http://community.bewell.com/service/getFeed.kickAction?quantity=25 New blogs from RobertAbelJrMD on BeWell Community Wed, 21 Jul 2010 19:06:53 GMT Wed, 21 Jul 2010 19:06:53 GMT community@bewell.com (bewelladmin) community@bewell.com (bewelladmin) KickApps Feed Builder 2010-07-21T19:06:53Z 19 http://community.bewell.com/service/searchEverything.kickAction?as=142833&sortType=recent 0 http://community.bewell.com/_The-Heartache-of-Heartburn/BLOG/2478265/142833.html Stomach acid is essential for absorbing nutrients as well as reducing harmful bacteria and Candida from the digestive track. Typically, physicians prescribe antacid medication such as H2 antagonists in order to reduce acid reflux, also known as GERD. But is the use of these agents long term really good for us? Heartburn is not caused by excess stomach acid. Rather it is due to relaxation of the lower esophageal sphincter. Many people with heartburn actually have normal levels of stomach hydrochloric acid and the real problem lies with the gastro esophageal valve. Contributing factors are obesity, body position and the amount of food that remains in the stomach at one time. Many older people produce less HCl so that reducing such acid is counterproductive. Furthermore there are other digestive enzymes in the stomach that can still cause reflux and heartburn. Recent studies have indicated an increased risk in pneumonia and chronic intestinal disease caused by the bacterium C. difficile. These types of bacteria would not ordinarily survive in the normal acidified gastric juices. So how do we address the real problem? The following are some of my suggestions:  Strengthen your diaphragm through regular exercise and deep breathing; this will narrow the esophageal connection to the stomach Eat smaller and more frequent meals Be certain to sit up for a couple of hours after any meal and especially before bedtime Minimize chocolate, coffee, and alcohol as well as large amounts of high carbohydrate foods at any one meal Calcium stimulates the esophageal sphincter to close and can limit reflux in early cases; when symptoms first arise take 250 mgs of calcium powder in 2 to 4 oz of water after each meal; be sure to consult your physician first if you're already on medication You may have to phase off of your previous medication by switching to less potent drugs such as Tagemet or Zantec Remember it is much easier to absorb vitamins and medications in capsules, which are incorporated in the long small intestine rather than in pill form, which requires stomach acid You may wonder why an ophthalmologist would be talking about this. Well, several large studies have indicated a relationship between antacids and macular degeneration down the road. All of your nutrition for your vision is metabolized and stored in the liver. So, the reason is that if you're not digesting your food and getting the necessary ingredients you may eventually be starving your eyes. Not receiving adequate nutrition makes your eyes vulnerable. The saying "you are what you eat" may have to be amended.    Stomach acid is essential for absorbing nutrients as well as reducing harmful bacteria and Candida from the digestive track. Typically, physicians prescribe antacid medication such as H2 antagonists in order to reduce acid reflux, also known as GERD. But is the use of these agents long term really good for us? Heartburn is not caused by excess stomach acid. Rather it is due to relaxation of the lower esophageal sphincter. Many people with heartburn actually have normal levels of stomach hydrochloric acid and the real problem lies with the gastro esophageal valve. Contributing factors are obesity, body position and the amount of food that remains in the stomach at one time. Many older people produce less HCl so that reducing such acid is counterproductive. Furthermore there are other digestive enzymes in the stomach that can still cause reflux and heartburn. Recent studies have indicated an increased risk in pneumonia and chronic intestinal disease caused by the bacterium C. difficile. These types of bacteria would not ordinarily survive in the normal acidified gastric juices. So how do we address the real problem? The following are some of my suggestions:  Strengthen your diaphragm through regular exercise and deep breathing; this will narrow the esophageal connection to the stomach Eat smaller and more frequent meals Be certain to sit up for a couple of hours after any meal and especially before bedtime Minimize chocolate, coffee, and alcohol as well as large amounts of high carbohydrate foods at any one meal Calcium stimulates the esophageal sphincter to close and can limit reflux in early cases; when symptoms first arise take 250 mgs of calcium powder in 2 to 4 oz of water after each meal; be sure to consult your physician first if you're already on medication You may have to phase off of your previous medication by switching to less potent drugs such as Tagemet or Zantec Remember it is much easier to absorb vitamins and medications in capsules, which are incorporated in the long small intestine rather than in pill form, which requires stomach acid You may wonder why an ophthalmologist would be talking about this. Well, several large studies have indicated a relationship between antacids and macular degeneration down the road. All of your nutrition for your vision is metabolized and stored in the liver. So, the reason is that if you're not digesting your food and getting the necessary ingredients you may eventually be starving your eyes. Not receiving adequate nutrition makes your eyes vulnerable. The saying "you are what you eat" may have to be amended.    Wed, 21 Jul 2010 19:06:53 GMT http://community.bewell.com/_The-Heartache-of-Heartburn/BLOG/2478265/142833.html RobertAbelJrMD 2010-07-21T19:06:53Z BeWell Community Stomach acid is essential for absorbing nutrients as well as reducing harmful bacteria and Candida from the digestive track. Typically, physicians prescribe antacid medication such as H2 antagonists in order to reduce acid reflux, also known as GERD. But is the use of these agents long term really good for us? Heartburn is not caused by excess stomach acid. Rather it is due to relaxation of the lower esophageal sphincter. Many people with heartburn actually have normal levels of stomach hydrochloric acid and the real problem lies with the gastro esophageal valve. Contributing factors are obesity, body position and the amount of food that remains in the stomach at one time. Many older people produce less HCl so that reducing such acid is counterproductive. Furthermore there are other digestive enzymes in the stomach that can still cause reflux and heartburn. Recent studies have indicated an increased risk in pneumonia and chronic intestinal disease caused by the bacterium C. difficile. These types of bacteria would not ordinarily survive in the normal acidified gastric juices. So how do we address the real problem? The following are some of my suggestions:  Strengthen your diaphragm through regular exercise and deep breathing; this will narrow the esophageal connection to the stomach Eat smaller and more frequent meals Be certain to sit up for a couple of hours after any meal and especially before bedtime Minimize chocolate, coffee, and alcohol as well as large amounts of high carbohydrate foods at any one meal Calcium stimulates the esophageal sphincter to close and can limit reflux in early cases; when symptoms first arise take 250 mgs of calcium powder in 2 to 4 oz of water after each meal; be sure to consult your physician first if you're already on medication You may have to phase off of your previous medication by switching to less potent drugs such as Tagemet or Zantec Remember it is much easier to absorb vitamins and medications in capsules, which are incorporated in the long small intestine rather than in pill form, which requires stomach acid You may wonder why an ophthalmologist would be talking about this. Well, several large studies have indicated a relationship between antacids and macular degeneration down the road. All of your nutrition for your vision is metabolized and stored in the liver. So, the reason is that if you're not digesting your food and getting the necessary ingredients you may eventually be starving your eyes. Not receiving adequate nutrition makes your eyes vulnerable. The saying "you are what you eat" may have to be amended.    