Advanced Common Sense #professionalservices, #consulting, #usability, #don’t #make #me #think, #rocket #surgery, #ux, #usability #testing


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Advanced Common Sense sm is the online home of Web usability consultant and author Steve Krug.

Upcoming events

Boston UXPA. Finally, I ’ m doing a new presentation! It ’ s called Questioning Picture-in-Picture: Why Showing the Participant May Not Be Such a Great Idea After All. and it ’ ll be at the always-worthwhile Boston UXPA conference on May 19th. (Hint: I may be wrong, but I tend to think that showing video of the participant to usability test observers is often an unnecessary distraction. Please come argue the point with me.)

UXPA 2017. With any luck, I ’ ll be attending the international UXPA conference in Toronto, June 5th-8th. I ’ ll be in tourist mode–not presenting (actually, they turned down the talk I ’ m doing in Boston )–which is the most fun: no pressure, just hanging with old friends, learning what everybody else is up to, and signing the occasional book. It ’ s always a great conference.

The Books

3rd edition! After 14 years, I’ve finally updated the book that’s become almost everyone’s introduction to Web usability (450,000 copies in 20 languages). Don’t Make Me Think, Revisited is still short enough to read on a plane ride, but now the examples are from the 21st century, and it talks about mobile sites and apps.

The how-to book. If Don’t Make Me Think convinced you that you should be doing usability tests, this book tells you exactly how to do them. Hint: It’s much easier than you’d think, as you can see in this video of a usabilty test that shows how I do them.

Recent Interviews

TheUXIntern (Wesley Noble) has posted our hour-long cha t (also available on iTunes podcasts ). We ended up talking about things like The Great Skeuomorphism Panic of 2013.

UserTesting.com has a pretty freewheeling two-part interview about the new edition of Don’t Make Me Think. (At one point, I can’t remember Geena Davis’s name.)

Or you can listen to Lou Rosenfeld and I have our usual good time discussing wearables. (Spoiler: I’m an Apple Watch fan.)

Sadly, the video of one of my favorite presentations (“Is Usability Taking a Nose Dive?” in Pasadena a few years ago) somehow got shredded by YouTube. If you happen to have a copy somehow, please let me know. (The slides are available on SlideShare .)


Tempted by laser eye surgery? It s not without risks #laser #eye #surgery #orlando #cost


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Tempted by laser eye surgery? It’s not without risks

The TV advert for laser eye surgery made it sound so straightforward that Lois ­Roberts didn’t think twice.

‘The idea of just being able to see perfectly as soon as I opened my eyes in the morning seemed fantastic,’ says the law graduate.

She’d worn contacts and glasses for short-sightedness since she was 13-years-old and ‘really looked forward to being able to bin them’.

Regret: Lois Roberts now suffers from painfully dry eyes

‘I also played a lot of sport such as hockey and found wearing glasses ­annoying,’ she says.

Her parents thought it was such a good idea that they helped pay for the £1,500 cost as a present for her 21st birthday.

Yet, instead of the simple pain-free experience Lois was led to expect, the surgery to correct her short-sightedness left her in agony for days.

Worse, three years on, she still has ­painfully dry eyes as a result of damage to the nerves that stimulate tears.

Lois has to apply eye drops daily – which in itself is a problem, as ­long-term use can raise the risk of chronic eye inflammation. Dry eyes can also lead to serious infections and, ultimately, even loss of vision.

As well as dry eyes, Lois suffers from constant floaters and poorer night vision.

‘The floaters are like clumps of black lines and dots,’ she says. ‘I’ve been reassured they’re harmless, but they are incredibly annoying.’

Floaters occur as a result of a popular form of laser surgery in which a flap is cut into the surface of the cornea — the clear, domed part of the eyeball.

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The flap is lifted so that the laser can remove some of the corneal tissue underneath, to reshape it. But if the flap is folded back down with wrinkles in it or doesn’t adhere to the eye properly, it can result in speckles in vision. Poor night-time vision occurs because part of the cornea has been lasered incorrectly.

