Tag: surgery

LASIK Laser Eye Surgery – PRK and LASIK Today – LASIK Postoperative Tips #lasik,

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LASIKLASER EYE SURGERY

  • As soon as the anaesthetic wears off your eyes will be sore, watery, and light sensitive. This phase of the healing lasts for 6 to 8 hours until the surface layer at the edge of the flap heals.

During this time it is recommended that you take your eye drops and if possible, sleep wearing your shields.

  • The next day your eyes will still be blurry and light sensitive. It is typical to be able to return to most of your normal activities from 3 – 7 days.
    • You may experience a fluctuation in your vision from morning to evening, and you can also expect to see halos around lights at night. This is caused by normal postoperative swelling (edema). This is a normal part of the healing process and may take several weeks to resolve.
  • Some patients note that even though they see 20/20, it may not be as sharp or well defined as before. This is caused by a small loss of contrast and is regarded as a minor tradeoff for acceptable vision without glasses.
  • LASIK Postoperative Tips

    Things you should do

    Things you should avoid

    • Wear the eye shields at night for the first 4 nights. This is to prevent you from rubbing your eyes while you sleep.
  • Rest and relax for 24 – 48 hours immediately following the procedure.

  • A cold cloth gently placed across the eyelids for the first 24 – 48 hours will help greatly with comfort.

  • Prepare to take 3 – 7 days off
    from work.

  • Tylenol and Aspirin may be used for discomfort.

  • Eye drops and antibiotic drops as prescribed by your surgeon.
    • Do not rub your eyes.

  • Avoid getting soap or shampoo near eyes.

  • Avoid dusty and/or smoky environments for 1 week.

  • Avoid pools, hot tubs, saunas and water sport activities for 1 week.

  • Refrain from activities that could result in a direct blow to the eye for several months.

  • Refrain from driving for the first 3 – 7 days until you have achieved 20/40* vision correction.

  • Eye make-up must NOT be worn for 1 week postoperatively.

  • Watching TV, reading and computer use will strain your eyes. These activities should be done in moderation for the first few days following the surgery.
  • * This is the legal requirement in most jurisdictions to operate a vehicle without corrective lenses.

    LASIK Postoperative Medication

    This page last updated on September 17, 2001.
    Web Page Programmer Turnaround Type and Graphics

    Disclaimer
    Murray McFadden MD. Inc. provides Online information by way of Internet for communication and review purposes only. Murray McFadden MD. Inc. does not have editorial control over and has not participated in the development of the materials provided here, other than those materials copyrighted in favour of Murray McFadden MD. Inc. himself, nor has Murray McFadden MD. Inc. exerted any control or participated in the development of other Internet sites which may contain informational materials of a similar nature to those found here. Murray McFadden MD. Inc. disclaims any and all liability for any injury or other damages which may result from the communication or review of information contained here.

    Materials produced here are not intended to provide medical information. Rather, the materials are presented for informational purposes only. None of the materials presented may be relied upon by any person for any medical, diagnostic or treatment reasons whatsoever. None of the materials presented here may be relied upon by any person for purpose other than informational purposes without the express written consent of Dr. Murray McFadden or the person indicated as the owner of the relevant materials. Dr. Murray McFadden disclaims any liability for any injury or other damages resulting from the review or use of the information obtained here. Dr. Murray McFadden asks that any person reviewing the materials presented here obtain specific medical advice and answers to specific medical questions, by a qualified eye doctor.


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    Lap-Band Surgery – Risks & Expected Weight Loss, medicare and lap band surgery.#Medicare #and

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    Lap-Band Surgery Information

    Medicare and lap band surgery

    The Lap-Band is an adjustable silicone band placed around the top part of the stomach during a laparoscopic surgical procedure designed to restrict food intake. At the time of surgery, a small device called a port (or reservoir) is placed under the skin of the abdomen. It is connected by tubing to the Lap-Band and allows the surgeon to periodically adjust the tightness of the band. This is done by injecting a small amount of saline water into the port. The Lap-Band may be adjusted several times in the first six months after surgery to promote maximum weight loss without side effects.

    Laparoscopic approach

    Typically our procedures are performed laparoscopically, an approach that is less invasive than open incision surgery because it is performed by placing the instruments and a camera through several very small incisions in the abdomen. Depending on the procedure, the hospital stay is usually a day or two, and Lap-Band patients often discharged the same day.