abel, eye, health, heartburn, robert nonadult false The Heartache of Heartburn text blog abel,eye,health,heartburn,robert 225 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 2478265 19062825 Member 493 http://community.bewell.com/_Watch-Out-A-Look-at-Eye-Drops-Preservatives/BLOG/2461793/142833.html As you might expect multiuse eye drops must contain a preservative in order to avoid contamination. The most common preservative, Benzalkonium chloride (BAK), has been around for over 50 years and is in most of our eye drops. In low concentrations it stops bacteria from multiplying, while in higher concentrations it kills them. The rub: What is toxic to bacteria is also harmful to our sensitive ocular tissues. The more frequently drops are administered for conditions like glaucoma, dry eye, allergy, and conjunctivitis the more likely will our conjunctiva and cornea be irritated. Tears are made in the conjunctival goblet cells, the lachrymal glands, and the oil glands in the eyelids. Alteration of these tissues creates an unstable tear film.  This means that the lubricating coat breaks up quickly and can actually reduce vision while causing redness. So if you notice increased burning, stinging, dryness, grittiness, redness, and even tearing consider that it may be related to your long term eye drops. Check the label to see if they are preserved with BAK. Be a medical detective and inform your doctor. One of the main areas preservative toxicity may occur is glaucoma. Fortunately, there are three eye drops which offer an option: Travatan Z, brimonidine / Alphagan P and Timoptic in Occudose form. Glaucoma patients can also be considered for an Argon laser procedure to reduce the need for medication. Therefore, it is wise to treat a condition quickly and then reduce or eliminate medication. It's also important to read the label on our eye drops because they are drugs. Preservative free artificial tears are available over the counter for dry eye patients; but first be certain that your eye drops have not induced your condition. It can be said that less is better.    As you might expect multiuse eye drops must contain a preservative in order to avoid contamination. The most common preservative, Benzalkonium chloride (BAK), has been around for over 50 years and is in most of our eye drops. In low concentrations it stops bacteria from multiplying, while in higher concentrations it kills them. The rub: What is toxic to bacteria is also harmful to our sensitive ocular tissues. The more frequently drops are administered for conditions like glaucoma, dry eye, allergy, and conjunctivitis the more likely will our conjunctiva and cornea be irritated. Tears are made in the conjunctival goblet cells, the lachrymal glands, and the oil glands in the eyelids. Alteration of these tissues creates an unstable tear film.  This means that the lubricating coat breaks up quickly and can actually reduce vision while causing redness. So if you notice increased burning, stinging, dryness, grittiness, redness, and even tearing consider that it may be related to your long term eye drops. Check the label to see if they are preserved with BAK. Be a medical detective and inform your doctor. One of the main areas preservative toxicity may occur is glaucoma. Fortunately, there are three eye drops which offer an option: Travatan Z, brimonidine / Alphagan P and Timoptic in Occudose form. Glaucoma patients can also be considered for an Argon laser procedure to reduce the need for medication. Therefore, it is wise to treat a condition quickly and then reduce or eliminate medication. It's also important to read the label on our eye drops because they are drugs. Preservative free artificial tears are available over the counter for dry eye patients; but first be certain that your eye drops have not induced your condition. It can be said that less is better.    Thu, 15 Jul 2010 18:48:29 GMT http://community.bewell.com/_Watch-Out-A-Look-at-Eye-Drops-Preservatives/BLOG/2461793/142833.html RobertAbelJrMD 2010-07-15T18:48:29Z BeWell Community As you might expect multiuse eye drops must contain a preservative in order to avoid contamination. The most common preservative, Benzalkonium chloride (BAK), has been around for over 50 years and is in most of our eye drops. In low concentrations it stops bacteria from multiplying, while in higher concentrations it kills them. The rub: What is toxic to bacteria is also harmful to our sensitive ocular tissues. The more frequently drops are administered for conditions like glaucoma, dry eye, allergy, and conjunctivitis the more likely will our conjunctiva and cornea be irritated. Tears are made in the conjunctival goblet cells, the lachrymal glands, and the oil glands in the eyelids. Alteration of these tissues creates an unstable tear film.  This means that the lubricating coat breaks up quickly and can actually reduce vision while causing redness. So if you notice increased burning, stinging, dryness, grittiness, redness, and even tearing consider that it may be related to your long term eye drops. Check the label to see if they are preserved with BAK. Be a medical detective and inform your doctor. One of the main areas preservative toxicity may occur is glaucoma. Fortunately, there are three eye drops which offer an option: Travatan Z, brimonidine / Alphagan P and Timoptic in Occudose form. Glaucoma patients can also be considered for an Argon laser procedure to reduce the need for medication. Therefore, it is wise to treat a condition quickly and then reduce or eliminate medication. It's also important to read the label on our eye drops because they are drugs. Preservative free artificial tears are available over the counter for dry eye patients; but first be certain that your eye drops have not induced your condition. It can be said that less is better.    abel, bak, benzalkonium, conjuntivitis, drops, dry, eye, glaucoma, robert nonadult false Watch Out: A Look at Eye Drops & Preservatives text blog abel,bak,benzalkonium,conjuntivitis,drops,dry,eye,glaucoma,robert 195 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 2461793 19062825 Member 493 http://community.bewell.com/_Getting-Rid-of-That-Bad-Boy-Blephartis/BLOG/2411592/142833.html Blepharitis is inflammation of the eyelids. The usual causes are dryness, staph bacteria and too much oil. The tear film is comprised of mucus, oil and water. The lachrymal glands produce the bulk of the tears, which is liquid. The oil glands inside each of the eyelids secrete the oil to delay evaporation of the watery tears. The symptoms of blepharitis include lid swelling and redness, blocked oil glands, dry, itchy eyes, loss of lashes and foreign body sensation. It often is bilateral and maybe gradually progressive.  Depending on your body type and your diet you may produce too much Omega-6 oils which are inflammatory to the tissues. The best way to counteract this is by increasing Omega-3 fatty acids in your diet and supplements (1000 mg. DHA daily). Inflammatory oil encourages the growth of bacteria and dehydrates further what may already be a dry eye. Traditional therapies are artificial tears, antibiotics (as drops, ointment or pills) and steroid eye drops. Since blepharitis tends to be chronic treatment often needs to be long-term. A shining new star called Azasite as been introduced for the treatment of conjunctivitis. However, it is an extremely useful erythromycin eye drop for treating blepharitis as well. It not only reduces the bacteria count on the eyelid but loosens up the blocked sebum secretions in the oil glands. What makes Azasite special is the ease of application, the level of tissue contact, the depth of absorption and convenient dosing. Azasite is prescribed twice daily for two days then once a day for five days; its effect lasts an additional 7 to 10 days. Warm compresses help clear the blocked oil and debris and works better than lid shampooing. Artificial tears may still be necessary. I have found Azasite to be a wonderful adjunct in the treatment of this nuisance condition. Just be sure that your condition is not caused by seasonal allergies or make up.    Blepharitis is inflammation of the eyelids. The usual causes are dryness, staph bacteria and too much oil. The tear film is comprised of mucus, oil and water. The lachrymal glands produce the bulk of the tears, which is liquid. The oil glands inside each of the eyelids secrete the oil to delay evaporation of the watery tears. The symptoms of blepharitis include lid swelling and redness, blocked oil glands, dry, itchy eyes, loss of lashes and foreign body sensation. It often is bilateral and maybe gradually progressive.  