What Is An Ophthalmoscopy and What Does it Entail?

Eye care is one of the essential things that people focus on to improve their overall health. Millions of US adults go for eye exams yearly to have the doctor carry out various tests to determine the health of their eyes. One of the most common tests done includes ophthalmoscopy. Ophthalmoscopy entails an examination of the interior part of the eye called the fundus. The fundus consists of the retina, lens, blood vessels, and optic nerve.

The doctor that you will find there will carry out this examination using an ophthalmoscope. The ophthalmoscope is a compact and lightweight device used by an eye doctor to examine the fundus. Some of the devices use batteries while others are rechargeable. An ophthalmoscope has a simple construction that makes it easy to use without relying on a user manual.

The doctor can examine the interior of the eye using this device because the retina is transparent, thus allowing the doctor to make a non-invasive viewing of the structures of the fundus.

Types of ophthalmoscopes

There are two types of ophthalmoscopes. They include:

  1. Direct ophthalmoscope – this kind of ophthalmoscope produces upright images of the center of your retina
  2. Indirect or panoptic ophthalmoscope – this kind produces inverted images of the retina. It has a wider view, thus providing a better view of the interior of your eyes.

When is ophthalmoscopy used?

Ophthalmoscopy comes in handy when your doctor wants to check our eyes for eye conditions that affect your blood vessels. Some of the conditions that an ophthalmoscope screens include:

  • Retinal detachment or tear
  • Any damages to your optic disc
  • Glaucoma
  • Hypertension
  • Diabetes
  • Macular degeneration
  • Melanoma
  • Cytomegalovirus (CMV) Retinitis

How does a patient prepare for this examination? 

When you go to your doctor for ophthalmoscopy, there are a couple of things that go down. Before carrying out the examination, the doctor will put some eye drops in your eyes to help dilate your pupils so that it is easier to look through them. Doctors advise patients to carry sunglasses when coming in for the examination because the eye drops used will make the eyes sensitive to light. The eye drops will also make your eyes blurry.

The effect from the eye drops also demand that you find someone to drive you home after the examination. You should also refrain from operating heavy machinery after the examination. Before the examination, one is also advised to inform the doctor of any allergic reactions to medication.

Additionally, you have to inform your eye doctor about any medication that you are taking at present. This information will help the doctor establish whether the medication will react negatively with the eye drops to avoid any health issues. You must also disclose to your doctor if you have glaucoma or if anyone in your family has glaucoma. This information might prompt the doctor to avoid using eye drops on you during ophthalmoscopy.

What goes on during the examination?

Like any other medical test, ophthalmoscopy follows a series of steps to ensure that the eye doctor identifies any underlying eye disease. Here are the steps that the qualified doctors follow.

Before a doctor starts to use the ophthalmoscope, he or she has to ensure that the conditions are conducive to allow proper assessment. The place where the patient lies should also be clear of obstacles to enable the doctor to position the scope. This also enables the doctor to make the necessary movements easily.

You are also required to remove your contact lenses or eyeglasses to make the procedure successful. Doctors may carry out ophthalmoscopy as part of routine checkups or conducting a full eye examination.

The room also has to be dimmed to allow the dilation of the pupil. The doctor could also enhance the dilation by putting some eye drops in the eyes and asking the patient to gaze on a particular object, often placed on the side.

The doctor should then set the light of the ophthalmoscope to maximum brightness to allow proper examination. The doctor will hold the device using one hand because it is compact and use one eye to observe your eye. The doctor will also repeat the process on your other eye to ensure that the examination is comprehensive.

What You Need To Know About Medical Malpractice

Medical malpractice is the term used for when a medical professional neglects to provide the appropriate treatment to a patient, and this results in injuries or harm to the patient, or even results in them dying. This is usually the result of the medical professional giving subpar treatment to the patient or omitting to take the appropriate action for a patient’s best interests. However, there are a variety of factors at play when it comes to malpractice and in determining whether or not a lawsuit can or should be brought. Because of that, it’s worth looking at what’s generally involved in medical malpractice and what’s typically involved in a lawsuit. As Oxford Online Pharmacy notes, it’s always worth knowing whether or not medical malpractice has occurred before trying to launch a lawsuit.

What’s Involved In Medical Malpractice?

