Saturday, May 12, 2012

MY NEW iPAD

A few weeks ago I bought the new IPad. I just love it. This is the first time I'm trying to post using it. I have been out of town taking care of my mother so I haven't had anytime to post. Updates to follow.

Wednesday, April 11, 2012

Hearing impaired have a higher risk of falling

I wanted to post this piece about falling and hearing loss because some of us with vision loss also have a hearing loss. I'm one of them and I've fallen twice in the past month. 

Even mild hearing loss triples the risk of difficulties maintaining gait and balance, a study shows. 
A link between hearing loss and falling was found by American researchers. The study indicates that having even a minor hearing impairment can increase the risk of a fall.

“People with impaired hearing have poor awareness of their overall environment, and that makes them more likely to trip and fall,” says Dr. Frank Lin, an Otologist and epidemiologist at Johns Hopkins University School of Medicine, USA.

“It might also be that with hearing loss, the brain becomes overwhelmed by the demands on its limited resources,” says Dr. Frank Lin and suggests that many take their gait and balance as a given, in reality it is cognitive appropriation. If hearing loss imposes a cognitive load, there may be fewer cognitive resources to help maintain balance.
Results

In the study, 2,017 participants aged 40 to 69 had their hearing tested and answered questions about whether they had fallen in the past year. The data was collected over four years and found that people with a 25dB (mild) hearing loss were nearly three times more likely to have a history of tripping often. For every additional 10dBs of hearing loss, a 1.4 times higher risk of falling was seen.

The findings were published in the Archives of Internal Medicine, and they could help researchers develop new ways of preventing falls. 


 