Depending on your body type and your diet you may produce too much Omega-6 oils which are inflammatory to the tissues. The best way to counteract this is by increasing Omega-3 fatty acids in your diet and supplements (1000 mg. DHA daily). Inflammatory oil encourages the growth of bacteria and dehydrates further what may already be a dry eye. Traditional therapies are artificial tears, antibiotics (as drops, ointment or pills) and steroid eye drops. Since blepharitis tends to be chronic treatment often needs to be long-term. A shining new star called Azasite as been introduced for the treatment of conjunctivitis. However, it is an extremely useful erythromycin eye drop for treating blepharitis as well. It not only reduces the bacteria count on the eyelid but loosens up the blocked sebum secretions in the oil glands. What makes Azasite special is the ease of application, the level of tissue contact, the depth of absorption and convenient dosing. Azasite is prescribed twice daily for two days then once a day for five days; its effect lasts an additional 7 to 10 days. Warm compresses help clear the blocked oil and debris and works better than lid shampooing. Artificial tears may still be necessary. I have found Azasite to be a wonderful adjunct in the treatment of this nuisance condition. Just be sure that your condition is not caused by seasonal allergies or make up.    Fri, 25 Jun 2010 16:26:01 GMT http://community.bewell.com/_Getting-Rid-of-That-Bad-Boy-Blephartis/BLOG/2411592/142833.html RobertAbelJrMD 2010-06-25T16:26:01Z BeWell Community Blepharitis is inflammation of the eyelids. The usual causes are dryness, staph bacteria and too much oil. The tear film is comprised of mucus, oil and water. The lachrymal glands produce the bulk of the tears, which is liquid. The oil glands inside each of the eyelids secrete the oil to delay evaporation of the watery tears. The symptoms of blepharitis include lid swelling and redness, blocked oil glands, dry, itchy eyes, loss of lashes and foreign body sensation. It often is bilateral and maybe gradually progressive.  Depending on your body type and your diet you may produce too much Omega-6 oils which are inflammatory to the tissues. The best way to counteract this is by increasing Omega-3 fatty acids in your diet and supplements (1000 mg. DHA daily). Inflammatory oil encourages the growth of bacteria and dehydrates further what may already be a dry eye. Traditional therapies are artificial tears, antibiotics (as drops, ointment or pills) and steroid eye drops. Since blepharitis tends to be chronic treatment often needs to be long-term. A shining new star called Azasite as been introduced for the treatment of conjunctivitis. However, it is an extremely useful erythromycin eye drop for treating blepharitis as well. It not only reduces the bacteria count on the eyelid but loosens up the blocked sebum secretions in the oil glands. What makes Azasite special is the ease of application, the level of tissue contact, the depth of absorption and convenient dosing. Azasite is prescribed twice daily for two days then once a day for five days; its effect lasts an additional 7 to 10 days. Warm compresses help clear the blocked oil and debris and works better than lid shampooing. Artificial tears may still be necessary. I have found Azasite to be a wonderful adjunct in the treatment of this nuisance condition. Just be sure that your condition is not caused by seasonal allergies or make up.    abel, azasite, blepharitis, eyelids, eyes, robert nonadult false Getting Rid of That Bad Boy: Blephartis text blog abel,azasite,blepharitis,eyelids,eyes,robert 146 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 2411592 19062825 Member 493 http://community.bewell.com/_Rob-Abels-Newly-Published-Books/BLOG/2229648/142833.html In my new medical thriller "Lethal Hindsight", the incidence of cataracts quadruples in Washington, D.C. and Bonn, Germany.  One of the important sub-themes is the fact that people who have good nutrition and wear sunglasses can prevent the cataracts, which is the vehicle of this diabolical tale.  Another interesting aspect is that patients don't always absorb medical advice when sitting in the doctor's exam chair, but many absorb the same information when reading a book in their own chair.  This is one of the reasons I will continue writing medical thrillers and children's books so that prevention can be distilled to a larger audience. The Delaware News Journal has a feature story about my new medical thriller, "Lethal Hindsight", and my children's book on eye health, "Lumi's Book of Eyes".  You can view this article on the following link:  http://www.delawareonline.com/apps/pbcs.dll/article?AID=2010303220001       In my new medical thriller "Lethal Hindsight", the incidence of cataracts quadruples in Washington, D.C. and Bonn, Germany.  One of the important sub-themes is the fact that people who have good nutrition and wear sunglasses can prevent the cataracts, which is the vehicle of this diabolical tale.  Another interesting aspect is that patients don't always absorb medical advice when sitting in the doctor's exam chair, but many absorb the same information when reading a book in their own chair.  This is one of the reasons I will continue writing medical thrillers and children's books so that prevention can be distilled to a larger audience. The Delaware News Journal has a feature story about my new medical thriller, "Lethal Hindsight", and my children's book on eye health, "Lumi's Book of Eyes".  You can view this article on the following link:  http://www.delawareonline.com/apps/pbcs.dll/article?AID=2010303220001       Mon, 22 Mar 2010 16:30:09 GMT http://community.bewell.com/_Rob-Abels-Newly-Published-Books/BLOG/2229648/142833.html RobertAbelJrMD 2010-03-22T16:30:09Z BeWell Community In my new medical thriller "Lethal Hindsight", the incidence of cataracts quadruples in Washington, D.C. and Bonn, Germany.  One of the important sub-themes is the fact that people who have good nutrition and wear sunglasses can prevent the cataracts, which is the vehicle of this diabolical tale.  Another interesting aspect is that patients don't always absorb medical advice when sitting in the doctor's exam chair, but many absorb the same information when reading a book in their own chair.  This is one of the reasons I will continue writing medical thrillers and children's books so that prevention can be distilled to a larger audience. The Delaware News Journal has a feature story about my new medical thriller, "Lethal Hindsight", and my children's book on eye health, "Lumi's Book of Eyes".  You can view this article on the following link:  http://www.delawareonline.com/apps/pbcs.dll/article?AID=2010303220001       nonadult false Rob Abel's Newly Published Books text blog 126 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 2229648 19062825 Member 493 http://community.bewell.com/_Dont-Be-Short-Sighted-Protect-Your-Vision/BLOG/2104234/142833.html We're experiencing an increase in refractive errors, which refers to the eye's ability to "bend" light and focus, especially in nearsightedness. It all starts with children who perform hours of close work on their computers and smart phones without taking a break. As these kids age into adulthood, they continue the same practices while trying to fit too many activities into a day. The incidence of myopia (poor long distance vision) has jumped from 25% to 42% in American adults in the last 25 years. The incidence has increased from 0% to 44% in Eskimo children who have become urbanized.  