The good news is that the surgery did correct her short-sightedness ­(previously it was minus 4.5; now she has ‘perfect’ vision).

But I’m upset I wasn’t warned enough at my ­initial consultation that anything like this could happen,’ says Lois, from North Wales. ‘I would have thought much harder about it had I known the risks.’

This is far from a unique ­experience. Marketing manager Sarah Carter, 45, is taking legal action after treatment to correct severe short-sightedness (minus 6.5) left her with such dry eyes she needed further surgery.

Unfortunately, this operation also went wrong, and the laser damaged the rim of her eyelids.

As a result, Sarah, from Maidstone, Kent, ­suffers from painful ingrowing eyelashes, which must be plucked ­several times a month by an ­optician. She is about to undergo further eye surgery at Moorfields Eye Hospital, but there is no ­guarantee of any cure.

Five years since she had the laser eye surgery, she says: ‘I regret ever having it done. It seemed incredibly straightforward and, at the time, I was just fed up of the inconvenience of contact lenses and glasses.

‘But that was nothing compared to the agony I’ve endured since.

‘I can’t wear eye make-up any more, and my days are full of drops, ointment and constant eye irritation.’

‘I can’t wear eye make-up any more, and my days are full of drops, ointment and constant eye irritation’

Every year, 100,000 Britons undergo laser eye surgery, which alters the shape of the cornea to correct long and short-sightedness.

First carried out in Britain in 1989, the technique was ­marketed as an end for the need to wear contact lenses and glasses.

Since then, a whole range of ­different types of laser surgery have become available.

However, some experts are ­concerned that the multi-­million-pound industry glosses over some unpleasant, and sometimes ­serious, side effects.

Last year, a Which? report claimed six out of ten ­opticians offering laser eye surgery — including branches of big chains such as ­Optical Express, Optimax and Ultralase — gave unsatisfactory advice and failed to point out the risks.

These include not only dry eyes, floaters and poor night vision, but also growths where the eye is cut, double vision, foggy vision, chronic eyelid inflammation and even loss of sight.

Shockingly, there is no law preventing any surgeon from ­operating as an ‘eye expert’ — though the Royal College of Ophthalmologists awards a ­Certificate of Competence after a surgeon has demonstrated ­expertise in laser eye surgery. It ­recommends patients choose a surgeon with a minimum of three months’ formal training in laser eye surgery who performs at least 500 eye laser operations a year.

Laser surgery can have permanent side effects such as dry eyes and poor night vision

The Royal College says at least 75 per cent of patients undergoing laser surgery should end up with 20/20 vision. However, one in three still need glasses — and even when eyesight is successfully corrected, some will also be suffering from some sort of side-effect.

The ‘overall risk’ of something going wrong with laser surgery ­— including floaters and dry eyes — is ‘less than 5 per cent’, according to its report published this year.

The risk of serious complications — such as losing your eyesight — is less than 0.2 per cent. Worryingly, it admits the risk of complications at individual clinics can be as high as 40 per cent.

Retired optometrist Dominic Devlin was so concerned about the lack of information about potential risks, he set up a website to help consumers.

‘As part of my research, I’ve been to consultations and have been ­surprised how little is made of potential problems that might occur,’ he says. Mr Devlin is also concerned many patients believe laser surgery is a permanent cure and think they’ll never have to wear glasses again.

‘The truth is laser eye surgery is not a lifetime fix. Side-effects from surgery mean some people will still need glasses for night-time and, as eyesight changes as we grow older, the vast majority will eventually need glasses for reading.’

Furthermore, he says, surgery can be much more painful and the recovery time might take much longer than people are sometimes led to believe. As illustrator David Holroyd, 57, learned to his cost.

‘The surgery lasted only minutes, but was terrifying. Had I known how painful it would be, I never would have had it done’

Eighteen months ago, he ­underwent laser eye surgery for short-sightedness, paying £2,600 for treatment at a private clinic near his Manchester home.