Friday, April 6, 2012

Carbohydrate and Macula Degeneration

Written on July 11, 2011 by Robert K. Su MD
StructureofTheEye

Macula degeneration is usually age-related, thus, is commonly called age-related macula degeneration or AMD. Macula degeneration is an eye disease involving the central portion of the retina. Retina is the area in the back of the eye where receives the light or image and relates it in electrical signals through the optical nerve to the brain. Therefore, damage of the macula can cause loss of central vision, which should be clear and sharp.  The disease was not well known by the general public until the recent decades when its prevalence had continued to increase [1]. However, a report in 2011 showed that the prevalence of macula degeneration has begun to fall possibly because of individual’s healthier lifestyle [2].There are two types of AMD, namely, wet AMD and dry AMD. Wet AMD occurs rapidly with growing blood vessels behind the macula. These blood vessels are fragile and leak blood and fluid , which raise the macula from the retina that results in loss of central vision. On the other hand, dry AMD occurs gradually and damages the macula cells and results in blurred vision first and progressively in loss of vision. The patient with dry AMD might feel that he needs more light in reading or viewing. Dry AMD has three stages, namely, early, intermediate, and advanced, for the degree of damages to macula cells. Sometimes, the patient may have yellow deposit(s) behind his retina, which are called drusen. The sizes and numbers of drusen increase as the degree of dry AMD advanced. The dry AMD is more common than the wet AMD [3].The greatest risk factor of AMD is age. AMD generally affects female more than males. Other risk factors of AMD include smoking, obesity, white more than black, and a positive family history. However, more studies have found both AMD and cardiovascular disease share common risk factors [4, 5]. Thus, avoiding the risk factors of cardiovascular disease is likely helpful in preventing or reducing the risk of developing AMD. Consequently, National Eye Institute encourages individuals to eat healthy foods such as green leafy vegetables and fish, to stop smoking, to prevent hypertension, to avoid overweight or obesity, and to exercise regularly.
Studies have shown diabetes mellitus is positively linked to the prevalence of AMD [6]. In January 2011, Chiu CJ et al cited in an article that the glycemic index of foods is positively linked to the risks of diabetes mellitus, cardiovascular disease, and recently to AMD [7], like the cases with retinopathy, even in those patients without diabetes mellitus [8]. These findings underscore the reiteration by this author that repeated spikes of hyperglycemia result from carbohydrate consumption, particularly in excess, is the risk factor of many diseases including AMD, even before these individuals are diagnosed with diabetes mellitus. With diets high in carbohydrate consumed by a majority of the population, it is understandable that the mass of one’s beta cells is likely continuing to reduce because of damages to beta cells by repeated hyperglycemia after meal. The prevalence of diseases increases as the individual is aging. [9]
Studies have also found AMD is a result of inflammation. [10, 11, 12] Reports have also shown hyperglycemia is both inflammatory and pro-inflammatory, which increases inflammatory factors such as C-reactive protein and cytokines [13]. Therefore, an axis of unrestricted carbohydrate consumption — postprandial hyperglycemia — postprandial inflammation — development of diseases including diabetes mellitus, cardiovascular disease, and AMD is evident clinically. Preventing repeated hyperglycemia from dietary carbohydrates should be the first and ultimate step in preventing diseases including age-related macula degeneration..
Robert Su, Pharm.B., M.D.
References:
1.  The Eye Diseases Prevalence Research Group “Prevalence of Age-Related Macular Degeneration in the United States.” Archives of Ophthalmology. 2004;122:564-572.
2.  Crystal Phend  “AMD Prevalence Falling in U.S.” Medical News, Ophthalmology. January 10, 2011.
3.  National Institute of Health “Facts About Age-related Macula Degeneration.” Health Information.
4.  Snow KK & Seddon JJ “Do age-related macular degeneration and cardiovascular disease share common antecedents?” Ophthalmic Epidemiology. Volume 6, Number 2.
5.  Cimbalas A et al. “[Association of age-related maculopathy with ischemic heart disease and its risk factors in middle-aged population of Kaunas city].” Medicina (Kaunas). Medicina (Kaunas) 2004;40(7):671-6.
6.  Kelin R et al. “Diabetes, hyperglycemia, and age-related maculopathy. The Beaver Dam Eye Study.” Ophthalmology. 1992 October; 99(100:1527-34
7.  Chiu CJ and Taylor A. “Dietary hyperglycemia, glycemic index and metabolic retinal diseases.” Progress in Retinal and Eye Research. 30 (2011) 18e53
8.  Su RK “Diabetes Mellitus: A Diagnosis Too Late. (1 of 3).” The Blog. Carbohydrates Can Kill. April 7, 2010.
9.  Su RK “Diabetes Mellitus: A Diagnosis Too Late. (2 of 3).” The Blog. Carbohydrates Can Kill. April 14, 2010.
10. Kelin R et al. “Inflammation, complement factor h, and age-related macular degeneration: the Multi-ethnic Study of Atherosclerosis.” Ophthalmology. 2008 Oct;115(10):1742-9
11. Hollyfield JG et al. “Oxidative damage–induced inflammation initiates age-related macular degeneration. “Nature Medicine 14, 194 – 198 (2008)
12. Boekhoorn SS et al. “C-reactive Protein Level and Risk of Aging Macula Disorder.” Archives of Ophthalmology. Volume 125 No. 10, October 2007.
13. Su RK “Carbohydrates Can Kill: Hyperglycemia is problematic but preventable by restricting carbohydrates. (1 of 3).” The Blog. Carbohydrates Can Kill. August 16, 2010.

Follow Dr. Robert Su M.D. at :
http://www.carbohydratescankill.com



Wednesday, April 4, 2012

VICTORY FOR THE FEET

Victory for the Feet

A recent New York Times article asserts that an average person’s feet will travel the equivalent of three times around the earth in a lifetime. To keep feet happy, consider:

1. Shoe size matters. Throughout life, feet keep changing. If shoes hurt, try bigger ones.
2. Feet need air. To stave off fungus, keep feet dry and don’t always wear socks and shoes.
3. Foot shape makes a difference. Both fl at feet and high arches cause problems. For flat feet, use shoes or orthotics that support arch and heel. For high arches, wear roomy shoes. For more information visit:

www.newyorktimes.com and search for “Think of Your Poor Feet.”

NCCB Meets in St. Louis

The National Church Conference of the Blind has announced its 2008 convention, to take place in St. Louis, MO, from Sept. 13-18 at the Hilton Frontenac Hotel. The theme is “Equipping for Effective Ministry.” In addition to Biblical teaching, activities include a tour of the Museum of Westward Expansion and
a riverboat ride.