On top of this we're witnessing the fact that America is aging; within the next 10 years there will be 54 million people 65 and over. With age comes a decreasing focus power (presbyopia) and an increase in ocular conditions such as dry eye, cataracts, glaucoma, and macular degeneration. Although there are many new technical innovations for diagnosing and treating eye disease, it is still best to avoid them in the first place. Good eye health begins with very basic preventive steps:  Taking breaks every 30 minutes from the computer and portable devices. A recent study demonstrated that bifocals with prisms reduce the rate of nearsightedness in Asian American children. It's a lot easer, though, just to take those periodic breaks for 30 seconds at 30-minute intervals. Sunglasses protect against ultraviolet light that can damage the crystalline lens and the retina. This would reduce the risk for developing cataracts and macular degeneration. Maintaining ideal weight through diet, supplementation and exercise will lessen the chances of developing diabetes. Moderating alcohol intake and not smoking eliminate additional toxicity to the eyes. Learning to relax through rhythmic breathing, meditation, exercise or socializing also reduces the creation of free radicals. Taking appropriate multivitamins and vitamins such as Omega3 fatty acids, vitamin C D &E and Lutein protect the eyes. Having regular eye exams, especially if you have symptoms, makes a big difference. Be certain you are wearing the appropriate glasses or contact lenses. In my new book Lethal Hindsight the hero Lauren Chandler stumbles upon an insidious plot with international consequences by doing eye examinations in Washington, DC. One of the subplots in the book is the fact that nutrition and supplementation will be very protective for the future vision of Americans.    We're experiencing an increase in refractive errors, which refers to the eye's ability to "bend" light and focus, especially in nearsightedness. It all starts with children who perform hours of close work on their computers and smart phones without taking a break. As these kids age into adulthood, they continue the same practices while trying to fit too many activities into a day. The incidence of myopia (poor long distance vision) has jumped from 25% to 42% in American adults in the last 25 years. The incidence has increased from 0% to 44% in Eskimo children who have become urbanized.  On top of this we're witnessing the fact that America is aging; within the next 10 years there will be 54 million people 65 and over. With age comes a decreasing focus power (presbyopia) and an increase in ocular conditions such as dry eye, cataracts, glaucoma, and macular degeneration. Although there are many new technical innovations for diagnosing and treating eye disease, it is still best to avoid them in the first place. Good eye health begins with very basic preventive steps:  Taking breaks every 30 minutes from the computer and portable devices. A recent study demonstrated that bifocals with prisms reduce the rate of nearsightedness in Asian American children. It's a lot easer, though, just to take those periodic breaks for 30 seconds at 30-minute intervals. Sunglasses protect against ultraviolet light that can damage the crystalline lens and the retina. This would reduce the risk for developing cataracts and macular degeneration. Maintaining ideal weight through diet, supplementation and exercise will lessen the chances of developing diabetes. Moderating alcohol intake and not smoking eliminate additional toxicity to the eyes. Learning to relax through rhythmic breathing, meditation, exercise or socializing also reduces the creation of free radicals. Taking appropriate multivitamins and vitamins such as Omega3 fatty acids, vitamin C D &E and Lutein protect the eyes. Having regular eye exams, especially if you have symptoms, makes a big difference. Be certain you are wearing the appropriate glasses or contact lenses. In my new book Lethal Hindsight the hero Lauren Chandler stumbles upon an insidious plot with international consequences by doing eye examinations in Washington, DC. One of the subplots in the book is the fact that nutrition and supplementation will be very protective for the future vision of Americans.    Fri, 12 Mar 2010 21:34:55 GMT http://community.bewell.com/_Dont-Be-Short-Sighted-Protect-Your-Vision/BLOG/2104234/142833.html RobertAbelJrMD 2010-03-12T21:34:55Z BeWell Community We're experiencing an increase in refractive errors, which refers to the eye's ability to "bend" light and focus, especially in nearsightedness. It all starts with children who perform hours of close work on their computers and smart phones without taking a break. As these kids age into adulthood, they continue the same practices while trying to fit too many activities into a day. The incidence of myopia (poor long distance vision) has jumped from 25% to 42% in American adults in the last 25 years. The incidence has increased from 0% to 44% in Eskimo children who have become urbanized.  On top of this we're witnessing the fact that America is aging; within the next 10 years there will be 54 million people 65 and over. With age comes a decreasing focus power (presbyopia) and an increase in ocular conditions such as dry eye, cataracts, glaucoma, and macular degeneration. Although there are many new technical innovations for diagnosing and treating eye disease, it is still best to avoid them in the first place. Good eye health begins with very basic preventive steps:  Taking breaks every 30 minutes from the computer and portable devices. A recent study demonstrated that bifocals with prisms reduce the rate of nearsightedness in Asian American children. It's a lot easer, though, just to take those periodic breaks for 30 seconds at 30-minute intervals. Sunglasses protect against ultraviolet light that can damage the crystalline lens and the retina. This would reduce the risk for developing cataracts and macular degeneration. Maintaining ideal weight through diet, supplementation and exercise will lessen the chances of developing diabetes. Moderating alcohol intake and not smoking eliminate additional toxicity to the eyes. Learning to relax through rhythmic breathing, meditation, exercise or socializing also reduces the creation of free radicals. Taking appropriate multivitamins and vitamins such as Omega3 fatty acids, vitamin C D &E and Lutein protect the eyes. Having regular eye exams, especially if you have symptoms, makes a big difference. Be certain you are wearing the appropriate glasses or contact lenses. In my new book Lethal Hindsight the hero Lauren Chandler stumbles upon an insidious plot with international consequences by doing eye examinations in Washington, DC. One of the subplots in the book is the fact that nutrition and supplementation will be very protective for the future vision of Americans.    abel, errors, eye, health, nearsightedness, refractive, robert nonadult false Don’t Be Short Sighted. Protect Your Vision. text blog abel,errors,eye,health,nearsightedness,refractive,robert 197 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 2104234 19062825 Member 493 http://community.bewell.com/_The-Value-of-Preventative-Eye-Care/BLOG/1691882/142833.html As a practicing ophthalmologist, I see many older patients who pay the price for not taking care of themselves and their eyes.  Preventative care requires attention to the four main stressors on the eyes: 1. Sunlight , i.e. UVA and UVB rays2. Poor dietary choices3. Poor lifestyle choices, i.e. smoking or lack of exercise4. Stress Of all the steps one can take to protect their eyes, the easiest is selecting proper eye wear.  Ideal sun protection involves completely blocking UVA and UVB waves, which are toxic to ocular tissues. To help understand the value of protection, it’s important to know how the eyes work. The eye is a bag of water, designed to focus light onto the retina. There are two lenses—one is the cornea and the other is the crystalline lens (which can become a cataract). Between the lenses is the aqueous humor fluid, and between the lens and the retina is the vitreous humor. Light comes into the eye, passing through the cornea through the lens and on to the retina. The light that we see is known as the visual spectrum. Wave lengths that are shorter tend to be absorbed by the cornea or by the lens. Wave lengths that are longer hardly enter the eye. Those ultraviolet A and B wave lengths close to the visual spectrum impact the retina. Exposing the eyes over time to the sun can cause dry eyes, cataracts, floaters, and macular degeneration. The crystalline lens is bi-convex shaped and made of protein. It focuses light, but will also absorb ultraviolet light. In adolescent and childhood years, the lens is not completely formed and much of this sunlight is passed onto to the retina, which results in the equivalent of a mild sunburn. Sunlight is radiation and its affect is cumulative, so over the years, the more ultraviolet light that is absorbed by the retina, the greater the chance for macular degeneration as one ages. The lens absorbs the radiation and can become cataractous, in an attempt to protect the delicate retina. There is no guarantee, however, because all lenses do not work in the same way. Another toxic element of solar exposure is glare. Glare is another reason to get proper eye protection. There are many types of sunglasses on the market, but not all protect equally. Also many patients already have to wear spectacles and find it burdensome to have a second pair of glasses that are for outdoors. This is one of the reasons Transitions lenses are the #1 doctor-recommended lenses in this country and around the world. These lenses not only maintain the quality of the spectacles and transmit visible light freely, but they also enhance contrast and reduce glare, protecting the eye while optimizing vision. As a practicing ophthalmologist, I see many older patients who pay the price for not taking care of themselves and their eyes.  