    How does the Lap-Band promote weight loss?

    The Lap-Band restricts the amount of food your stomach can hold and extends the feeling of being full and satisfied after eating a small amount of solid food. The success of this procedure, however, depends on how motivated you are to change your eating behaviors. Patients should eat three small high protein, low carb meals daily with no snacking. Eating too fast or too much can cause vomiting. No fluid should be taken with meals because it will cause the stomach to empty quickly. High-calorie beverages such as non-diet sodas, fruit juice, milkshakes, and smoothies must be avoided because they will impair weight loss. The same is true of high-calorie snack foods such as candy, ice cream and chocolate.

    How does the surgery differ from gastric bypass?

    The Lap-Band procedure requires no stapling or cutting of the stomach and no surgery on the intestine. No intestinal bypass is done, so there is no change in the amount of calories and nutrients absorbed in the intestine. Lap-Band patients do not experience dumping syndrome after consuming high-sugar foods or beverages. The tightness of the Lap-Band is adjusted to suit your individual situation and it can be removed if necessary. If done laparoscopically, which is the case for most patients, the Lap-Band procedure takes about one hour in the operating room and usually one night in the hospital. In 5% of cases, the Lap-Band placement cannot be completed laparoscopically. This would extend the hospital stay. Gastric bypass is a longer, more complex surgery that usually requires a stay of two or more nights.

    How much weight can I expect to lose with the Lap-Band?

    A weight loss of 2-3 pounds a week is possible during the first year, but this depends on the patient’s commitment to new eating habits and regular exercise.

    What are the risks?

    Lap-Band surgery carries the same risks as other laparoscopic surgical procedures and much less risk than gastric bypass surgery. Only 1-3% of patients experience bleeding, infection inside the abdomen, blood clots in the leg that can travel to the lungs, perforation of the stomach or esophagus during surgery, spleen or liver damage and death (less than 1%). There also are possible complications related specifically to the Lap-Band. Over time, it is possible for the band to slip out of position, block the outlet from the stomach or erode into the lining of the stomach, which would require an additional surgery to repair.

    Medicare and lap band surgery


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    Plastic Surgery (Cosmetic Surgery): Facts on Procedure Types #plastic #or #cosmetic #surgery


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    Plastic Surgery (Cosmetic Surgery and Procedures)

    Quick Guide Plastic Surgery: Before and After Photos of Cosmetic Surgeries

    Introduction

    Fighting the effects of aging on the outside; your guide to the risks of cosmetic surgical and non-surgical procedures

    Trying to fight the effects of aging. Below is a basic guide to the risks involved in both surgical and non-surgical cosmetic procedures. For more information on each procedure, click on the highlighted links of the procedure.

    Cosmetic Procedures: Surgical

    Breast Augmentation: Breasts are enlarged by placing an implant behind each breast.

    Risks:

    • implants can rupture, leak, and deflate
    • infection
    • hardening of scar tissue around implant, causing breast firmness, pain. distorted shape, or implant movement
    • bleeding
    • pain
    • nipples may get more or less sensitive
    • numbness near incision blood collection around implant/incision
    • calcium deposits around implant
    • harder to find breast lumps and to see breast changes on a mammogram
    • in rare instances, implants can cause anaplastic large cell lymphoma (ALCL) – a rare cancer of the immune system

    Breast Lift – Extra skin is removed from the breast to raise and reshape breast.

    Risks:

    • scarring
    • skin loss
    • infection loss of feeling in nipples or breast
    • nipples put in the wrong place
    • breasts not symmetrical

    Breast Reduction – Fat, tissue, and skin is removed from breast.

    Risks:

    • if nipples and areola are detached, may lose sensation and decreased ability to breastfeed
    • bleeding
    • infection
    • scarring
    • harder to find breast lumps
    • poor shape, size, or position of nipples or breasts

    Eyelid Surgery: Extra fat, skin, and muscle in the upper and/or lower eyelid is removed to correct “droopy” eyelids.

    Risks:

    Facelift: Extra fat is removed, muscles are tightened, and skin is rewrapped around the face and neck to improve sagging facial skin, jowls, and loose neck skin.