‘I’d seen a TV advert that made it look as if it was something you could have done in your lunch hour,’ he says. ‘I was ­struggling with several pairs of glasses — not only did I need bifocals generally, I also had a pair for reading.’

David says his consultation lasted 20 minutes, the ­surgery sounded straightforward and there was no mention of pain.

Yet he claims that within ­seconds of starting the surgery, he was writhing in agony.

My head was in a clamp so I couldn’t move, but I could feel every brush of the laser.

‘I’d had local anaesthetic drops put into my eyes, but the doctors could see from my face I was in excruciating pain.

‘I was in too much agony to even speak, let alone tell them to stop. Yet all the doctor said was: “We are aware. Try to keep still.”

‘The surgery lasted only minutes, but was terrifying. Had I known how painful it would be, I never would have had it done.’

‘Afterwards, I was in bed for three days, followed by two weeks when my sight wasn’t good enough to go out.’

As well as the pain, like Lois and Sarah he has also been left with dry eyes for which he will need drops for the rest of his life.

Now, though his sight is much better, he has been told his eyes will be permanently dry. ‘I just feel angry that I wasn’t warned about any of this,’ he says.

Mr Devlin is campaigning for a proper independent body where patients can seek advice and complain to if surgery goes wrong. He points out that contact lenses are much more sophisticated and cause fewer problems than they did 20 years ago and may be a safer option than laser surgery.

‘If you have a problem with ­contact lenses or glasses, you can pop back to the opticians where it can be easily rectified,’ he says.

‘But adverse side effects from laser surgery might be ­irreversible and permanent.’

Dominic Devlin’s website can be found at laser-eye-surgery-review.com

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LASIK Eye Surgery Procedures – LASIK Vision Institute, lasik eye surgery portland.#Lasik #eye #surgery #portland


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LASIK Eye Surgery Procedures

LASIK procedures are so popular because they allow not only more freedom from glasses and contacts, but also the chance to see better than you would with corrective eyewear. There are several types of LASIK eye surgery treatments, and your surgeon will determine which one is best for you, depending on your individual needs.

LASIK treatments can correct some of the most common vision problems, including nearsightedness, farsightedness, and astigmatism.

Our physicians use state-of-the-art eye-mapping technology to analyze the problems with your eyesight as well as each eye’s unique irregularities. After determining if you’re eligible for LASIK, your surgeon will recommend the LASIK procedure that makes the most sense for achieving your optimal vision.

Request a Free LASIK Evaluation

This may include:

  • Traditional LASIK Surgery (laser-assisted in-situ keratomileusis) is the most frequently performed laser vision correction procedure. A hinged flap is created on the eye s surface, and an excimer laser is used to reshape the underlying corneal tissue, so that the eye s focusing power is improved.
  • PRK: Photo Refractive Keratectomy Laser Eye Surgery Similar to LASIK surgery, PRK surgery involves using a laser to reshape the cornea. But instead of creating a flap, a thin outer layer of the cornea is polished to allow the laser access to reshaping the eye PRK may be a better alternative for certain eye conditions.
  • Custom Wavefront Optimized LASIK Surgery WaveLight® refractive technology combines the latest surgical advancements into a LASIK procedure personalized for your ideal vision. This system offers a unique procedure that actually accounts for the natural shape of your eye as it corrects your cornea. As a result, LASIK with WaveLight® refractive technology can help preserve the quality of your vision, ensuring your eyes are at their most natural and their most useful.

You will receive some simple instructions to follow in the days leading up to your LASIK treatment, including not wearing contact lenses for a period of about a couple of weeks to a few days. Your surgeon will discuss with you what to expect during and after your laser eye surgery procedure, including recovery time.


LASIK Surgery with Diabetes? #lasik #surgery #diabetes, #lasik #surgeon, #best #lasik #surgeon


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Question: I have a question about having LASIK surgery if I have diabetes. I am a type one diabetic, would I be a good candidate for LASIK eye surgery?