Preventative care requires attention to the four main stressors on the eyes: 1. Sunlight , i.e. UVA and UVB rays2. Poor dietary choices3. Poor lifestyle choices, i.e. smoking or lack of exercise4. Stress Of all the steps one can take to protect their eyes, the easiest is selecting proper eye wear.  Ideal sun protection involves completely blocking UVA and UVB waves, which are toxic to ocular tissues. To help understand the value of protection, it’s important to know how the eyes work. The eye is a bag of water, designed to focus light onto the retina. There are two lenses—one is the cornea and the other is the crystalline lens (which can become a cataract). Between the lenses is the aqueous humor fluid, and between the lens and the retina is the vitreous humor. Light comes into the eye, passing through the cornea through the lens and on to the retina. The light that we see is known as the visual spectrum. Wave lengths that are shorter tend to be absorbed by the cornea or by the lens. Wave lengths that are longer hardly enter the eye. Those ultraviolet A and B wave lengths close to the visual spectrum impact the retina. Exposing the eyes over time to the sun can cause dry eyes, cataracts, floaters, and macular degeneration. The crystalline lens is bi-convex shaped and made of protein. It focuses light, but will also absorb ultraviolet light. In adolescent and childhood years, the lens is not completely formed and much of this sunlight is passed onto to the retina, which results in the equivalent of a mild sunburn. Sunlight is radiation and its affect is cumulative, so over the years, the more ultraviolet light that is absorbed by the retina, the greater the chance for macular degeneration as one ages. The lens absorbs the radiation and can become cataractous, in an attempt to protect the delicate retina. There is no guarantee, however, because all lenses do not work in the same way. Another toxic element of solar exposure is glare. Glare is another reason to get proper eye protection. There are many types of sunglasses on the market, but not all protect equally. Also many patients already have to wear spectacles and find it burdensome to have a second pair of glasses that are for outdoors. This is one of the reasons Transitions lenses are the #1 doctor-recommended lenses in this country and around the world. These lenses not only maintain the quality of the spectacles and transmit visible light freely, but they also enhance contrast and reduce glare, protecting the eye while optimizing vision. Tue, 11 Aug 2009 15:36:55 GMT http://community.bewell.com/_The-Value-of-Preventative-Eye-Care/BLOG/1691882/142833.html RobertAbelJrMD 2009-08-11T15:36:55Z BeWell Community As a practicing ophthalmologist, I see many older patients who pay the price for not taking care of themselves and their eyes.  Preventative care requires attention to the four main stressors on the eyes: 1. Sunlight , i.e. UVA and UVB rays2. Poor dietary choices3. Poor lifestyle choices, i.e. smoking or lack of exercise4. Stress Of all the steps one can take to protect their eyes, the easiest is selecting proper eye wear.  Ideal sun protection involves completely blocking UVA and UVB waves, which are toxic to ocular tissues. To help understand the value of protection, it’s important to know how the eyes work. The eye is a bag of water, designed to focus light onto the retina. There are two lenses—one is the cornea and the other is the crystalline lens (which can become a cataract). Between the lenses is the aqueous humor fluid, and between the lens and the retina is the vitreous humor. Light comes into the eye, passing through the cornea through the lens and on to the retina. The light that we see is known as the visual spectrum. Wave lengths that are shorter tend to be absorbed by the cornea or by the lens. Wave lengths that are longer hardly enter the eye. Those ultraviolet A and B wave lengths close to the visual spectrum impact the retina. Exposing the eyes over time to the sun can cause dry eyes, cataracts, floaters, and macular degeneration. The crystalline lens is bi-convex shaped and made of protein. It focuses light, but will also absorb ultraviolet light. In adolescent and childhood years, the lens is not completely formed and much of this sunlight is passed onto to the retina, which results in the equivalent of a mild sunburn. Sunlight is radiation and its affect is cumulative, so over the years, the more ultraviolet light that is absorbed by the retina, the greater the chance for macular degeneration as one ages. The lens absorbs the radiation and can become cataractous, in an attempt to protect the delicate retina. There is no guarantee, however, because all lenses do not work in the same way. Another toxic element of solar exposure is glare. Glare is another reason to get proper eye protection. There are many types of sunglasses on the market, but not all protect equally. Also many patients already have to wear spectacles and find it burdensome to have a second pair of glasses that are for outdoors. This is one of the reasons Transitions lenses are the #1 doctor-recommended lenses in this country and around the world. These lenses not only maintain the quality of the spectacles and transmit visible light freely, but they also enhance contrast and reduce glare, protecting the eye while optimizing vision. nonadult false The Value of Preventative Eye Care text blog 135 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 1691882 19062825 Member 493 http://community.bewell.com/_Complementary-Medicine-or-Mumbo-Jumbo/BLOG/1691880/142833.html Two recent articles from the Associated Press have urged caution about alternative remedies and implied that those who are sick are often turning to unusual and risky alternatives. The litany begins with Reiki, herbal medicine, dietary supplements, and mind/body approaches -- such as acupuncture and massage -- as they are becoming attractive to cancer patients and the chronically ill. The journalists in these pieces site deceptive claims, emotional vulnerability, and poor medical prognosis as reasons for people to turn to other therapies. Many patients who use complementary medical choices often do not tell their doctors. This is the result of physicians' unwillingness to share in the conversation and even to learn about these alternatives. Sometimes this same level of cold professionalism also reduces the patient's confidence in their recommended treatments. We as physicians need to be able to have a broad look at nutrition, supplementation, mind/body techniques, and other more unusual therapies which are not yet mainstream. A recent medical article pointed out that journals that receive a large part of their advertising support from pharmaceutical companies will eagerly report negative articles about vitamins and rarely report positive ones. An exception to this was an article in a major eye journal that reported vitamin A eye drops were as effective as a $100 monthly prescription for patients with dry eyes. There is no doubt that patients need to review whatever complementary therapies they are undertaking with their physicians and attempt to learn as much about these alternative techniques as possible. Vitamins are certainly not going to cure end-stage cancer, but they should not be disparaged as an adjunct for healthy living. People who take vitamins, exercise, and do yoga are ultimately less likely to feast on Big Macs and pizzas. Negative