In the majority of legal definitions of medical malpractice, it’s defined as when a hospital, doctor or other medical professional doesn’t provide a certain standard of care. While a medical professional is normally not held liable for any harm that comes to a patient, they are liable if this harm was a direct result of a deviation in quality of care. This would be in comparison to any similar situations that these medical professionals may have dealt with. Because of that, medical professionals and institutions will be held legally responsible for these injuries. However, for a medical malpractice lawsuit to be viable, a few factors must be taken into account.

The first of these is that the medical professional didn’t provide a proper standard of care. Federal law requires that medical professionals provide a certain level of care; anything below this could result in the professional facing charges of negligence. The second of these factors is that this negligence results in injury to the patient. Furthermore, the patient must be able to prove that these injuries were as a result of the negligence suffered. Lastly, the patient must be able to show that the injuries have damaging consequences. While this is somewhat vaguely defined, many have come to view it as including the likes of:

  • Disability;
  • Enduring Hardship;
  • Considerable Loss Of Income;
  • Constant Pain; &
  • Suffering.

However, this isn’t to say that not being satisfied with the level of care you received can result in a medical malpractice lawsuit. Having said that, the majority of laws have been written in such a way as to avoid this kind of cases, and any ones that slip through usually don’t have a chance of winning.

Types Of Medical Malpractice

There are a few different types of medical malpractice, as there are a variety of ways that a medical professional can deviate from a standard level of care. These include the likes of misdiagnosis or failure to diagnose, which can often result in a significant amount of suffering or even death for the patient. A failure to act appropriately on test results, or to not order the appropriate tests can also be a key factor in medical malpractice. One of the ones that people may be most familiar with would be objects being left in a patient during surgery, although it may not be as common as you think. Performing surgery on the wrong part of the body has also been shown to be grounds for malpractice; many have also shown that unnecessary or incorrect surgery can also result in malpractice.

What Does A Medical Malpractice Lawsuit Involve?

A medical malpractice lawsuit is no different from any other kind of lawsuit. In this case, the plaintiff is the patient and is suing the defendant, the medical professional. A malpractice lawsuit should typically include a few essential elements to prove that medical malpractice occurred. The first of these is that the medical professional or hospital owed a duty of care to the patient. Second, they must prove that this duty was breached because the professional or hospital did not live up to an expected level of care. Thirdly, they must show that this negligence resulting in some form of injury; in the case of death, the suit would be brought by their estate, who must prove that the negligence resulted in death. In the case of injuries, they must lastly prove that the injuries had some kind of damages, such as disability or loss of income.

Healthy Bodies, Inside and Out

This winter, as Spring is (hopefully) around the corner, you might be having a hard time holding onto those New Years Resolutions or even trying to stay healthy or active as a part of your regular lifestyle. I know for me, February is my “ugh” month, I often find myself with a case of the winter blues and really just “done” with the gray and the cold. I find it hardest to be motivated in February, and not just grab a bag of chips and pop on the Netflix. What to do? Try something new, a little change can often be just the thing you need, a little bump to get you moving.

DIY kits

Have you ever heard of Purple Carrot? You have probably  heard of similar ideas, pre-ordered meal kits delivered to your home that you cook yourself. This is the ONLY 100% plant-based meal kit company of the kind, where you can get pre-portioned ingredients and step-by-step instructions for cooking healthy, vegan meals at home. As we are learning, eating plant-based meals even if only one day or a few times a week, has a positive impact on people’s health, the environment, and animal welfare. The food is very good, but it definitely takes time to make, so prepare to spend some time in the kitchen. While not difficult, some of the items made were challenging and to me very unnecessarily time consuming, like making my own veggie burgers. But we learned new things, so that was something. I can honestly say, even as vegetarians, we had never made any of these recipes before, so they were interesting and new.  Find out more here-

Trying to get yourself moving? It can be challenging in this weather. One of the fitness groups I belong to recently posted a meme which said “I was sad, then I bought some new workout clothes and now I’m running!” I was clearly amused, but it’s also true. Sometimes a new pair of leggings or shirt or sneakers makes you feel good, and then when you feel good, you move. Also, you of course need to show them off, right? Your couch will not be impressed. You however will be impressed with the Brooks Running Ghost Tight. I can’t say enough good things about it. I thought they were going to feel like shrink wrap when I saw them, but they are wildly comfortable. It’s ultralight fabric keeps  you cool and wicks sweat and the color options (3 total) are fun. Price $120 at  https://www.brooksrunning.com/en_us/brooks-ghost-tight-womens/221347.html