Answer: Type I Diabetes is not an absolute contraindication for having LASIK Eye Surgery but there are several considerations to be aware of. Type I Diabetes is uusually diagnosed in children and young adults. As with anyone having LASIK or any type of Laser Eye Surgery for Laser Vision Correction your prescription must be stable. Typically refractive stability should be demonstrated over 1-2 years AND for anyone with Diabetes it would be important to make sure that there was refractive stability through the range of blood glucose levels experienced by the patient. That is, the patient should have pretty tightly controlled blood glucose levels.that do not cause any visual fluctuations. A thorough evaluation of the retina should document the presence and extent of any Diabetic Retinopathy so as not to confuse the visual results and outcomes of LASIK with any vision limitations caused by the retina. A careful evaluation of the cornea is done as part of any LASIK evaluation but specific observation of the corneal basement membrane is important in Diabetic patients as sometimes they have less than optimum basement membrane health and this might warrant recommendation of a different Laser Eye Surgery procedure for vision correction. MANY Diabetic patients elect to have LASIK and do so quite successfully. The key is to find the best LASIK Surgeon in your area and schedule a consultation. They will confer with your Internist or Endocrinologist to make sure that you get the best possible result.

Important Note: The information presented on the See With LASIK Blog or provided in response to a request for information in the Ask LASIK Surgeons section on seewithlasik.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to LASIK. In particular a response to an inquiry made on the Ask LASIK Surgeons section of seewithlasik.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and LASIK surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.


Laser Hair Removal Connecticut, Greenwich Connecticut Cosmetic Surgeon #greenwich #cosmetic #surgery,connecticut,greenwich,laser #hair #removal,cosmetic #surgery


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Laser Hair Removal

Everyone has unwanted hair. Waxing? Shaving? Creams? Lasers? What is the real solution? At Gold Coast Plastic Surgery and Laser Center, the Sciton Joule Laser System provides two clinically proven and safe methods . Guaranteed!* Our short and painless treatments will give you smoother, more beautiful skin. Years of scientific research combined with the experience of board certified plastic surgeon, Chang Soo Kim, MD, equates to the most effective hair removal for our patients.

Why you should choose Gold Coast Plastic Surgery and Laser Center for your Laser Hair Removal

  • We offer a limited money back guarantee* on Laser Hair Removal.
  • We use a chill tip to keep your skin cool and comfortable during treatment sessions.
  • We provide you with a variety of topical agents to keep you pain-free, at no additional cost to you.
  • Our Sciton Joule laser is designed to treat all skin types, safely and effectively.
  • Treatment sessions are provided by Dr. Kim, a board certified plastic surgeon.
  • Our fees are competitive so that you can afford to have great laser hair removal without having to compromise excellent care.

Many Laser Hair Removal centers are run by individuals who are not experienced or even licensed. Some salons or spas may have out of date equipment. Poor quality laser hair removal is cheap but may be ineffective and dangerous. At Gold Coast Plastic Surgery and Laser Center, our goal is to provide the highest level of service and customer care. Sciton Joule Laser System is the praised by physicians worldwide for its safety and efficacy. Our treatments are provided by board certified plastic surgeon, Dr. Kim, who has years of experience operating lasers and performing aesthetic treatments.

When you have your consultation with Dr. Kim, he will talk to you about your lifestyle and goals to ensure the best result during your laser hair removal sessions. He will design a regimen that ensures the best results possible, with treatments that are quick and comfortable. Special consideration is taken for skin type, hair color, hair texture and location. The best laser will be matched to your specific needs. Finally, treatments will be scheduled to optimize treatment of hair in the active growth phase. * Call Gold Coast Plastic Surgery and Laser Center for details today.

Gold Coast Plastic Surgery & Laser Center Serving: Plastic Surgeon Connecticut , Cosmetic Plastic Surgery Connecticut, Fairfield, Westport, Southport, Greenwich, Stamford, Litchfield, New Haven, Clinton, Madison, Weston, Orange, Ridgefield, Salisbury, Southbury, Shelton, Trumbull, West Haven, Wilton, Woodbridge, Fairfield County, Litchfield County, New Haven County,Hartford County, Pound Ridge, North Salem, Mamaroneck, Mount Pleasant, and more.