articles are important only for the context. Therefore I urge you, the reader, to take both negative and positive claims in the context of the subject matter, the patient population, and the journalistic source. All too often writers and researchers will have their result in mind before they undertake their discovery. Fortunately, BeWell subscribers are more astute and probably feel the same way I do. Two recent articles from the Associated Press have urged caution about alternative remedies and implied that those who are sick are often turning to unusual and risky alternatives. The litany begins with Reiki, herbal medicine, dietary supplements, and mind/body approaches -- such as acupuncture and massage -- as they are becoming attractive to cancer patients and the chronically ill. The journalists in these pieces site deceptive claims, emotional vulnerability, and poor medical prognosis as reasons for people to turn to other therapies. Many patients who use complementary medical choices often do not tell their doctors. This is the result of physicians' unwillingness to share in the conversation and even to learn about these alternatives. Sometimes this same level of cold professionalism also reduces the patient's confidence in their recommended treatments. We as physicians need to be able to have a broad look at nutrition, supplementation, mind/body techniques, and other more unusual therapies which are not yet mainstream. A recent medical article pointed out that journals that receive a large part of their advertising support from pharmaceutical companies will eagerly report negative articles about vitamins and rarely report positive ones. An exception to this was an article in a major eye journal that reported vitamin A eye drops were as effective as a $100 monthly prescription for patients with dry eyes. There is no doubt that patients need to review whatever complementary therapies they are undertaking with their physicians and attempt to learn as much about these alternative techniques as possible. Vitamins are certainly not going to cure end-stage cancer, but they should not be disparaged as an adjunct for healthy living. People who take vitamins, exercise, and do yoga are ultimately less likely to feast on Big Macs and pizzas. Negative articles are important only for the context. Therefore I urge you, the reader, to take both negative and positive claims in the context of the subject matter, the patient population, and the journalistic source. All too often writers and researchers will have their result in mind before they undertake their discovery. Fortunately, BeWell subscribers are more astute and probably feel the same way I do. Wed, 10 Jun 2009 15:34:15 GMT http://community.bewell.com/_Complementary-Medicine-or-Mumbo-Jumbo/BLOG/1691880/142833.html RobertAbelJrMD 2009-06-10T15:34:15Z BeWell Community Two recent articles from the Associated Press have urged caution about alternative remedies and implied that those who are sick are often turning to unusual and risky alternatives. The litany begins with Reiki, herbal medicine, dietary supplements, and mind/body approaches -- such as acupuncture and massage -- as they are becoming attractive to cancer patients and the chronically ill. The journalists in these pieces site deceptive claims, emotional vulnerability, and poor medical prognosis as reasons for people to turn to other therapies. Many patients who use complementary medical choices often do not tell their doctors. This is the result of physicians' unwillingness to share in the conversation and even to learn about these alternatives. Sometimes this same level of cold professionalism also reduces the patient's confidence in their recommended treatments. We as physicians need to be able to have a broad look at nutrition, supplementation, mind/body techniques, and other more unusual therapies which are not yet mainstream. A recent medical article pointed out that journals that receive a large part of their advertising support from pharmaceutical companies will eagerly report negative articles about vitamins and rarely report positive ones. An exception to this was an article in a major eye journal that reported vitamin A eye drops were as effective as a $100 monthly prescription for patients with dry eyes. There is no doubt that patients need to review whatever complementary therapies they are undertaking with their physicians and attempt to learn as much about these alternative techniques as possible. Vitamins are certainly not going to cure end-stage cancer, but they should not be disparaged as an adjunct for healthy living. People who take vitamins, exercise, and do yoga are ultimately less likely to feast on Big Macs and pizzas. Negative articles are important only for the context. Therefore I urge you, the reader, to take both negative and positive claims in the context of the subject matter, the patient population, and the journalistic source. All too often writers and researchers will have their result in mind before they undertake their discovery. Fortunately, BeWell subscribers are more astute and probably feel the same way I do. nonadult false Complementary Medicine or Mumbo Jumbo? text blog 131 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 1691880 19062825 Member 493 http://community.bewell.com/_Are-You-Ready-for-a-Cheap-MRI/BLOG/1691879/142833.html It is now possible to focus flickering beams of light in such a way as to emit sound, which is called a photo acoustic effect. The new technique is called optoacoustic or photoacoustic tomography and combines ultrasonic imaging with detailed scans, such as MRI or CT. This technology is effective for several centimeters and will be able to guide biopsy needles, endoscopies, and even measure oxygen levels in blood vessels and lymph nodes. Imagine being able to monitor brain activity as even gene expression within cells without the risk of radiation. This technique is able to penetrate much greater depths than optical coherence tomography (currently used for evaluation of macular degeneration and glaucoma) and is able to vary the wave length, which will serve to individualize the image of different tissues. MRI and CT scans require contrast dyes which could be avoided. This technique is in its infancy but should be available for use with portable handheld devices such as the probes currently employed in ultrasonic scanning. The small pulses of laser light will add to our understanding of ocular physiology (and the rest of the body as well) while conveying new information about gene function, cell survival, and level of oxygenation of paper thin tissues. This will truly be a sound and light show. It is now possible to focus flickering beams of light in such a way as to emit sound, which is called a photo acoustic effect. The new technique is called optoacoustic or photoacoustic tomography and combines ultrasonic imaging with detailed scans, such as MRI or CT. This technology is effective for several centimeters and will be able to guide biopsy needles, endoscopies, and even measure oxygen levels in blood vessels and lymph nodes. Imagine being able to monitor brain activity as even gene expression within cells without the risk of radiation. This technique is able to penetrate much greater depths than optical coherence tomography (currently used for evaluation of macular degeneration and glaucoma) and is able to vary the wave length, which will serve to individualize the image of different tissues. MRI and CT scans require contrast dyes which could be avoided. This technique is in its infancy but should be available for use with portable handheld devices such as the probes currently employed in ultrasonic scanning. The small pulses of laser light will add to our understanding of ocular physiology (and the rest of the body as well) while conveying new information about gene function, cell survival, and level of oxygenation of paper thin tissues. This will truly be a sound and light show. Wed, 10 Jun 2009 14:48:58 GMT http://community.bewell.com/_Are-You-Ready-for-a-Cheap-MRI/BLOG/1691879/142833.html RobertAbelJrMD 2009-06-10T14:48:58Z BeWell Community It is now possible to focus flickering beams of light in such a way as to emit sound, which is called a photo acoustic effect. The new technique is called optoacoustic or photoacoustic tomography and combines ultrasonic imaging with detailed scans, such as MRI or CT. This technology