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Monday, December 22, 2014

Is It an Option? Part 5

Posted by William on July 3, 2012

In a different recent study of men who died of causes unrelated to prostate cancer, autopsies revealed that 27 percent of men in their 30s already had prostate cancer, and 34 percent of men in their 40s had it. So, by the time a lump is detected, it’s already past the early stages and should be treated systemically with hormone therapy.? WAIT! There is more to read… read on »

Is It an Option? Part 1

Posted by William on

Triple Hormone Blockade Therapy as Treatment for Prostate Cancer

When Fred Osterloh was diagnosed with prostate cancer following a routine physical exam eight years ago at age 57, he was stunned. He felt fine. He didn’t have any symptoms, and no one in his family had ever been diagnosed with prostate cancer. WAIT! There is more to read… read on »

History of the Night Eating Syndrome. Part 1

Posted by William on April 6, 2012

I would like to begin a history of the night eating syndrome with the dramatic event that brought it to my attention. The year was 1950, and the occasion was an informal meeting of psychiatric residents. WAIT! There is more to read… read on »

Making a Glaucoma Diagnosis, Post 2

Posted by William on March 16, 2012

No Symptoms
In the most common form of glaucoma, this build-up of fluid pressure happens gradually, usually without discomfort or painful symptoms.

Those at higher risk to develop glaucoma are:

Over 60 years old
African-American
Relatives of glaucoma patients
Very nearsighted
Diabetic
Doctors recommend a glaucoma check as part of regular eye examinations for children, teenagers and adults. Most people should have an especially thorough glaucoma check around the age of 35.
When to get a thorough check for glaucoma:

At age 35 and 40
Every two to four years after age 40
Every one to two years after age 55
Every one to two years after age 35 if you have any of the above special risk factors
Vision lost as a result of glaucoma usually cannot be recovered, but early diagnosis and careful, lifelong treatment can help prevent further visual damage. Most cases of glaucoma can be controlled with medication or surgery. Researchers all over the world are searching for the causes of glaucoma and for more effective treatment methods.
Are There Different Types?
There are many different types of glaucoma, but there are two major types: open-angle and closed-angle

Open-angle glaucoma is the most common form of glaucoma, at least 90 percent of all cases of glaucoma. (It is also known as primary or chronic glaucoma.) It progresses very slowly as the eye’s drainage canals gradually become clogged. The intraocular pressure rises because the right amount of fluid cannot drain out of the eye. In open-angle glaucoma, the angle where the iris meets the cornea is as wide and open as it should be.

Closed-angle glaucoma or acute glaucoma is relatively rare. It is very different from chronic glaucoma because the eye pressure usually goes up very quickly. The pressure rises because the drainage canals are blocked or covered over, very much like the blockage that would occur in a sink if a piece of paper or plastic completely covered the drain.

If the angle between the iris and cornea is too narrow, acute glaucoma can occur when the pupil is enlarged by certain medications, or in a darkened room or movie theater. The symptoms of acute glaucoma — severe headaches or eye pain, nausea, rainbows around lights at night, severely blurred vision — demand immediate medical attention because suddenly-high intraocular pressures can lead to serious, immediate visual damage.

Treatment of acute glaucoma usually involves microsurgery or laser surgery to remove a small portion of the bunched-up iris. This unblocks part of the drainage canals, which allows the extra fluid to drain. Microsurgery and laser surgery for acute glaucoma are generally successful and long-lasting. Regular check-ups are still important even after acute glaucoma has been treated successfully, because a chronic form of glaucoma can occur years later. People of Asian heritage are at an increased risk of developing closed-angle glaucoma than individuals of non-Asian decent.

Most of the other types of glaucoma are variations of the chronic and acute forms, and can occur in one or both eyes:

Secondary glaucoma can occur as the result of an eye injury, inflammation or tumor, or in advanced cases of cataract or diabetes. This glaucoma may be mild or severe. Treatment methods depend on whether it is acute orchronic. Doctors also treat the primary problem that caused the glaucoma.
Normal-tension glaucoma (NTG) is a rare, puzzling form of the disease (sometimes referred to as low pressure glaucoma). The optic nerve is damaged, even though the intraocular pressure is not unusually high. This type of glaucoma is generally diagnosed by the observation of damage to the optic nerve.
Treatment of normal tension glaucoma is often controversial. The Glaucoma Research Foundation is sponsoring an international study to help decide what type of treatment is best for people with normal tension glaucoma. Currently, most doctors treat normal tension glaucoma by keeping eye pressures as low as possible by using medications, laser surgery or filtering surgery. It is not known if the benefits of these treatments outweigh the side effects.
Pigmentary glaucoma is a form of secondary open-angle glaucoma that occurs when the granules that normally adhere to the back of the iris (the colored part of the eye) are distributed into the clear fluid produced inside the eye. These tiny pigment granules flow toward the drainage canals in the eye and gradually clog them, causing the intraocular pressure to rise. Doctors use the usual treatments, such as medications, laser surgery and filtering surgery.

Congenital glaucoma occurs in infants. This very rare condition may be inherited and is the result of incorrect or incomplete development of the eye’s drainage canals during the prenatal period. Microsurgery can often correct the structural defects in uncomplicated cases of congenital glaucoma. Other cases are treated with medication and surgery.

Is There a Cure?
Generally speaking, glaucoma cannot be cured, but it can be controlled.

Once diagnosed, it requires constant, lifelong care. Continual observation and treatment can control the intraocular pressure, which protects the optic nerve and prevents vision loss.

The importance of keeping eye pressure under control cannot be emphasized too strongly.

Many people think that glaucoma has been cured when high eye pressures have been brought down to safe levels with medication or surgery. In fact, the glaucoma is only being controlled. Regular check-ups are necessary even after medications or surgery have successfully controlled the eye pressures.

How Arthritis Is Diagnosed

Posted by William on February 20, 2012

There are a number of factors a physician takes into account when attempting to diagnose arthritis and then differentiating which type of arthritis a patient may have. Symptoms may range from morning stiffness, pain, swelling, joint heat and fever, to bony malformations and constitutional complaints, such as depression. Your clinician will begin by taking your detailed history and doing a physical exam. WAIT! There is more to read… read on »

Helen wins Immunity!

Posted by William on January 26, 2012

They promptly had to gather their belongings and head out to Tribal Council where Jeff continues to do his best to cause a stir. Jake spoke up and basically challenged Chuay Gahn on their reasons for voting Ken out. Penny hated being associated with Jake, “I feel very vulnerable as I’m sure Penny does as well.” WAIT! There is more to read… read on »

Exercise Programming, Part 1

Posted by William on December 7, 2011

When Carol Welsh started exercising a little more than a year ago, things didn’t look so good for the grandmother of three. Her cholesterol hovered above 300, she was borderline hypertensive, and just five years shy of retirement, heart disease was threatening to darken what were supposed to be her golden years. WAIT! There is more to read… read on »

Treatment for Hypertrophic Obstructive Cardiomyopathy

Posted by William on June 8, 2011

Q.I heard about a treatment for hypertrophic obstructive cardiomyopathy that involves injecting alcohol into the heart. Does it work? What are the risks? WAIT! There is more to read… read on »