Winter can be rough on the skin, rough all over. The new Limited-Edition NIVEA Creme City Tins from NIVEA® Creme are easy to carry around. They are tiny- easy to toss in your purse, backpack, or pocket, and give you a “protective layer of care that prevents the loss of moisture throughout the day” as per the brand. Smooth and soft, it has provitamin B5, which helps it last longer. You can use it on your face, hands, lips, and body- it’s good all over. These limited-edition tins are now available for $.99, get yours at www.NIVEAusa.com.

give back

For your love, no matter if they are one or a hundred and one, take a look at these. Not only are they amazingly adorable, but each toy funds 10 meals for a hungry person. These ethically produced, hand-knit dolls and stuffed animals give 10 meals to hungry children around the world for every item sold. Hand made by artisan knitters in Peru, these handcrafted, heirloom-quality dolls are great for anyone who loves stuffed cuddles. There are 27 toys to choose from currently, and two sizes are available in most cases.

“cuddle+kind has partnerships with several respected humanitarian agencies including World Food Program USA, Children’s Hunger Fund, Breakfast Club of Canada and WE Charity to guarantee that every purchase directly benefits children in need.” (Information given by the brand)

Choose your favorites here- https://cuddleandkind.com/collections/hand-knit-dolls.

Keep Your Sweat Under Control

Living With Excessive Sweating

Living with excessive sweating is not only inconvenient, but it can be embarrassing. It can be hard to live with someone who has excessive sweating because they avoid social functions or even going out in public for fear of being embarrassed. It can be hard to watch a family member suffer from excessive sweating and to see what they have to go through because of it. It may be so bad for them that they stay inside whenever possible and they may even get depressed. Excessive sweating is actually a medical condition known as hyperhidrosis. It can be hereditary, and it happens when the sweat glands are in overdrive. Certain health conditions can worsen symptoms, such as endocarditis, diabetic hypoglycemia, or leukemia. Menopause, obesity, and stress can also cause profuse sweating. Sweating can also be the side effect of certain medications such as antidepressants.

When to Get Immediate Help

In most cases, excessive sweating is not life-threatening, but you should get medical attention right away if you have chills, chest pain, nausea, a fever of over 104 F, or lightheadedness in addition to the sweating.

How to Treat Excessive Sweating

There are a number of ways to treat excessive sweating. If it is primarily caused by stress, you should try to reduce the amount of stress that you have in your life. Iontophoresis has been an effective treatment for hyperhidrosis for decades. Iontophoresis treatment is used to decrease plantar or palmer hyperhidrosis by passing an electrical current through water into the surface of the skin. The treatment is repeated a few times a week, and it has been shown in many cases to reduce the amount of sweat that the patient produces. 

In order for this type of treatment to be successful, it is important to get regular treatments. You can go to your doctor’s office to get the treatments done, or you can also invest in a machine so you can complete your treatments at home.

Antiperspirants are also very effective at keeping profuse sweating under control. Antiperspirants block perspiration, and they are available at most grocery and drugstores without needing to get a prescription. Most people think that they are just for the underarms, but you can use them anywhere in the body that produces an abundance of sweat. They are typically available in a stick form or a roller or even a spray. You should apply it when you get up in the morning as well as before you go to bed at night for the best results. You can use a deodorant to help mask any unpleasant odors.

You can also get Botulinum toxin injections to treat underarm perspiration as well as perspiration in the hands and feet. It helps to prevent your sweat glands from sweating. The results will last for nearly a year if you get multiple treatments.

You can also take anticholinergic drugs which require a prescription. Your doctor may prescribe them for you if other treatments did not work for you, but this type of treatment has been known to cause some unwanted side effects such as urinary problems, blurred vision, and even heart palpitations.

Surgery is another option. If you have tried many different methods but haven’t gotten the results you were hoping for, your doctor may suggest surgery. Surgery will basically take out the sweat glands so that you don’t have excessive sweating anymore.

