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Advanced Surface Ablation
In patients with corneal thickness below a certain minimum, performing LASIK would be unwise, because the "foundation" may not go back to its original stability. Our colleagues from around the world, agree on when not to do LASIK, like when the cornea is very steep or very flat. In those cases we feel strongly that advanced surface ablation or (PRK) would be the preferred procedure. This information has been shared at seminars, meetings and now, even on webmail. This procedure involves sculpting the cornea at the surface. This is done by removing the epithelium, (the film-like protective outer layer of the cornea) using a special instrument called Amoils epithelial scrubber. The underlying Bowman's membrane (the micro-thin second tissue layer of the cornea that lies just below the epithelium, or outer layer) is exposed. Laser pulses with variable spot size and variable repetition rate are applied in a blended large zone. Mitomycin C may be applied if indicated. Chilled BSS is used to cool the cornea. A bandage soft contact lens, is placed afterwards to maintain comfort in the eye. Oral vitamin C along with steroidal and non-steroidal, anti-inflammatory drops are prescribed. Patients are asked to wear dark U.V. protective glasses. Although recovery is usually longer than with LASIK, patients are very happy with their vision. In the early days, PRK was very painful and vision was not good. With dvanced surface ablation there is minimal pain and most patients resume work in 3-4 days. Dr. Khanna is an Internationally recognized top LASIK and refractive vision care specialist. Dr. Khanna performs the safest and most technologically advanced methods of refractive laser surgery, including the ultra precise WavePrint, 3D ActiveTrak and Variable Spot Scanning used to correct near-sightedness, far-sightedness and astigmatisms. Please see http://www.khannainstitute.com/prk.html His offices are located at Santa Monica and Westlake Village in Southern California. He does surgery on patients from all over the United States.For further questions feel free to email lasik@khannainstitute.com
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Alternative Medicine Lotronex Lawyer: Lotronex Side Effects Lawsuit Even in clinical trials, Lotronex displayed a tendency towards causing ischemic colitis in patients. From the February in which Lotronex was approved until June, the FDA received seven reports of serious complications of constipation leading to hospitalization. Surgery was required to relieve some cases of extreme Lotronex constipation. Lotronex Medication Guides were issued under regulations that became effective in 1999 when Lotronex patients ended up in hospitalization and requiring surgical procedures for constipation. Since Lotronex is a drug used to treat diarrhea, these surgeries were obviously not necessary to treat conditions held before taking the drug. Cetyl Myristoleate for Arthrtis: Science or Speculation There are a lot of fabulous stories about Cetyl Myristoleate (also known as CMO or CM) floating across the Internet. Mine is one of them. 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Lunesta FAQ: Things To Know Before You Buy Lunesta Online When was the last time you enjoyed a good night's sleep? I'm talking about feeling tired, heavy, and relaxed - the times when you might say "wow! I love air conditioning" and fall right into a deep sleep. If you haven't fallen asleep quickly and woken up feeling refreshed and ready for anything, then you are not alone. The Last Line of Defense Against Medication Errors: What You Need to Know to Keep your Family Safe This is a true story. What is Bextra? (FDA Recalled Drug) Bextra, also known as valdecoxib, is a prescribed medication used to alleviate the problems associated with arthritis and other inflammation-related conditions. The drug helps reduce the pain of swelling and fever without causing stomach irritation like aspirin. Take Control of Your Doctor: Ten Actions To Get What You Need At Your Next Office Visit Michael Richardson, MD has some suggestions on maximizing your next doctor's visit. The 7 Most Dangerous Mistakes You Can Make When You See a Doctor for Arthritis! 1. Seeing a doctor who's not board-certified or a doctor who isn't really an arthritis specialist. A lot of doctors will tell you they're "board-eligible." That's nonsense! What "board-eligible" means is that they did the training for the specialty but either haven't taken or- heaven forbid- failed the examination for board-certification. Don't trust your health to one of those doctors. And worse yet, some specialists don't pass on the first attempt. They keep taking the board exam over and over in the hopes they'll finally pass. Ask the doctor how many times it took them. Would you rather see somebody who passed the first time or some idiot who took three and four times to pass? How to Make Changes in Your Healthcare Organization For many of us change is a difficult process. In organizations like healthcare it seems to advance at a snail's pace sometimes. There is a need for change in healthcare, most agree, though we would be hard pressed to agree upon the changes needed. One incentive for change is pay-for-performance programs now beginning in several areas. I would like to describe a couple that affect primary care physicians and then give a few suggestions as to how to adopt changes to take advantage of these programs. Even if you are not in a primary care physician program, the methods suggested for change will be helpful, I believe. Acid Reflux Symptoms and Treatment Acid reflux (also known as GERD or heartburn) is a common condition -- Over 60 million Americans experience it at least once a month. Study Confirms IBS Improvement Irritable bowel syndrome is a debilitating and distressing condition, which affects 10-20% of the population. IBS is characterized by abdominal pain and altered bowel function such as constipation, diarrhea or alternating diarrhea and constipation. 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Antibiotics and Bowel Flora The word Antibiotic is constructed from Greek words anti, which means "against" and bios, meaning "life", is a phrase used to describe an antibacterial substance made from micro-organisms, all though nowadays most are made synthetically. Antibiotics inhibit the growth or destroy other micro-organisms; penicillin, cephalosporin, amino-glycosides, streptomycin and tetracycline are all examples of common antibiotics. Penicillin is the largest group of antibiotics to be used in modern clinical medicine. Misuse and overuse of antibiotics has caused a lot of bacteria to become immune to them. This is why nowadays many hospitals are having problems in combating strains of bacteria such as methicillin-resistant staphylococcus aureus, other wise known as MRSA. How To Medically Treat Nail Fungus Warning: This article is for information only and can not be used to supplement your doctor's advice. You should contact your doctor for nail fungus treatment. Lipitor Side Effects Lipitor is a drug intended to help lower cholesterol. The generic name for this brand-name medication is atorvastatin. Ultram Story: Keeping Pain Control Under Control When Aspirin Isn't Enough New Company Helps Another Medical Condition Become: Acceptable Dinner Conversation Recently once taboo subjects like plastic surgery have become acceptable dinner conversation. Medical conditions are no longer whispered to friends, but have instead become part of the dinner table conversation with full blown discussions on Botox, erectile dysfunction and the feared colonoscopy. However recently there is a new kid on the block, well maybe not so new, it's actually plain old heel pain. You might ask why is this happening? Why is it so important now? After all heel pain for the most part won't kill you. Lunesta Sleeping Pills: A Quick Guide To Lunesta When was the last time you enjoyed a good night's sleep? I'm talking about feeling tired, heavy, and relaxed - the times when you might say "wow! I love air conditioning" and fall right into a deep sleep. If you haven't fallen asleep quickly and woken up feeling refreshed and ready for anything, then you are not alone. Naproxen Lawyer: Aleve Recall Consideration Naproxen belongs to a class of drugs called non-steroidal anti-inflammatory drugs. This basically means it's a common pain reliever among the ranks of ibuprofen (Motrin), indomethacin (Indocin), nabumentone (Relafen), and several others you are probably familiar with. Naproxen, which is sold over the counter as Aleve, is used to manage mild to moderate pain, fever, and inflammation. It works by reducing the production of pain chemicals in the brain. Naproxen was approved by the FDA in December, 1991.
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