999 Summer St, Suite 401, Stamford, CT 06905. Phone: 203-920-1444

2017 Gold Coast Plastic Surgery Laser Center, all rights reserved.


Richmond Eye Associates #richmond #eye #associates, #p.c., #barry #e. #roper, #m.d., #d. #alan #chandler, #m.d.,


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  • Markel Plaza – Suite 120+Glen Allen+VA+23060+’ >Richmond Eye Associates
    Innsbrook Office & Optical Shop:
    4600 Cox Road Innsbrook Corporate Center
    Markel Plaza – Suite 120 Glen Allen VA, 23060
  • Winchester Building – Suite 127+Richmond+VA+23235+’ >Richmond Eye Associates
    Midlothian Office & Optical Shop:
    10800 Midlothian Turnpike Koger Center South
    Winchester Building – Suite 127 Richmond VA, 23235
  • Building 2, Suite 1E+Mechanicsville+VA+23111+’ >Richmond Eye Associates
    Mechanicsville Office & Optical Shop:
    7575 Cold Harbor Road Mechanicsville Medical Center
    Building 2, Suite 1E Mechanicsville VA, 23111
  • Richmond Eye Associates
    Innsbrook Office & Optical Shop: 804-270-0330
  • Richmond Eye Associates
    Midlothian Office & Optical Shop: 804-270-0330
  • Richmond Eye Associates
    Mechanicsville Office & Optical Shop: 804-270-0330

Personalized Eye Care in Richmond

Thank you for choosing Richmond Eye Associates for your eye care needs.

Our goal is to provide you with the finest eye care possible. For your convenience, Richmond Eye Associates offers full service eye care at three locations in the Richmond area. Our Ophthalmologists are certified by the American Board of Ophthalmology.

Our Optometrists are members of the American Optometric Association. Licensed opticians are available to assist you in our three optical dispensaries with new or replacement frames and lenses, adjustment at no charge, and quality guaranteed service at competitive prices.

Our Mission

“At Richmond Eye Associates, we specialize in family vision care. The mission of the doctors and staff of Richmond Eye Associates is to provide you with professional, state-of-the-art medical and surgical care for your eyes. From performing routine eye examinations to complex new Laser Vision Correction, cataract / implant, and advanced glaucoma and corneal procedures, we strive to maximize and preserve your vision.”

Before Your Appointment

Visit our Patient Information Page prior to you appointment with Richmond Eye Associates to make sure that you have everything ready for your eye exam:

  • Download forms to fill out to bring with you for your exam.
  • Check the list of insurances and vision plans that are accepted by Richmond Eye
  • Review the Check List of things to do before your examination
  • Review information about the different types of eye examinations and privacy information.

We are pleased to announce the opening of our new refractive surgery suite. Services provided include LASIK and photorefractive keratectomy (PRK). Please call 804-270-0330 to schedule a consultation with Dr. Brooks for further information.. read more

Offices Closed on Monday, September 4th, 2017 – All Richmond Eye Associates offices and Richmond Eye Optical Shops will be closed on Monday, September 4th. If you are having an emergency and need to talk to the on-all physician, please call 804-270-0330 to reach the answering service. If you need . read more

Dr. Greene is a board certified ophthalmologist (American Board of Ophthalmology) specializing in cataract extraction with lens implantation, corneal transplantation, laser surgery, and the diagnosis and treatment of corneal and external diseases of the eye. Dr. Greene performs routine eye examinations as well as those for the management of advanced corneal . read more

Currently, we are accepting applications for Front Desk Personnel and for Ophthalmic Technicians. Richmond Eye Associates is a busy ophthalmic practice medically, surgically, and in providing routine eye care for glasses and contact lenses. Every employee at Richmond Eye plays a key role in our success in delivering the highest . read more


Gastric Sleeve Surgery #bariatric #surgery, #fat, #gastric #banding, #gastric #bypass #surgery, #gastric #surgery, #obesity, #obesity


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Gastric Sleeve Surgery

Surgery Overview

Restrictive operations like gastric sleeve surgery make the stomach smaller and help people lose weight. With a smaller stomach. you will feel full a lot quicker than you are used to. This means that you will need to make big lifelong changes in how you eat-including smaller portion sizes and different foods-in order to lose weight.

