A New Resource For Seniors

This morning my Rotary club heard a presentation from the Executive Director of “Independent Transportation Network”, a new non-profit organization in Racine country.  This organization is devoted to providing people over the age of 60 as well as the visually impaired of any age with transportation.  They have volunteers who are available 24/7 to assist their members.

Transportation can be to and from doctor’s appointment, shopping, to social events or any other type of travel that is needed.  I know that I have many patients who could benefit from this type of service so look for more information on our next eNewsletter!

Dr. Warren

www.warreneyecarecenter.com

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A Great Night Out In Racine

Anyone who thinks that there aren’t fun things to do in Racine, needed to get out last night.  My family and I started our night at the Racine Library for the “Walk A Book” event.  Here’s a link to an article about the event, but in summary, a local artist, Jeff Levonian wrote a children’s book and teamed up with other local artists who did the artwork, and large sized art pieces for the event.

Next up was “Oklahoma” at Horlick high.  The students is a great job putting on the production.  It was so good that my 8 year old paid attention through the entire production and had a great time too!  I really enjoyed watching two of my patients in leading roles, great job kids!

Dr. Warren

www.warreneyecarecenter.com

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Cool Business Idea Here in Racine

I bounced this idea off a few friends a few years ago but it went nowhere.  Well, someone else here in Racine had the same idea, and I think its great.   Racine Meal Machine will deliver your carry out to you, whether the restaurant offers delivery or not.  Feel like some fish from Cliff’s Boathouse Cafe, a burger from The Yard Arm or some “Hoe To Go” from the Ivanhoe, they’ll make it happen for you.  Just call or email them and you can have carry out delivered to you for a fee.

Its great to see entrepreneurs taking a chance in today’s business climate!  Hats off to the gang at “Racine Meal Machine”.  Their website is still being completed, but the link above will get you the info you need, which I’ve also pasted below.

Delivery hours:
Sunday-Thursday: 11:00am-3:30pm, 5-8:30pm.
Friday-Saturday: 11:00am-3:30pm, 5-9:30pm.

Follow us on Twitter and Facebook.

Have a great weekend, even if the weather is going to be pretty crummy!

Dr. Warren

www.warreneyecarecenter.com

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Vitamin D Levels May Reduce Risk of Macular Degeneration

This story talks about an association between Vitamin D levels and Macular Degeneration risk.  But it begs the question, how much of Macular Degeneration risk is genetic (quite a bit in my opinion), how much is environmental (specifically exposure to Ultraviolet and High Energy Blue light) and how much is nutritional (Vitamin D, Vitamin A and Vitamin E along with specific pigments such as Lutein, Zeaxanthin and Meso Zeaxantin).

In my 18 years of practice, reading quite a bit and talking with well respected colleagues, I’m pretty sure that we should worry about the factors I mentioned above in reverse order.  The reason being that we can do the most about the nutritional side of things.  By eating lower fat, greener diets we will naturally ingest healthier foods as well as facilitate the transport of nutritional supplements to the macula.

North Americans receive the bulk of their exposure to UV and High Energy Blue light before we’re 18, so the cow’s out of the barn for my adult patients.  And as of today, we can’t effect our genetic make up.

So, eat well.  Have regular eye care, know what your Macular Pigment Density is and take steps to raise it if its significantly low and wear your sunglasses!

Dr. Warren

www.warreneyecarecenter.com

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New Feature On Our Website

I’ve put a weather “widget” on the office website, specifically to give patients quick access to the local pollen count.  Just click on the “Local Pollen” link on weather widget and you can see not only today’s pollen count but also the pollen count for the next few days.

I hope that you find this information helpful, I know that I sure do, for my patients and for my youngest son.  Poor Mitchell has some of the worst spring and fall allergies!

 

 

Dr. Warren

www.warreneyecarecenter.com

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The iPad And Healthcare

I’ve long been an “early adopter” when it came to adding technology to my practice.  From diagnostic devices to practice management software and 10 years ago Electronic Health Records.  I have to admit to being one of the people who purchased the iPad ahead of its release so that it arrived on its release date.

I’ve found many ways to use the iPad in my personal and professional life, and most recently for patient care.  I’ve started using the iPad to show patients diagnostic images and reports.  This has provided a few advantages, the first is that we’re not using nearly as much paper as we had in the past, the second is that the display is not only clearer on the iPad than the printed reports, but its more adaptable.

I’m able to zoom in on important findings as well as show that information to the patient in the exam room.  I can also email the report and information to the patient if they would like to have a copy.   So, to date, the iPad has been a big hit with both myself and my patients.

Dr. Warren

www.warreneyecarecenter.com

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Contact Lenses-How They Work And How I Fit Them Part III

Once the initial lens design, manufacturer and powers have been chosen, the next step is to have the patient experience the lenses in their “real world”.  I have them wear the lenses for a few days to a couple of weeks, after teaching them how to handle and care for their lenses of course.  At the follow up visit, the comfort and quality of vision is assessed as is the interaction between the lens and the patient’s eye.  I expect the patient to have excellent vision and good lens comfort.  There is a bit of an adaptation period until the lenses “can’t be felt” during wear, but the lenses should not be significantly uncomfortable at any point.

If the patient’s vision is not excellent, the power of the lenses may be the culprit so we perform an “over-refraction” checking to see if the lenses need to be stronger or even weaker than the  initial lenses.  I also look at the positioning and rotation of the lenses, especially if the patient is wearing a “soft toric” lens as rotation will adversely effect the patient’s vision.  For multifocal lens wearers, I evaluate both the distance and near lens powers as a change in either one can effect the other.  Below is an image of a soft toric lens on the eye.  Notice the laser etching marks which are used to determine if the lens is rotating on the surface of the eye.

Things that I’m always looking out for at these visits are lenses that fit too right or too loose, lenses that aren’t centered well on the eye, any disruption of the corneal surface as well as any redness or eye irritation.  Below is a video of an RGP lens that is fitting well.  Notice how the lens moves just a bit when the patient blinks.  There’s a delicate balance between too much and too little movement.

The photo below is of an eye that has a small but significant amount of corneal disruption.  I had to change the fit of this lens just a bit to get rid of this problem and avoid potential long term problems with their ocular health.

Once we know that the patient is doing well with their lenses, we will then create a final Rx and lenses for the patient are ordered.  Periodic follow up visits are indicated based on the type of lenses and wearing schedule as well as each patient’s ocular health status.  As you can see, quite a bit goes into the entire contact lens design, fitting and follow up process.  You can rest assured that I will take the time and use the technology to work with you to determine the proper lens type, lens fit, lens wearing schedule and lens replacement schedule that is right for you.

 

Dr. Warren

www.warreneyecarecenter.com

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