    Risks:

    • infection
    • bleeding under skin
    • scarring
    • irregular earlobes
    • nerve damage causing numbness or inability to move your face
    • hair loss
    • skin damage

    Facial Implant: infection feeling of tightness or scarring around implant shifting of implant

    Risks:

    • infection
    • feeling of tightness or scarring around implant
    • shifting of implant

    Forehead Lift: Extra skin and muscles that cause wrinkles are removed, eyebrows are lifted, and forehead skin is tightened.

    Risks:

    • infection
    • scarring
    • bleeding under skin
    • eye dryness or irritation
    • impaired eyelid function
    • loss of feeling in eyelid skin
    • injury to facial nerve causing loss of motion or muscle weakness

    Lip Augmentation: Material is injected or implanted into the lips to create fuller lips and reduce wrinkles around the mouth.

    Risks:

    Liposuction: Excess fat from a targeted area is removed with a vacuum to shape the body.

    Risks:

    • baggy skin
    • skin may change color and fall off
    • fluid retention
    • toxic shock
    • infection that requires antibiotics or additional surgery
    • burning
    • fat clots in the lungs
    • pain
    • damage to organs if punctured
    • numbness at the surgery site
    • heart problems
    • kidney problems
    • disability
    • death

    Nose Surgery: Nose is reshaped by resculpting the bone and cartilage in the nose.

    Risks:

    • infection
    • bursting blood vessels
    • red spots
    • bleeding under the skin
    • scarring

    Tummy Tuck: Extra fat and skin in the abdomen is removed, and muscles are tightened to flatten tummy.

    Risks:


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    Knee Arthroscopic Surgery #orthopedic #surgery, #sports #medicine, #dr #david #j #chao #md, #board-certified #orthopaedic

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    ACL Reconstruction

    A tear in the anterior cruciate ligament (ACL) is one of the most common knee injuries. An injury to this ligament causes the knee to become unstable and the joint to slide forward too much. ACL tears occur most often in athletes.

    ACL reconstruction is usually not performed until several weeks after the injury, when swelling and inflammation have been reduced. The torn ligament is completely removed and replaced with a new ACL. Simply reconnecting the torn ends will not repair the ACL. Part of another ligament, usually in the knee or hamstring is used to create a graft for the new ACL. Choosing the proper type of graft depends on each patient’s individual condition.

    Arthroscopic Surgery

    Arthroscopy is a minimally invasive procedure that allows doctors to examine tissues inside the knee. It is often performed to confirm a diagnosis made after a physical examination and other imaging tests such as MRI, CT or X-rays.

    For some patients, it is then possible to treat the problem using a few additional instruments inserted through small incisions around the joint, including those with meniscal tears, mild arthritis, loose bone or cartilage, ACL and PCL tears, synovitis (swelling of the joint lining) and patellar (knee cap) misalignment.

    Because it is minimally invasive, arthroscopy offers many benefits to the patient over traditional surgery. These include:

    • No cutting of muscles or tendons
    • Less bleeding during surgery
    • Less scarring
    • Smaller incisions
    • Faster recovery and return to regular activities
    • Faster and more comfortable rehabilitation

    Arthroscopy is not appropriate for every patient. Your doctor will discuss the options that are best for you.

    Cartilage Repair/ Re-growth

    Cartilage is the smooth coating on the end of the bones that provides cushioning and support for comfortable, fluid movement. Cartilage damage occurs as a result of injury or degeneration and can lead to severe pain and arthritis. The cartilage eventually wears away and leaves the bone unprotected. Fortunately, there are now several techniques used to repair damaged cartilage and restore normal movement.

    Cartilage repair is a relatively new field and long-term results are still not proven. These procedures aim to restore movement with the best possible tissue and to prevent further cartilage damage. Two common procedures used in cartilage repair include autologous chondrocyte implantation and osteochondral autograft transplant (OATS).

    Meniscus Repair/ Meniscal Transplants

    The menisci are C-shaped pieces of tough cartilage that rest on either side of the knee, which help to distribute body weight across the knee. A meniscus tear is common after a traumatic injury, and most frequently occurs when the knee joint is bent and the knee is then twisted.

    A torn meniscus causes pain and swelling, and may also be accompanied by a frequently locking joint and the inability to completely straighten the knee. Some people experience a popping or clicking sensation within the knee as well.