This surgery can be done by making a large incision in the abdomen (an open procedure) or by making several small incisions and using small instruments and a camera to guide the surgery (laparoscopic approach). More than half of your stomach is removed, leaving a thin vertical sleeve, or tube, that is about the size of a banana. Surgical staples keep your new stomach closed. Because part of your stomach has been removed, this is not reversible.

Sometimes this surgery is part of a larger approach to weight loss done in several steps. If you need to lose a lot of weight before you have duodenal switch surgery . gastric sleeve surgery may help you.

What To Expect After Surgery

Recovery from surgery

You will have some belly pain and may need pain medicine for the first week or so after surgery. The cut that the doctor makes (incision) may be tender and sore.

Because the surgery makes your stomach smaller, you will get full more quickly when you eat. Food also may empty into the small intestine too quickly. This is called dumping syndrome. It can cause diarrhea and make you feel faint, shaky, and nauseated. It also can make it hard for your body to get enough nutrition .

Depending on how the surgery was done (open or laparoscopic) you’ll have to watch your activity during recovery. If you had open surgery, it is important to avoid heavy lifting or strenuous exercise while you are recovering so that your belly can heal. In this case, you will probably be able to return to work or your normal routine in 4 to 6 weeks. The surgery is most commonly done as a laparoscopic procedure, which means the recovery time is faster.

Eating after surgery

Your doctor will give you specific instructions about what to eat after the surgery. For about the first month after surgery, your stomach can only handle small amounts of soft foods and liquids while you are healing. It is important to try to sip water throughout the day to avoid becoming dehydrated. You may notice that your bowel movements are not regular right after your surgery. This is common. Try to avoid constipation and straining with bowel movements .

Bit by bit, you will be able to add solid foods back into your diet. You must be careful to chew food well and to stop eating when you feel full. This can take some getting used to, because you will feel full after eating much less food than you are used to eating. If you do not chew your food well or do not stop eating soon enough, you may feel discomfort or nausea and may sometimes vomit. If you drink a lot of high-calorie liquid such as soda or fruit juice, you may not lose weight. If you continually overeat, the stomach may stretch. If your stomach stretches, you will not benefit from your surgery.

Your doctor will probably recommend that you work with a dietitian to plan healthy meals that give you enough protein, vitamins, and minerals while you are losing weight. Even with a healthy diet, you probably will need to take vitamin and mineral supplements for the rest of your life.

Why It Is Done

Weight-loss surgery is suitable for people who are severely overweight and who have not been able to lose weight with diet, exercise. or medicine.

Surgery is generally considered when your body mass index (BMI) is 40 or higher. Surgery may also be an option when your BMI is 35 or higher and you have a life-threatening or disabling problem that is related to your weight.

It is important to think of this surgery as a tool to help you lose weight. It is not an instant fix. You will still need to eat a healthy diet and get regular exercise. This will help you reach your weight goal and avoid regaining the weight you lose.

How Well It Works

Research has shown that people who have had a sleeve gastrectomy on average lose more than half of their excess weight. 1 Success is higher for people who are realistic about how much weight will be lost and who keep appointments with the medical team, follow the recommended eating plan, and are physically active. 2

Risks

Over time, you may have problems from poor nutrition. Some vitamin and minerals may not be well absorbed, because a large portion of your stomach has been removed. You should expect to work with your doctor over a long period of time to prevent problems.

