaters in the pre-visit screening process.PRE-EXISTING CONDITIONS OR PREVIOUS SURGERIES
If you have had a previous corneal refractive surgery such as LASIK, PRK, or R. K., there may be some decrease in the energy delivered by the laser but generally it’s something that can be dealt with at the time of treatment. I have had many patients with these previous surgeries with quite successful treatments.  If you have had previous cataract surgery with implant lens placement, the same prognosis applies.  Whereas the corneal refractive surgeries tend to introduce distortion or scarring into the cornea, with cataract surgery.  There is the likelihood of having to work through a smaller aperture determined by the diameter of the artificial implant lens.
Many of my patients have had previous laser to the retina to treat small holes or early tears or possibly to prophylactically treat peripheral retinal thinning and pathology. The YAG laser treatment for floaters should not be affected by this previous treatment nor should it put the retina and any particularly increased risk.
If there is any active retinal problems such as inflammation or recent hemorrhage or a history of elevated eye pressure is or any other condition, then it warrants a discussion with the patient as to whether those conditions may country indicate treatment with the YAG laser.

The purpose of this post is purely educational and is not meant to definitively determine whether or not he may be a candidate for treatment with the gag laser for your eye floaters.  It is just meant to answer some of the common questions I receive as well as to generally place you into a more likely to be treatable or a less likely to be treatable category.  This is particularly important as many of my patients have to travel long distance with no small expense associated with it.  As always, you are welcome to contact me with more specific details about your particular condition.


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