    Treatment for a meniscus tear often begins with conservative methods such as rest, ice or over-the-counter medication. If these treatments are not effective and symptoms continue, you may benefit from meniscus repair surgery. Meniscus repair is an arthroscopic procedure in which the torn segment of the meniscus is removed and the torn edges are sutured together, which allows them to heal properly.

    Partial and Complete Knee Replacement

    Arthritis and certain knee injuries and diseases can damage the cartilage that normally cushions the knee joint, leading to pain and stiffness. A knee replacement may be recommended when more conservative treatments — such as anti-inflammatory medications and cortisone injections — fail to relieve pain or improve movement.

    During a total knee replacement, the entire joint is replaced with an artificial prosthesis. The surgery itself lasts between one-and-a-half and three hours. After the procedure, patients usually experience immediate relief from joint pain. Knee replacements today last about 20 years in 85-90% of patients.

    Partial knee replacement may be possible for patients with damage to one part of the joint. In a partial knee replacement, only the diseased parts of the knee are removed and replaced; the healthy portions are left untouched. Successful partial knee replacements can delay or eliminate the need for a total knee replacement. They also allow a greater range of movement than standard (non-high-flex) total knee replacements.

    Patella Femoral (Knee Cap) Disorders

    The knee cap (patella) connects the muscles in the thigh to the shinbone. In a healthy knee, the patella rests in a groove in the thighbone and slides up and down as you bend and straighten your leg. The knee cap may be injured as a result of a fall, sports injury, motor vehicle accident, overuse, or several other factors. Patients with knee cap disorders may experience pain, stiffness, swelling and instability within the knee.

    Treatment for knee cap disorders varies depending on the type and severity of the injury, but may include realigning the joint, removing damaged bone ends, and other kinds of surgical repair. The goal of treatment is to stabilize the knee and restore strength and function, while relieving pain and other symptoms. Your doctor will determine which treatment is best for you.

    2010 David J. Chao, MD All Rights Reserved.


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    FUE Hair Transplant Chicago #fue #hair #transplant #chicago, #fue, #hair #transplant #chicago, #follicular #unit

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    Hair Transplant Chicago

    All you ever wanted to know about FUE hair restoration – interview with Dr Gregory Turowski

    • Most comprehensive and experienced FUE hair restoration center in Illinois
    • Offers cutting edge ARTAS ® robotic hair restoration AND the Neograft® automated hair transplantation
    • We were the first center in Chicago and the Midwest to introduce the Neograft system and have the longest and largest experience with this technology
    • We are the first center to offer the cutting edge ARTAS robotic FUE transplantation technology
    • We can design a minimally invasive procedure that is best for you utilizing the best technology on the market
    • We utilize various donor sites – we can transplant hair not only from the back of the scalp but also other parts of the body such as your chest, arms, legs, beard, etc. all without scars
    • We can reconstruct and cover strip donor-site scars
    • We can cover not only balding spots but also traumatic, chemotherapy defects
    • We treat Caucasians, African Americans. Asians, Men and Women

    Special offer for out of town patients: You only need to spend 2 days in Chicago for your hair transplant procedure. We will pay for you transfer from O’Hare airport and a local hotel. Call 847 674 4646 to discuss!

    Language

    Although FUE procedures are minimally invasive and cause little pain and recovery time compared to conventional STRIP hair transplants, FUE procedures can still last eight hours or more. Such a long procedure time may cause fatigue in even veteran surgeons and you don’t want a tired doctor plowing for follicles on the back of your head. Luckily, the new ARTAS FDA approved system can aid the doctor with this heavy hair-pulling.

    The revolutionary ARTAS robotic system utilizes a computer-assisted image guidance system to increase the number and quality of usable hair follicles gathered from donor sites. This new system is more precise and less invasive than what even sure-handed surgeons can accomplish with the Neograft.

    ARTAS Center of Clinical Excellence

    ARTAS Center of Clinical ExcellenceWe are recognized as “ARTAS Center of Clinical Excellence” by the Restoration Robotics company – together with selected few centers in the world that are leaders in robotic hair restoration!

    In order to achieve this status, a center must be able to perform ARTAS Procedures with the following performance criteria: procedures of > 2000 grafts, follicle transection rates of 85%, and harvest speeds of 700 grafts/hr.

    Although the ARTAS robot does not get tired and produces very uniform and viable grafts, the system does have its limitations. For one thing, it only works on men and women with straight hair and only on the scalp (so far!). Those with curly hair or simply not enough hair left on the scalp are not good candidates for ARTAS robot but can be a good candidate for Neograft.