Risks common to all surgeries for weight loss include an infection in the incision, a leak from the stomach into the abdominal cavity (resulting in an infection called peritonitis ), and a blood clot in the lung (pulmonary embolism ). Some people develop gallstones or a nutritional deficiency condition such as anemia or osteoporosis .

What To Think About

Weight-loss surgery does not remove fatty tissue. It is not cosmetic surgery .

Some studies show that people who have weight-loss surgery are less likely to die from heart problems, diabetes. or cancer compared to obese people who did not have the surgery. 3

Complete the surgery information form (PDF) (What is a PDF document?) to help you prepare for this surgery.

References

Citations

Brethauer SA, et al. (2009). Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surgery for Obesity and Related Diseases, 5: 469-475.

Heber D, et al. (2010). Endocrine and nutritional management of the post-bariatric surgery patient: An Endocrine Society clinical practice guideline. Journal of Clinical Endocrinology and Metabolism. 95(11): 4823-4843. Available online: http://www.endo-society.org/guidelines/final/upload/FINAL-Standalone-Post-Bariatric-Surgery-Guideline-Color.pdf.

Adams TD. et al. (2007). Long-term mortality after gastric bypass surgery. New England Journal of Medicine, 357(8): 753-761.

Other Works Consulted

Brethauer SA, et al. (2009). Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surgery for Obesity and Related Diseases, 5: 469-475.

Colquitt JL, et al. (2009) Surgery for Obesity. Cochrane Database of Systematic Reviews (2).

Credits

By Healthwise Staff
Primary Medical Reviewer E. Gregory Thompson, MD – Internal Medicine
Specialist Medical Reviewer Ali Tavakkoli, FACS, FRCS, MD – General Surgery, Bariatric Surgery

Current as of February 20, 2015

WebMD Medical Reference from Healthwise

This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information. © 1995-2015 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

Top Picks

further reading


Ross Procedure #ross #procedure #heart #surgery


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Ross Procedure

The aortic valve controls the unidirectional flow of blood from the heart to the entire body. Diseases that cause narrowing (aortic stenosis) and leaking (aortic regurgitation) of the aortic valve decreases the function of the left ventricle and cardiac output, and increases the risk for congestive cardiac failure and death. The Ross procedure is a technique used to treat the diseased aortic valve and prevent further damage to the heart. The procedure involves replacing the diseased aortic valve with your pulmonary valve, which controls the unidirectional flow of blood from the heart to the lungs for purification. This is also called a valve switching procedure as the patient’s own pulmonary valve is used to replace the diseased aortic valve.

The procedure is performed under the effect of general anaesthesia. During this open heart procedure, the heart’s function of pumping blood is taken over by a heart-lung machine. Your doctor introduces medication to temporarily stop your heart from beating. An electrocardiogram is used to continuously monitor your heart rate and rhythm throughout the procedure.

Your surgeon makes an incision in the middle of the chest and separates the breastbone to gain access to the heart. The pulmonary valve is excised. The damaged aortic valve is carefully removed and replaced with your own pulmonic valve. A pulmonary valve taken from a human donor is then placed into the pulmonic position. The heart is disconnected from the heart-lung machine and its function resumed. The breast bone is brought together and the chest incision is closed with sutures.

After the procedure, you are moved to the cardiovascular intensive care unit, and your heart rate, rhythm and vital signs are closely monitored. You may experience numbness, itching and tingling, which will subside after a few days. Your doctor will prescribe medication to relieve pain, reduce discomfort and improve mobility. Scars will fade within 3 to 6 months. You should include a balanced diet to promote healing and improve your strength after the surgery. Your physical therapist may suggest a home walking program and physical exercise to improve flexibility, circulation and muscle tone. Avoid lifting heavy objects, pulling or pushing for a few months after the surgery. Inform your doctor if you experience high fever, shortness of breath, irregular heartbeats, or swollen feet and ankles.