For more information, visit www.thenccb.com.

Lifeglow

July - August 2008: Vol. 25, No. 4

Monday, April 2, 2012

KETATOCONUS CORNEAL TRANSPLANT

Keratoconus is a central or paracentral cornea characterized by bulging forward of non-inflammatory thinning of the disease. The disease is common in young people, 70% of eye disease, the incidence rate of lower than abroad. Although many scholars study of keratoconus, but so far unknown etiology. Cone was found at histological fibrolamellar reduced collagen fiber diameter did not change, so that the bonding between layers may be the fiber is not enough, slip sheet between layers, leading to thinning.
Allergic disease is genetic and its possible causes. As the central area or near the central corneal area of thinning, leading to increase in corneal irregular astigmatism, myopia has been deepened and decreased visual acuity, seriously affecting the life and work and study, with the further progress of the disease, can result in corneal perforation, resulting in blindness. It is generally rigid contact lenses by correcting, penetrating keratoplasty to do serious, young lives could be done twice a corneal transplant.
Predilection keratoconus 16 - 20 years old young people, women more often involving the monocular start, and then the second eye disease, the prognosis, the latter better than the former. The clinical manifestations of early keratoconus in refractive error based, began to myopia, and gradually developed into astigmatism or irregular astigmatism, corrective lenses can generally; medium further decline in visual acuity, general corrective lenses can not be corrected vision with contact lenses. Slit lamp examination showed corneal thinning gradually to the top, projecting forward, and sometimes ruptured Descemet aqueous invasion, corneal edema and opacity may occur; the top of the late corneal scarring or often formed irregular linear opacities, corneal superficial There neovascularization, a high degree of decreased visual acuity, contact lens can correct vision.
Keratoconus cornea after corneal transplantation can be life-long use, this does not occur in the case of rejection, the general lamellar keratoplasty for keratoconus rarely occur after rejection. Therefore, early detection of keratoconus, early treatment is very important.
keratoconus corneal transplant


Keratoconus, the English abbreviation for the KC, is a protrusion of central corneal thinning, was characterized by a cone-shaped eye. Keratoconus can cause a high degree of irregular astigmatism and myopia of different degrees of visual impairment. 20-year-old high risk youth are keratoconus, both eyes usually have disease. Etiology of keratoconus is not clear, it was thought to be genetic abnormalities, it was also reported to the disease and endocrine disorders and allergic diseases, eye diseases also caused damage to the cornea may also be the direction of the keratoconus.
Myopia and myopic astigmatism resulting from decreased visual acuity should be wary of keratoconus, which is the more common performance. In this case generally have a high degree of astigmatism, and more with irregular astigmatism. Keratoconus corneal central area will be getting thin, bulging, round cone prominent, which is the origin of the name of keratoconus. To the late development of sudden acute corneal edema, opacity, so that visual acuity decreased sharply in the short term.
Keratoconus can be divided into two types: front-and rear-type, rear type is divided into full-and localized. Before and after puberty, usually in the eye disease, keratoconus in the early stages of disease when the myopic lens correction, due to irregular astigmatism and the need to wear contact lenses, advanced in need of corneal transplantation, but no matter what level of keratoconus, can not use drugs cure.
Corneal transplantation is an effective way to treat keratoconus, vision can not be corrected for, or keratoconus who developed rapidly. Keratoconus is a standardized, precise microsurgery, advanced form of surgery can effectively reduce astigmatism and postoperative visual acuity can be satisfied. As early as the mid-keratoconus, central corneal opacity without those lamellar keratoplasty may be considered, but not as penetrating keratoplasty visual acuity, acute keratoconus surgery should be postponed. Success rate of corneal transplants higher Cambridge Eye Hospital in Chengdu (Sichuan Province Red Cross Eye Hospital) has been successful for many from across the country successfully implemented in patients with corneal transplants.