Some other ways that you can help control your sweating is by not wearing heavy clothing or clothing that traps heat. You want to stick to clothing that is light, and that lets body heat escape. Cotton and silk are good choices. If never hurts to bring along an extra shirt as well in case you sweat in the one you are wearing. You should use antibacterial soap and shower or bathe daily to help prevent body odor. Use products such as underarm liners and shoe inserts that will help to absorb some of the sweat that your body produces. You should also try to avoid hot food that will make you sweat such as spicy foods and hot beverages. Although you can’t avoid having overactive sweat glands, there are many different ways to deal with it and to keep it under control.

New Study: 19 out of 20 U.S. Children NOT Meeting Norms for Exercise, Sleep, and Screen Time Usage

Have Sippy Will Travel

There was a new study released that says 19 out of 20 children are NOT meeting guidelines for sleep, exercise, and screen time amounts that doctors recommend  just one in 20 U.S. children and teens gets the amount of sleep, exercise and screen time that doctors recommend for optimal health, a new study suggests.

Children and teens are supposed to get at least one hour of moderate to vigorous physical activity each day and limit screen time to less than two hours. Kids ages 6 to 12 old also need 9 to 12 hours of sleep, while teens need 8 to 10 hours nightly.

Too little sleep or exercise, or too much screen time, can increase their risk of chronic health problems. These include obesity, mental health issues like anxiety and depression, poor academic achievement and unhealthy behaviors like smoking and drinking, the study team notes in JAMA Pediatrics.

Taken in isolation, these recommendations have been hard for many children and teens to achieve and doctors have long been aware of this problem, said lead study author Gregory Knell of the University of Texas Health Science Center in Houston.

“Our study, however, analyzed the prevalence of meeting ALL three of these recommendations simultaneously,” Knell said by email. “This is important because there is evidence that not spending the optimal time in all three behaviors has a stronger effect on health outcomes than not spending the optimal time in any one of the behaviors, independently.”

For the study, researchers examined data on 59,397 kids and teens who participated in nationwide surveys in 2011, 2013, 2015 or 2017.

Overall, just 3 percent of girls and 7 percent of boys spent the optimal time sleeping and being physically active while limiting screen time.

Compared to participants age 14 or younger, 16-year-olds were 23 percent less likely to get the right amounts of sleep, exercise and screen time, while 17-year-olds had 46 percent lower odds.

Non-white youth were also less likely than white counterparts to achieve all three goals: black children and teens had 69 percent lower odds; Asian young people had a 63 percent lower chance, and Hispanic youth had a 33 percent lower likelihood.

Obese youth were 43 percent less likely to meet all three targets than children at a healthy weight, while overweight kids were 20 percent less likely to manage this.

The study wasn’t designed to examine why young people fail to get enough sleep or exercise, or why they spend too much time staring at screens. And, it’s also not clear from the study whether the failure to meet all three targets was due to missing just one recommendation or all of them.

“Lack of physical activity, increased screen time and insufficient sleep increases the risk for weight gain and obesity,” said James Gangwisch, a researcher at Columbia University Medical Center in New York City who wasn’t involved in the study.

“Likewise, if someone is already overweight, then it could make it more difficult to exercise vigorously,” Gangwisch said by email. “Lack of adequate physical activity also makes it harder to get sufficient sleep.”

The study also was not designed to prove whether or how failing to meet all three targets might directly impact physical or mental health.

Still, the results suggest that many parents have more work to do to encourage kids to get enough rest and exercise and spend less time staring at screens, said Asheley Skinner, a researcher at Duke University in Durham, North Carolina, who wasn’t involved in the study.

Schools may also be part of the problem, because they start too early to allow teens to get enough sleep, Skinner said by email.

“Sleep and physical activity are two pillars that should not be sacrificed in childhood,” said Jonathan Mitchell of the Children’s Hospital of Philadelphia and the University of Pennsylvania.

“Too often sleep is sacrificed to accommodate other activities,” Mitchell, who wasn’t involved in the study, said by email. “Parents and teens need to think more carefully about daily routines that allow for sufficient physical activity and nighttime sleep – cutting out screen time and setting bedtimes can help.”

SOURCE: bit.ly/2GngD5w JAMA Pediatrics, online February 4, 2019.

5 Things You May Not Know About American Ginseng

Before moving towards the facts about the American Ginseng, let’s first put some light on what is Ginseng and what’s all the hype about?