Risks and complications

As with any surgery, the Ross procedure may involve certain risks and complications. They include:

  • Bleeding and infection
  • Stroke, heart attack
  • Breathing problems
  • Irregular heartbeats or death

Advantages and disadvantages

The advantages of the Ross procedure include:

  • Improved performance of the patients’ pulmonary valve in the aortic position
  • Superior blood flow with reduced wear and tear of the heart
  • Anti-coagulants not necessary
  • Less chance for infection

The disadvantages of the Ross procedure include:

  • Complex surgery
  • Follow-ups required for both aortic and pulmonary valves

A directory of Green Bay LASIK surgeons #lasik, #custom #lasik, #laser #eye #surgery, #lasik #vision


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THE LASIK PROCEDURE
LASIK (Laser Assisted-in-situ Keratomileusis) is a fast and painless procedure to correct farsightedness, nearsightedness, and astigmatism with dramatic results.

The treatment of both eyes typically takes less than ten minutes—both eyes!

LASIK Safety and Effectiveness FDA Approved.

LASIK Step by Step

Step 1
First the eye is numbed with topical anesthetic. You are then reclined in a comfortable chair and positioned under the excimer laser. The doctor views your eye through a microscope on the laser.

Step 2
A flap is created using a microkeratome. The flap is about 1/5th the thickness of the cornea. This entire process takes about 10 seconds.

Step 3
The flap is then gently reflected, exposing the corneal bed. Using information from your prescription and other information gathered by your doctor, the excimer laser precisely and smoothly changes the cornea’s curvature. It is in this step that information from the wavescan would be used to provide the laser a more detailed analysis of your prescription should you elect to have Custom LASIK.

Step 4
After the laser treatment, the flap is replaced and held in place by the natural healing processes of the cornea.

FEATURED SURGEONS

Dr. Stephen Dudley
OptiVision Laser Centers 223 S. Nicolet Road Appleton WI 54914

Dr. Gerald Clarke
OptiVision Laser Centers 223 S. Nicolet Road Appleton WI 54914


How Much Does LASIK Cost, how much is lasic eye surgery.#How #much #is #lasic #eye


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How Much Does LASIK Cost?

How much is lasic eye surgery

Question: How Much Does LASIK Cost?

How much does LASIK cost?

Answer: Depending on the type of procedure being performed, LASIK usually costs between $2,500 to $6,000. Various laser centers will differ in cost, but not quite as much as the public thinks. Many of the lower fees quoted are simply bait and switch techniques, or they may be using an older, outdated laser.

Costs also vary depending on the surgeon performing the procedure.

Keep in mind that the LASIK surgeon is the most important factor in your surgery outcome. (Your choice of surgeon should not be based on cost.) Experienced eye surgeons well-known in the LASIK community will generally be more expensive than lesser-known surgeons.

Although most insurance companies consider LASIK to be an elective treatment and do not cover the procedure, many surgeons offer no-interest financing to help with the cost. LASIK financing is sometimes available if you can’t afford to make the full price up front. Financing will allow you to break the total cost into smaller monthly payments according to your personal budget. If you need help financing the cost of LASIK, consider the following sources:

CareCredit offers short-term, no-interest financing plans and low-interest, extended-payment plans. Depending on the program your physician accepts, you may be able to finance your LASIK procedure for 24 months with no interest. Even if you have the cash set aside, this might be smarter as long as you pay it off before the 24 month period ends. If you do not pay your balance before the 24 month period ends, you may be paying a lot of extra interest.

How much is lasic eye surgery

  • Capital One Healthcare Finance:

Capital One Health Care Finance provides patients with financing to cover the cost of laser eye surgery procedures, including LASIK. Capital One offers fixed interest rates, in addition to interest-free loans for qualified applicants.

When researching finance companies, be sure to check the interest rates.

Some credit card companies may offer lower interest rates, or may be just as affordable.

Another option for financing LASIK is to use a flexible spending account (FSA). With FSAs, you can save for LASIK in a tax-free way: you can use pre-tax income to pay for medical expenses. By depositing a portion of your salary into a tax-free account, you will have an interest-free LASIK funding program.