    For people who currently do not qualify for the ARTAS technology, the Neograft system is still very effective. Since the Neograft is human controlled it can work on curly or African American hair and also can be used to harvest hair follicular units from secondary sites such as the chest, back, beard, arms and legs. Moreover, it can be helpful in secondary cases with multiple previous scars.

    Therefore, by offering both the ARTAS robot and the Neograft technologies, our center can be successful with all types of cases – not only first comers who are afraid of ugly STRIP scars but also the most complicated re-do or unusual patients. Experience and technology count!


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    LAP-BAND SURGERY STATISTICS – Day One Health #lap #band #surgery #statistics


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    LAP-BAND SURGERY STATISTICS

    Lap-band surgery has been performed in Europe for over 10 years before being approved for use in theU.S.in 2001. Until now, it is estimated that over 300,000 gastric band surgeries were performed worldwide. Over a decade of experience in the U.S. alone has shown that lap-band is an effective tool in fighting excess weight and that it has been more successful than traditional methods in achieving long-term weight loss.

    LAP-BAND COMPLICATIONS

    According to the study performed with the use of database developed as a part of the accreditation program instituted by the AmericanCollege of Surgeons Bariatric Surgery Center Network (ACS-BSCN), out of 28,616 patients only 6% developed complications following the lap-band surgery. Majority of the complications constituted pouch enlargement (stretching of the stomach) and the band slippage, and were addressed with the band repositioning.

    Another study performed by Dr. Franco Favretti and Gianni Segato looked at 1,791 patients who underwent the lap-band procedure within the period on 12 years. The analysis showed the total complication rate of 5% out of which band slippage and pouch stretching constituted 3.9% of the cases. The erosion cases constituted 0.9% of the sample. No cases of mortality were recorded. The study by Paul E. O Brien and John B. Dixon showed mortality of 1 out of 2,000 patients. This rate is approximately 10% lower than the mortality rate indicated for the gastric bypass surgery.

    Belgian study published in 2011 indicated complication rates for lap-band to be significantly higher – especially for instances of band erosion – than any other study. The researchers were claiming that the approximately 40% of patients experienced serious complications (39% band erosions) and another 22% suffered minor complications such as pouch enlargement. Nevertheless, study analyzed patients who underwent the surgery between the 1994 and 1997, and followed only half of the original sample. In other words, out of the whole sample of 151 patients, the researchers followed up only on 84 patients. In addition, bands and urgical methods observed in the study were substantially different from the bands currently used.

    In over a decade of experience at DayOne Health, we observed the complication rate no higher than 4%. The most common complications we ve seen at our practice are a stretched pouch and a band slippage. At DayOne Health, we have not seen yet any band erosions.

    LAP-BAND WEIGHT LOSS

    According to the study done by Dr. Favretti and Dr. Segato the average weight loss achieved by patients was 58lbs or 38.5 ± 27.9% loss in excess weight. Other studies report 40% excess weight lost within the first year followed with additional 10% to 20% in the second. The study by O Brien and Dixonindicates weight loss of 56% of excess weight in three years after the procedure. In comparison, the average weight loss for the same time period for gastric bypass was 59%. In other words, lap-band is as effective in achieving long-term weight loss as gastric bypass. As a side note, the surgeons who performed over 100 lap-band surgeries achieved better weight loss results than the less experienced ones.

    Lap-band weight loss results and closely connected with the frequency and length of a follow up care. The study performed by Jonathan A. Myers, M.D. Sharfi Sarker, M.D. and Vafa Shayani, M.D. showed that patients with higher BMI ( 60) took longer to achieve the same weight loss results than lower BMI patients and required longer follow up period. In the study performed by Evan Valle, Minh B. Luu, Khristi Autajay, Amanda B. Francescatti, Louis F. Fogg, Jonathan A. Myers, that there is a strong positive relationship between a higher number of lap-band adjustments and percent of excess weight lost. The study also indicated that patients operated and followed up on at the surgical facility achieved greater weight loss results from patients at the hospital. The difference was ascribed to the fact that patients seen at the surgery center had easier access to the frequent follow up

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    5 TIPS TRICKS FOR LAP-BAND SUCCESS

    HAPPILY EVER AFTER LAP-BAND

    Talk to a patient advocate

    Is the lapband right for you?