 

We all have heard and seen different herbs that are used to cure different diseases and medical conditions. Now, ginseng is also a herb but what makes it so special is the fact that it’s a cure to all diseases. Yes, you read it right, ginseng also known as “Panax” is a cure for almost all the medical conditions in the world. Whether it’s Alzheimer’s or premature ejaculation or any other disease, ginseng will fix it all for you. It’s just that you need to make sure that you are buying ginseng from the right place like this company.

 

For those who don’t know about it, there are two types of ginseng present in the world. One is the American ginseng (the one we will talk about), and the other type is known as the Korean Ginseng. Both these types belong to the same family but when it comes to nature and properties, well, they are quite different from one another. The Korean ginseng helps fight diabetes and it helps prevent inflammation etc. In other words, you can say that the Korean ginseng comes with invigorating effects, but on the other hand, the American ginseng is used as a relaxing agent.

 

Things You Need To Know About The American Ginseng

 

1- 6 Million Americans Use The American Ginseng

There was a time when the American ginseng was more popular in the Asian countries but now things are changing, and it’s becoming more and more popular in America and in Europe too. A study shows that right now almost 6 million American people are using ginseng for their health.

 

2- The Roots Of This Ginseng Grow On Virgin Soil

Virgin soil means that the soil used to grow the American ginseng can only be used once for the growth. Other crops can be grown on that land like potatoes and corns etc but you cannot grow the American ginseng again on the same land.

 

3- The American Ginseng takes 3 Years To Grow

Snowstorms and pests aren’t good for the growth of American ginseng, and this is the reason why it takes 3 to 5 years to grow this plant. You cannot even grow this ginseng for more than a specific period of time otherwise the rest of the crops get damaged. This is the main reason why American ginseng is also considered a valuable gift in a lot of areas of the world.

 

4- The American Ginseng is mostly not grown in the US

Most of the American ginseng is grown in Canada and China but if you want the genuine and the best American ginseng then know that it’s grown in Wisconsin. But again there is only 15% of the actual American ginseng that’s grown in Wisconsin so you might be hard for you to find it around you.

 

5- American Ginseng is used as a relaxing agent

American ginseng is cooler in nature and that makes it a perfect relaxing agent. A lot of people in the world use this ginseng to fight the stress in their daily life. Also, American ginseng is great for healing wounds too.

 

Conclusion

These are some of the act that you may not know about the American ginseng. So, if you really do find it useful then don’t wait for any further and start using ginseng every day. You can take it in the form of a capsule, you can use the roots directly, and you can even make a tea out of the American ginseng root.

 

St. Jude’s global childhood cancer initiative aims to cure 60 percent of the world’s children by 2030

Over the past year, St. Jude Children’s Research Hospital has announced it’s expanding its international reach with St.Jude Global, a more than $100 million investment toward accelerating efforts to improve childhood cancer survival rates worldwide. In addition, as part of this renewed effort to prioritize the global approach to childhood cancer, St. Jude and World Health Organization announced a five-year collaboration – a multi-faceted, coordinated effort to cure 60 percent of children with six of the most common types of cancer by 2030.

 

In the United States, pediatric cancer survival rates top 80 percent, and most children have access to quality care, regardless of where they live. Around the world, however, the statistics are bleak. More than 80 percent of children with cancer live in low- and middle-income countries, and the overwhelming majority will die from their diseases.

 

Video – Global Disparities in Childhood Cancer

 

“During this year’s World Cancer Day, we continue to make great strides in achieving St. Jude founder Danny Thomas’ dream of a world where ‘no child should die in the dawn of life,’” said James R. Downing, M.D., St. Jude president and chief executive officer. “Global childhood cancer rates are on the rise as more children worldwide survive infancy. Unfortunately, the overwhelming majority of those new cases are happening in places where they lack access to adequate diagnosis and treatment.”

 

Young Syrian refugees living in Lebanese camps is one place where St. Jude Global has already made a difference that will be featured during the upcoming American Association for the Advancement of Science’s (AAAS) Annual Meeting – the world’s largest gathering of multi-disciplinary sciences – on Sunday, Feb. 17 in Washington, D.C.

 

A collaboration between St. Jude Children’s Research Hospital and the Children’s Cancer Center of Lebanon at the American University of Beirut Medical Center has led to almost 600 non-Lebanese children receiving cancer-related evaluations, treatment, consultations and referrals. By sharing resources, best practices, insights and infrastructure, more refugees were treated who would have otherwise died because they happened to have cancer at a time when their family was displaced by war.