Sunday, April 1, 2012

PROSTHETIC EYES

Patient describing what it's like wearing a prosthetic eye with a Digitally Enhanced Iris Image and what it is like to work with Carole Lewis Stolpe. Best viewed in HQ. http://www.allartificialeyes.com

Monday, March 26, 2012

CHRISTIAN RECORD SERVICES FOR THE BLIND NEW DIGITAL BOOKS

Read Digital Books On Tape Now

Simple operation. Superior reliability. Great sound quality. What’s not to like about the digital talking book system developed by the National Library Service for the Blind and
Physically Handicapped (NLS)? Christian Record Services for the Blind has now converted a signifi cant portion of its lending library to digital talking books integrated with the NLS system. No more shuffling of multiple cassettes into a balky tape player. No more hoping the tape doesn’t get eaten by the machinery. The digital talking book cartridge—just a bit larger than a credit card—holds an entire book, no matter how large the book is. At press time for this issue of Lifeglow, cartridges for 534 digital talking books were flowing out to readers off the Christian Record library shelves. Of these, a hundred are new books not previously available from the Christian Record library. By the time you read these words, those numbers will already be out of date. Do you already have a digital player from the National Library Service? To begin receiving digital talking books from Christian Record, all it will take is a phone call—speak to Linda at 402-488-0981, ext. 227—or send an email message to services@christianrecord.org. If you are legally blind and a U.S. resident, but do not yet have an NLS digital player, you can receive a player as a free-permanent loan from
your regional or state library for the blind. To find the one nearest to you, go online to www.loc. gov/nls/signup.html, or you can call the NLS at 1-888-NLS-READ (1-888-657-7323).
Christian Record is still sending out audio library books on audiocassette tapes each
week, but the numbers are dwindling and the days of “books on tape” are numbered. Before long—we don’t yet know how long—it will be all digital all the time. So, if you don’t yet have your new digital player from your state library, it’s time to get it ordered.

Here is a selection of titles that are new
to the CRSB library, and now available as
digital talking books:
Larry Yeagley, A Tree Across My Road
Barry C. Black, From the Hood to the Hill
Donald and Vesta Mansell, Under the
Shadow of the Rising Sun
Larry Lichtenwalter, David: A Heart Like His
Larry Lichtenwalter, David: Faith on the Run
James W. Gilley, Keep On Keeping On
Heather Bohlender, Honestly, I’m Struggling
Allen Steele, The French Pilot
Phillip E. Johnson, Darwin on Trial
Ellen G. White, Heaven
Loron Wade, The Ten Commandments
Ty Gibson, See With New Eyes
Emil Dean Peeler, The Zacchaeus Effect
Adriel D. Chilson, They Had a World to Win
Bradley Booth, The Prodigal
Jennifer Rothschild, Lessons I Learned in
the Dark
Joe L. Wheeler, editor, Tears of Joy for Mothers
Joe L. Wheeler, Abraham Lincoln: Man of
Faith and Courage
Joe L. Wheeler, Smoky, The Ugliest Cat in the
World
Joe L. Wheeler, editor, Christmas In My Heart,
volumes 13, 14, and 15
Mark Patinkin, Up and Running
D’Avanzo and Canuteson, When the Vow Breaks
Noni Beth Gibbs, Malchus
Richard W. O’Ffi ll, Standing Firm
Robert M. Johnston, The Spiritual Life
Arthur A. Milward, I’ll Hold You While It Hurts
Jon Katz, The Dogs of Bedlam Farm
Jerry D. Thomas, Conversations With Jesus
Linda Mintle, Breaking Free from Anger and
Unforgiveness
John Thomas McLarty, Adventist Spirituality
for Thinkers and Seekers
Patty Ntihemuka, The Woman at the Well
Trudy Morgan-Cole, That First Christmas
David George, Spirit Warrior
Stephen Kirkpatrick, Lost in the Amazon
Joni Eareckson Tada, A Place of Healing
Nathalie Ladner-Bischoff, Touched by a
Miracle
William E. Richardson, Fugitives
Richard L. Neil, The God You Thought You Knew
Dan M. Appel, The Choice
Roy Adams, Crossing Jordan
Albert A. C. Waite, Let the Earth Speak
Karl Haffner, The Cure for the Last Daze
Karl Haffner, Soul Matters
Karl Haffner, Pilgrim’s Problems
Arleta Richardson, The Growing Years
Arleta Richardson, At Home in North Branch
Emily Star Wilkens, African Rice Heart
Loren Seibold, A God We Can Trust
Lynn Austin, A Candle In the Darkness
Randall L. Roberts, The End is Near Again
Beverly Lewis, The Shunning
Beverly Lewis, The Confession
Beverly Lewis, The Reckoning
Joy Swift, When Death Isn’t Fair
David Laskin, The Children’s Blizzard
Grover Wilcox, Nobody’s Boy
Jon Paulien, John, the Beloved Gospel
Jon Paulien, Meet God Again—for the First Time
Ellie Kay, The New Bride Guide
Paul M. Meyer, Unlocking Your Legacy: 25
Keys for Success
Dale Henry, The Proverbial Cracker Jack
Brenda Walsh and Kay Rizzo, Battered to
Blessed
William Lindner Jr., Andrew Murray
Judie Gulley, Country Roads, Painted Skies
George Grant, The Courage and Character of
Teddy Roosevelt
Janette Oke, Heart of the Wilderness
Michael Honeycutt, In the House of the
Interpreter
Michael J. Collins, M.D., Hot Lights, Cold Steel
Col. Edward Fleming, Heart of the Storm
Stanley Maxwell, Prisoner for Christ
Herbert E. Douglass, Should We Ever Say, “I
Am Saved”?
Ellen G. White/Ken McFarland, Sitting at the
Feet of Jesus
Marti Olsen Laney, The Introvert Advantage