    Learn more about the LAP-BAND


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    Welcome to Southern Crescent Plastic Surgery #southern #crescent #plastic #surgery #peachtree #city #ga, #peachtree

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    Welcome to Southern Crescent Plastic Surgery, PC. This website was created solely for your benefit, to help you make informed decisions about your health care. We will introduce you to our highly-skilled Plastic Surgeon Dr. Lawrence Gross, as well as explain our many surgical procedures and our office policies on excellent patient care.

    Dr. Gross and our staff at Southern Crescent Plastic Surgery are committed to providing you with cosmetic and reconstructive Plastic Surgery in an environment of comfort and confidentiality. We offer professional, personal, and compassionate care to all of our patients, and if you ever have any questions or concerns, we encourage you to speak with Dr. Gross or our nurse administrator Alice BSN, CNOR, RNFA.

    Plastic Surgery is a subtle combination of medicine, art, and understanding each patient s requests. We recognize the importance of all of these contributions and are eager to work with you to provide the very best results possible.


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    Preparation – Weight Loss Surgery #preparing #for #weight #loss #surgery


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    Preparation

    Preparing for Weight Loss Surgery

    As you get ready for weight loss surgery, it is important to mentally prepare for it in much the same way as you would any other surgery. You need to review the risks and benefits associated with the procedure and familiarise yourself with the at-home care instructions for when you are discharged. To get ready, consider the following.

    1. Know what will happen in surgery and what your recovery is expected to be like.
    2. Talk with others, either in person or online, who have had weight loss surgery before and talk to them about their experience. Your surgeon may help you get in touch with past-patients that are willing to share their journey.
    3. Put your goals in writing. Talk about what you hope to gain from weight loss surgery and how you are going to keep the weight off when it is finished.
    4. Buy a notebook and chronicle your journey. Talk about your feelings at this moment, when you are still overweight. Discuss your fears and what you are looking forward to. Continue this process after the surgery is over.
    5. Ask your family members and close friends to write you messages of support. These will be helpful to you as you stick to an exercise and diet plan going forward.

    In addition, there are a few things that your doctor will most likely request of you. Instructions may involve the following.

    1. Making sure to follow the surgeon s specific pre-surgery diet.
    2. Take any medications that may be prescribed.
    3. Pack for the length of your hospital stay (usually 5-8 days) and make sure to get to the hospital 15-30 minutes ahead of time.
    4. Bring any paperwork that you have been asked to fill out, as well as any documentation that you have from your doctor.

    Your Hospital Visit

    Patients generally spend anywhere from five to eight days in the hospital if they have an open surgery. If the procedure is laparoscopic, it will only be between two and five days. You can leave the hospital once you no longer have a fever, can eat and drink, and are not suffering with pain.

    If you have gastric bypass surgery, it is not unusual for a few tubes to be put near the stomach pouch so that body fluids can exit the body. These tubes come out within ten days. One of the risks of this type of surgery are blood clots; you may have compression stockings or some other measure taken to ensure this doesn t happen. In addition, your doctor will try to get you up and moving as soon as possible, usually within a day of completing surgery.

    Some patients do have to go to the ICU for monitoring following the surgery. In addition, if you use a machine for sleep apnea, you may be asked to bring that with you.


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    Near sighted eyes #strabismus, #stabismus, #strabismis, #crossed #eyes, #cross-eyed, #cross #eye, #wandering #eye, #wander,

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    Amblyopia

    Amblyopia (am-blee-OH-pee-uh) or “lazy eye” is a condition in which the eye and brain don’t work together as they should. Kids who have it will develop good vision in one eye and poor vision in the other.

    Kids often get used to this vision problem, and might not mention it to parents. As a result, their amblyopia might not be diagnosed for months or even years, while parents chalk up poor grades or clumsiness to a child not being academically or athletically gifted.

    But sometimes the solution is as easy as visiting the eye doctor. Treatment for amblyopia can correct the way the eye and brain work together and strengthen vision. Early treatment is important waiting or not getting a proper diagnosis could lead to permanent vision loss later.

    About Amblyopia

    From birth until about age 8, a child’s eyes and brain form vital connections. Anything that blocks or blurs vision in one or both eyes can slow down or prevent these connections.