 

“During this year’s World Cancer Day, our work in Lebanon is a reminder that it is possible to save the lives of children who would have otherwise died simply because they happen to have cancer when their families were displaced,” said Sima Jeha, M.D., director of St. Jude Global’s East and Mediterranean Region.“Our experience in this region shows that effective pediatric cancer treatment is possible even in crisis situations.”

 

Jeha will lead a presentation, “Treating Pediatric Cancer in Crisis: Lessons for Delivering Care,” outlining lessons learned from this collaboration across borders and institutions and offering a blueprint to address the needs of children with cancer in low- and middle-income countries, even under the worst of circumstances. During the presentation, a panel of global medical experts will discuss lessons learned from the experience in Lebanon and how institutions and countries can work together to improve outcomes for non-communicable diseases in peace and in crisis.

 

Additional detail about St. Jude Global’s work to effectively treat young Syrian refugees can be found in St. Jude’s Promise Magazinehere.

5 Essential Travel Tips For Contact Lens Wearer

Contact lens is inevitably a boon for people with vision defect. To improve their vision and for the sake of fashionable appearance, more and more number of people prefer wearing contact lenses rather than traditional spectacles.

Especially when you’re on vacation, contact lenses are very practical. As these are invisible, you do not have to remove them while sporting or enjoying your night trips.

However, remember that your contact lenses can ruin your vacation if you do not take precautions. Here are some simple steps you can take to prevent this from happening to you. Check them out before backpacking your contact lenses for your vacation.  

  1. Make sure you have a pair of replacement lenses and sunglasses

Even if the lenses you wear are not frequent replacement lenses, it is always advisable to purchase replacement parts while traveling with contact lenses. A lens may be lost or damaged and replacements may be difficult to find. If you wear disposable lenses, take the amount of lens you need for your vacation and many more, just in case.

Most modern contact lenses, like all Focus lenses block hurtful UV rays. However, only the lens can protect the covered area, which does not represent the entire surface of your eyes. In addition, contact lenses do not reduce glare. It is, therefore, safer to wear sunglasses with high UV protection on your lenses and a sun hat.

  1. Take good care and carry your lens case, solution and cleaner

Most branded solutions can be purchased in smaller bottles, which is great for travel. You can also get a case that clips on a bottle of a solution so that the parts do not separate in your luggage. It is also a best option for you to carry an ultrasonic contact lens cleaner machine to make sure that you clean your lenses safely without getting them damaged.  

If you are tired after a day of sightseeing, it may be tempting to fall asleep while carrying your contacts. This is not a good idea – unless you wear long-wearing lenses, of course. No matter how tired and relaxed you feel, take out your contact lenses for the night.

If you do not want to take care of your contacts during the holidays, ask your doctor if long-wearing contacts are right for you. Lenses like Acuvue can be worn without withdrawal for up to 7 days and Focus Night and Day for up to 30 days; they are perfect for the holidays.

  1. Do not leave the water in your eyes when you swim

Contact lenses are ideal for swimming and all water sports, but it is best to prevent their contact with water. However, water contains a myriad of bacteria that can enter your lens and cause keratitis.

It is, therefore, best to wear goggles to swim. In any case, if seawater comes in contact with your eyes, you should remove your lenses as soon as possible and clean them before putting them back in place.

  1. Avoid contacts and wear glasses on long flights

During long flights, most contact lens wearers feel depressed. Indeed, in an airplane, atmospheric pressure and humidity are low. As a result, your soft contact lenses dehydrate and absorb moisture from your eyes.

Many people also nap during a flight, and sleeping in contacts is not recommended. If you can wear glasses as well as lenses, it’s a good idea to do it on the plane. If glasses are not an option, use special eye drops and be sure to drink plenty of water during your flight.

  1. Be careful with insect repellents and sunscreens creams

Be very careful not to put sunscreen or insect repellent in your eyes. If this comes in contact with your eyes, it can cause severe irritation. If this happens, take out your lenses and clean them well.

Keep these 5 simple rules in mind when traveling with contact lenses. We are sure that your contacts should not be a problem to prevent you from enjoying your vacation if you follow them out!