is effective for several centimeters and will be able to guide biopsy needles, endoscopies, and even measure oxygen levels in blood vessels and lymph nodes. Imagine being able to monitor brain activity as even gene expression within cells without the risk of radiation. This technique is able to penetrate much greater depths than optical coherence tomography (currently used for evaluation of macular degeneration and glaucoma) and is able to vary the wave length, which will serve to individualize the image of different tissues. MRI and CT scans require contrast dyes which could be avoided. This technique is in its infancy but should be available for use with portable handheld devices such as the probes currently employed in ultrasonic scanning. The small pulses of laser light will add to our understanding of ocular physiology (and the rest of the body as well) while conveying new information about gene function, cell survival, and level of oxygenation of paper thin tissues. This will truly be a sound and light show. nonadult false Are You Ready for a Cheap MRI? text blog 119 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 1691879 19062825 Member 493 http://community.bewell.com/_My-Visit-to-the-Middle-East/BLOG/1691878/142833.html I had the opportunity to join a diplomatic mission to the Middle East at a crucial time for the 21st century: a recent Israeli invasion of Gaza, new settlements, upcoming elections, Iranian provocation, and the visits of both the President Obama and Vice President Biden to the region. It was a privilege to be able to bring vitamins to Gaza and begin a cultural interchange between the American Academy of Ophthalmology and the ophthalmologists in this region. My fellow pilgrims consisted of a former ambassador, a congressional lobbyist, an internationally-renowned attorney who wrote the definitive work on the Israeli influence on America, an international banker who worked to reconstruct apartheid in South Africa, a scientist from the National Academy of Science, a retired state policeman, a Texas rancher and wife, a Jewish physician and his Palestinian-American wife, and Harriet Fulbright who is the widow of J William Fulbright (best known for starting the UN and a world famous scholarship). The group was sponsored by the Council for the National Interest, an organization started by former diplomats that focuses on the best interests of America. This current mission was a 'boots on the ground' view of the Middle East. We visited Cairo, Gaza, Jerusalem (the Knesset) and Tel Aviv, the West Bank, Amman, Damascus, and Beirut. We met ambassadors, foreign ministers, newspaper editors, dissidents, senators, human rights groups, and representatives of Hamas and Hezbollah. What we realized are the following observations:  The Israel-Palestine issue is central to many conflicts in this area.Since Iraq, the fourth leg in the Arab world (the others are Syria, Saudi Arabia, and Egypt) has been destabilized, Iran has rushed in. The war in Iraq did what the Iranians couldn't do: establish a Shiite government in a previously Sunni Muslim state. The Palestinians have been abused by the Israeli government, ignored in their camps in neighboring countries, and used as political pawns in the East/West Sunni/Shiite political power plays. The Palestinians are hospitable, cultured, literate, and not ill-disposed to Americans. Even in Gaza and the Sabra and Shatila camps in Beirut (the site of the Phalangist massacre under the direction of Ariel Sharon) the literacy rate is an amazing 95%. The West Bank towns and villages, the camps, and Gaza have created their own infrastructures, schools, medical care clinics, and police forces despite oppression and despair. The World Health Organization recognized the West Bank/Palestine medical system as outstanding. The settlements house 200,000 Israelis in East Jerusalem and 300,000 more in the West Bank. The Palestinians continue to lose homes, are denied permits, and are prevented from praying by roadblocks and walls. There is more water supplied to the settlement swimming pools each day than to the majority of Palestinians; some of these Arabs receive water only one in two to five days. Visiting the historic town of Hebron was a tearful experience and embarrassed me being Jewish. House were appropriated in the center of town, 400 settlers are guarded by 1200 soldiers, children are subject to daily schoolbag inspections occasionally at gunpoint, shops have been summarily closed, and the settlers throw stones and garbage onto the alleyways. This is adding insult to occupation. Members of Knesset, Israeli citizens, and former Israeli soldiers are 'breaking the silence' and speaking about the strangulation of the West Bank. An organization of Israeli lawyers founded an organization which sues their government for crimes against an occupied population. The leaders of Hamas both in Gaza and Damascus are very well organized and repeatedly articulated their willingness to talk to the US and George Mitchell, and work with Fatah and independent parties to form a coalition government. Khalid Mishaal stated that Hamas would recognize Israel if there is a Palestinian state, a return to 1967 borders, removal of roadblocks, and a negotiable right of return. Mr Mishaal said the word talk 24 times. We recognized that all parties (we did not meet with Likud) are optimistic about the Obama presidency, see an urgent need for tangible progress to a Palestinian-Israel solution, and predict violence can only be contained another 12 months. If peace talks proceed, Iran's role in funding radical groups will immediately be diminished. Peace will be less expensive than continued fortifications and violence. A recent poll finds that 73% of Israelis are dissatisfied with the settlements and would never consider visiting them. Israel needs assurances for the safety of its citizens. Only the American government can force a change in the Netanyahu administration, opening tangible steps toward the recognized end point: a two state solution. Communication is key, at any level. Please keep up your thoughts, letters to your congressmen and congresswomen, and your prayers. I had the opportunity to join a diplomatic mission to the Middle East at a crucial time for the 21st century: a recent Israeli invasion of Gaza, new settlements, upcoming elections, Iranian provocation, and the visits of both the President Obama and Vice President Biden to the region. It was a privilege to be able to bring vitamins to Gaza and begin a cultural interchange between the American Academy of Ophthalmology and the ophthalmologists in this region. My fellow pilgrims consisted of a former ambassador, a congressional lobbyist, an internationally-renowned attorney who wrote the definitive work on the Israeli influence on America, an international banker who worked to reconstruct apartheid in South Africa, a scientist from the National Academy of Science, a retired state policeman, a Texas rancher and wife, a Jewish physician and his Palestinian-American wife, and Harriet Fulbright who is the widow of J William Fulbright (best known for starting the UN and a world famous scholarship). The group was sponsored by the Council for the National Interest, an organization started by former diplomats that focuses on the best interests of America. This current mission was a 'boots on the ground' view of the Middle East. We visited Cairo, Gaza, Jerusalem (the Knesset) and Tel Aviv, the West Bank, Amman, Damascus, and Beirut. We met ambassadors, foreign ministers, newspaper editors, dissidents, senators, human rights groups, and representatives of Hamas and Hezbollah. What we realized are the following observations:  The Israel-Palestine issue is central to many conflicts in this area.Since Iraq, the fourth leg in the Arab world (the others are Syria, Saudi Arabia, and Egypt) has been destabilized, Iran has rushed in. The war in Iraq did what the Iranians couldn't do: establish a Shiite government in a previously Sunni Muslim state. The Palestinians have been abused by the Israeli government, ignored in their camps in neighboring countries, and used as political pawns in the East/West Sunni/Shiite political power plays. The Palestinians are hospitable, cultured, literate, and not ill-disposed to Americans. Even in Gaza and the Sabra and Shatila camps in Beirut (the site of the Phalangist massacre under the direction of Ariel Sharon) the