    If that happens, the brain might not fully recognize the images seen by one or both eyes. Then, the brain begins to ignore the images seen by the otherwise healthy eye, and the eye becomes weaker, losing vision strength (acuity). This eye is then referred to as “amblyopic.”

    Causes

    A number of things can interfere with normal brain eye connections and lead to amblyopia.

    One of the most common problems is strabismus . In this condition, one or both eyes wander in (“cross-eyed”), out, up, or down. When eyes don’t line up together, the straight or straighter eye becomes more dominant. The vision strength of the straight eye stays normal because the eye and its connection to the brain are working normally. The misaligned or weaker eye, though, doesn’t focus properly and the brain ignores its signal, eventually leading to amblyopia.

    Not all kids with amblyopia will have crossed or wandering eyes in fact many have eyes that are perfectly straight. If so, amblyopia might be due to an anatomical or structural problem that interferes with or blocks vision, such as a droopy eyelid or a cataract .

    Other causes of amblyopia are severe far-sightedness (hyperopia), near-sightedness (myopia), or astigmatism (a form of blurry vision). These problems make vision blurry, and it’s these blurry images that are sent to the brain. Over time, the brain begins to ignore these images, resulting in amblyopia in one or both eyes.

    Sometimes, having different vision strengths in each eye known as anisometropia can cause amblyopia. When one eye sees more clearly than the other, the brain ignores the blurry eye.

    Genetics play a role, too. Amblyopia tends to run in families. It’s also more common in children born prematurely or those with developmental delays.

    Signs and Symptoms

    Most children with amblyopia won’t complain of vision problems. Over time, they become used to having good vision in one eye and poor vision in the other.

    Often, a parent or teacher might realize that a child is struggling with a vision problem maybe noticing crossed eyes, frequent squinting, or tilting the head to see better. Some kids have poor depth perception and trouble seeing in three dimensions.

    Regular vision screenings by health care providers are an important part of finding any problems in kids.

    Treatment

    Treatment for amblyopia involves forcing the brain to pay attention to the images of the amblyopic or weaker eye so vision in that eye gets stronger. This is done with glasses, eye patches, eye drops, surgery, or a combination of these:

    • Glasses. Glasses are prescribed when amblyopia is caused by severe refractive errors and/or anisometropia (when one eye sees more clearly than the other). Glasses help send clear, focused images to the brain, which teach it to “switch on” the weaker eye. This allows the brain to use the eyes together and develop normal vision.
    • Eye patches. In many cases, kids with amblyopia must wear an eye patch over the stronger or unaffected eye. The patch is worn for 2 6 hours a day while the child is awake for several months or years, depending on the condition. There are two types of eye patches: one works like a band-aid and is placed directly over the eye; the other, designed for kids who wear glasses, is a cloth patch that fits securely over one lens.

    Making sure a child wears the eye patch can be a challenge. But kids usually adapt well, and the patch simply becomes part of their day. In the meantime, distraction with a new or exciting toy, a trip to the park, or just playing outside can help kids forget they’re wearing an eye patch.

  • Atropine drops. Sometimes, despite parents’ best efforts, some kids won’t wear their eye patch. In these cases, atropine drops may be used. Just as a patch blocks the vision in the unaffected or straight eye, atropine drops will temporarily blur out the vision in the strong eye, forcing the brain to recognize the images seen by the weaker eye.
  • Surgery. If strabismus is causing amblyopia and treatment with glasses, patches, or drops doesn’t improve the alignment of the eyes, eye muscle surgery might be an option. Surgery also might be done if amblyopia is caused by a droopy eyelid or a cataract.

    Surgery involves loosening or tightening the muscles causing the eye to wander. This type of surgery usually doesn’t require an overnight hospital stay.

  • Eye Exams for Kids

    Kids reach “visual maturity” by about 8 years old; after that, vision problems can be harder to treat. The earlier amblyopia is diagnosed and treated, the better the chances to improve vision and avoid permanent vision loss.

    Sometimes there are no apparent signs of a vision problem, so it’s important for kids to have yearly vision screenings. These exams should begin in the toddler and preschool years so that problems are caught before a child reaches visual maturity.

    Most screenings are done at the pediatrician’s office or at school by the school nurse. If problems are found, your child will be referred to a pediatric ophthalmologist for further evaluation and treatment.