For more Information Go To:
http://services.christianrecord.org/library/index.php

Friday, March 23, 2012

CONTACT LENS HYGENE TIPS

Contact lenses are among the safest forms of vision correction when patients follow the proper care and wearing instructions provided by their optometrist. However, when patients don't use lenses as directed, the consequences may be dangerous. In fact, Americans could be damaging their eyes by not using proper hygiene in caring for their lenses.


Contact lenses and the solutions used with them are medical devices and are regulated by the Food and Drug Administration, therefore, it's extremely important that patients maintain regular appointments to ensure they are receiving clinical guidance from their eye doctor based on individual eye health needs.

Thursday, March 22, 2012

Live Audio Streaming: MCB Commission Board Meeting in Lansing December 9, 2011


Audio Streaming:
The link will be posted here before the December 9 commission meeting.
You may e-mail your comments about technical aspects of the live audio streaming by sending an e-mail to  turneys@michigan.gov or calling 517-241-8631 at any time.
Telephone:
To listen to the commission meeting over the telephone, please dial (toll-free) 1-877-873-8017 and then access code 7502991. 
E-mail Public Comments:
Public comments may be submitted by e-mail to mcbpubliccomments@gmail.com within a specific time frame as noted in the meeting agenda.  The complete meeting agenda will be posted here as soon as it is available.
Meeting Times, Location, Agenda, Accessibility, Accommodations:
The Michigan Commission for the Blind (MCB) will hold its commission board meeting at 9:00 a.m. on Friday, December 9, 2011, in Lansing at the Ottawa Building, 611 W. Ottawa Street, Conference Room Ottawa U L 3. Hear the live audio at the link on this page, to be posted prior to the meeting. The complete meeting agenda will be posted online as soon as it is available. The meeting site is accessible. Individuals attending the meeting are requested to refrain from using heavily scented personal care products, in order to enhance accessibility for everyone. People with disabilities requiring additional services (such as materials in alternative format) in order to participate in the meeting should call Sue Luzenski at (517) 335-4265.

Friday, March 16, 2012

VELVET CLOTHS HANGERS

My new favorite items are Velvet  Cloths hangers. I hang most of my cloths so I can find them easier. I bought a pack of twenty hangers about a year ago. Last week I found tow packs on sale. One pack at an overstock store and one at TJ Max. I like the black ones so the color of the clothing stands out.  They are great for scarfs because they won't slip off. I wear thin T-shirt under my scrubs at work. They stay on the hangers too. I found a pack of 50 on Amonzon but I found 18 for $10 at TJ Max.



http://www.amazon.com/Closet-Complete-Ultra-Velvet-Hangers/dp/B0037KMSRI/ref=pd_rhf_se_shvl1