    Talk with your doctor if you have any questions about your child’s vision.

    Date reviewed: January 2017


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    Bariatric Surgery in Austin, TX by Dr Nilesh Patel #austin #weight #loss, #lap #band

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    Texas Bariatric Specialists Delivering Bariatric Surgery in Austin – Now Serving True Results Patients *

    Founded by Dr. Nilesh A. Patel, MD, a nationally recognized and fellowship-trained bariatric surgeon, Texas Bariatric Specialists is a holistic weight loss practice focused on delivering long-term weight loss solutions through which have resulted in over 2,500 bariatric surgeries that have exceeded the national average of successful weight loss management.

    Announcement to All Former True Results Patients

    Dr. Patel has been designated as a preferred provider for all former True Results patients in the Austin area. True Results patients have already been experiencing the high level of service available and the comprehensive care program.

    Dr. Patel specializes in surgical weight loss procedures including:

    With a commitment to surgical expertise, compassionate care and exemplary preoperative and postsurgical consultative services, Dr. Patel and staff at Texas Bariatric Specialists ensure successful weight loss management for their patients through long-term relationships to support good health.

    Our Services Include:

    • Ultra-modern 5,000+ sq. ft. office in Northern Austin atop the Horizon Bank. Knowledgeable, full-time staff available Monday through Thursday.
    • Back-on-Track Program – This program is designed to assist prior bariatric patients with a lap band, sleeve, or RNY to re-embark upon their journey to health and wellness. Our experienced staff will get you back on track with any nutritional, dietary, or physical weaknesses established post-surgery.
    • Revision of failed weight loss surgery – There are times when surgery just does not yield the desired outcomes. Not always due to surgeon or patient compliance. There is just a disconnect between desired results and achieved results. Dr. Patel has become a laparoscopic revision surgery specialist and has successfully converted all types of failed surgical procedures to more viable and beneficially procedures for the patient. If you are struggling with your chosen procedure, and are considering reversal or revision surgery, please see our experienced staff for evaluation.
    • Carol Andrus, NP a very knowledgeable and compassionate addition to the TBS staff. She is specifically assigned to our North Austin office and is available every Tuesday – Thursday from 9:00 am – 1:00 pm to provide clinical services and support of your health goals.
    • Radiological Services –Available on site most days, Monday through Thursday 9:00 am – 1:00 pm for Barium swallows (UGI) and fluoroscopic adjustment of laparoscopic adjustable gastric bands.
    • Program Exercise Physiologist – Our staff physiologist is readily available to help create a robust exercise program that will be both challenging and beneficial for obtaining and maintaining your goals.
    • Pulmonary Function Tests – Testing offered during normal business hours specifically designed to assess your pulmonary status and ability to undergo bariatric surgery.
    • Ultrasonic Body Composition Testing – Scientifically proven and trusted modality can accurately measure tissue structure and body composition. It is a very effective tool used by our staff to help patients track fat and muscle, gains and losses and to evaluate the effectiveness of their diet and exercise program.
    • Insurance Concierge – Our staff of knowledgeable insurance specialists provide a full range of insurance qualification services to make your prequalification paperwork is in order. This full service ensures you are receiving the full benefits you are entitled to, alleviates the hassle for you, and provides you with peace of mind. We are happy to say that 80% of our weight loss surgeries are paid for by insurance. You will be assigned an insurance advocate who will answer all your questions about insurance guiding you through the approval process. Just provide your insurance information and they will take it from there.
    • Life Partner for Weight Loss – As a nationally recognized surgeon, Dr. Nilesh A. Patel, MD, believes in long-term relationships and forming partnerships for success.
    • Program Psychologist – A staff psychologist is available for all patients’ pre-op and post-operative treatment, to assist with through the journey of successful, long-term weight loss.
    • Program Dietician – A certified dietician/nutritionist who specializes in the unique needs of bariatric surgery patients and provides both private consultations and group sessions before and after surgery.
    • Nutritional Resource Store – A convenient, in-house nutritional supplement resource store with pharmaceutical-grade supplements.
    • Support Group – A strong online support group to help keep you on track and create a forum to discuss issues.

    Texas Bariatric Specialists is more than a surgery center; it is a group of highly trained professionals focused on ensuring your health for a lifetime.

    Texas Bariatric Specialists – South Austin

    9701 Brodie Lane Ste 206


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