literacy rate is an amazing 95%. The West Bank towns and villages, the camps, and Gaza have created their own infrastructures, schools, medical care clinics, and police forces despite oppression and despair. The World Health Organization recognized the West Bank/Palestine medical system as outstanding. The settlements house 200,000 Israelis in East Jerusalem and 300,000 more in the West Bank. The Palestinians continue to lose homes, are denied permits, and are prevented from praying by roadblocks and walls. There is more water supplied to the settlement swimming pools each day than to the majority of Palestinians; some of these Arabs receive water only one in two to five days. Visiting the historic town of Hebron was a tearful experience and embarrassed me being Jewish. House were appropriated in the center of town, 400 settlers are guarded by 1200 soldiers, children are subject to daily schoolbag inspections occasionally at gunpoint, shops have been summarily closed, and the settlers throw stones and garbage onto the alleyways. This is adding insult to occupation. Members of Knesset, Israeli citizens, and former Israeli soldiers are 'breaking the silence' and speaking about the strangulation of the West Bank. An organization of Israeli lawyers founded an organization which sues their government for crimes against an occupied population. The leaders of Hamas both in Gaza and Damascus are very well organized and repeatedly articulated their willingness to talk to the US and George Mitchell, and work with Fatah and independent parties to form a coalition government. Khalid Mishaal stated that Hamas would recognize Israel if there is a Palestinian state, a return to 1967 borders, removal of roadblocks, and a negotiable right of return. Mr Mishaal said the word talk 24 times. We recognized that all parties (we did not meet with Likud) are optimistic about the Obama presidency, see an urgent need for tangible progress to a Palestinian-Israel solution, and predict violence can only be contained another 12 months. If peace talks proceed, Iran's role in funding radical groups will immediately be diminished. Peace will be less expensive than continued fortifications and violence. A recent poll finds that 73% of Israelis are dissatisfied with the settlements and would never consider visiting them. Israel needs assurances for the safety of its citizens. Only the American government can force a change in the Netanyahu administration, opening tangible steps toward the recognized end point: a two state solution. Communication is key, at any level. Please keep up your thoughts, letters to your congressmen and congresswomen, and your prayers. Mon, 08 Jun 2009 20:10:06 GMT http://community.bewell.com/_My-Visit-to-the-Middle-East/BLOG/1691878/142833.html RobertAbelJrMD 2009-06-08T20:10:06Z BeWell Community I had the opportunity to join a diplomatic mission to the Middle East at a crucial time for the 21st century: a recent Israeli invasion of Gaza, new settlements, upcoming elections, Iranian provocation, and the visits of both the President Obama and Vice President Biden to the region. It was a privilege to be able to bring vitamins to Gaza and begin a cultural interchange between the American Academy of Ophthalmology and the ophthalmologists in this region. My fellow pilgrims consisted of a former ambassador, a congressional lobbyist, an internationally-renowned attorney who wrote the definitive work on the Israeli influence on America, an international banker who worked to reconstruct apartheid in South Africa, a scientist from the National Academy of Science, a retired state policeman, a Texas rancher and wife, a Jewish physician and his Palestinian-American wife, and Harriet Fulbright who is the widow of J William Fulbright (best known for starting the UN and a world famous scholarship). The group was sponsored by the Council for the National Interest, an organization started by former diplomats that focuses on the best interests of America. This current mission was a 'boots on the ground' view of the Middle East. We visited Cairo, Gaza, Jerusalem (the Knesset) and Tel Aviv, the West Bank, Amman, Damascus, and Beirut. We met ambassadors, foreign ministers, newspaper editors, dissidents, senators, human rights groups, and representatives of Hamas and Hezbollah. What we realized are the following observations:  The Israel-Palestine issue is central to many conflicts in this area.Since Iraq, the fourth leg in the Arab world (the others are Syria, Saudi Arabia, and Egypt) has been destabilized, Iran has rushed in. The war in Iraq did what the Iranians couldn't do: establish a Shiite government in a previously Sunni Muslim state. The Palestinians have been abused by the Israeli government, ignored in their camps in neighboring countries, and used as political pawns in the East/West Sunni/Shiite political power plays. The Palestinians are hospitable, cultured, literate, and not ill-disposed to Americans. Even in Gaza and the Sabra and Shatila camps in Beirut (the site of the Phalangist massacre under the direction of Ariel Sharon) the literacy rate is an amazing 95%. The West Bank towns and villages, the camps, and Gaza have created their own infrastructures, schools, medical care clinics, and police forces despite oppression and despair. The World Health Organization recognized the West Bank/Palestine medical system as outstanding. The settlements house 200,000 Israelis in East Jerusalem and 300,000 more in the West Bank. The Palestinians continue to lose homes, are denied permits, and are prevented from praying by roadblocks and walls. There is more water supplied to the settlement swimming pools each day than to the majority of Palestinians; some of these Arabs receive water only one in two to five days. Visiting the historic town of Hebron was a tearful experience and embarrassed me being Jewish. House were appropriated in the center of town, 400 settlers are guarded by 1200 soldiers, children are subject to daily schoolbag inspections occasionally at gunpoint, shops have been summarily closed, and the settlers throw stones and garbage onto the alleyways. This is adding insult to occupation. Members of Knesset, Israeli citizens, and former Israeli soldiers are 'breaking the silence' and speaking about the strangulation of the West Bank. An organization of Israeli lawyers founded an organization which sues their government for crimes against an occupied population. The leaders of Hamas both in Gaza and Damascus are very well organized and repeatedly articulated their willingness to talk to the US and George Mitchell, and work with Fatah and independent parties to form a coalition government. Khalid Mishaal stated that Hamas would recognize Israel if there is a Palestinian state, a return to 1967 borders, removal of roadblocks, and a negotiable right of return. Mr Mishaal said the word talk 24 times. We recognized that all parties (we did not meet with Likud) are optimistic about the Obama presidency, see an urgent need for tangible progress to a Palestinian-Israel solution, and predict violence can only be contained another 12 months. If peace talks proceed, Iran's role in funding radical groups will immediately be diminished. Peace will be less expensive than continued fortifications and violence. A recent poll finds that 73% of Israelis are dissatisfied with the settlements and would never consider visiting them. Israel needs assurances for the safety of its citizens. Only the American government can force a change in the Netanyahu administration, opening tangible steps toward the recognized end point: a two state solution. Communication is key, at any level. Please keep up your thoughts, letters to your congressmen and congresswomen, and your prayers. nonadult false My Visit to the Middle East text blog 108 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 1691878 19062825 Member 493 http://community.bewell.com/_The-Eye-of-the-Mother/BLOG/1691876/142833.html There is none keener than the eye of the mother, the person who keeps the family together and healthy, often sacrificing herself.Women are the key to civilization propagating the family and serving everybody's needs. Women also have more eye problems, such as dry eye, cataract, normal tension glaucoma, and macular degeneration. Their healthy pantry should include omega-3 DHA, lutein (since they lose these to develop their offspring), and a good multivitamin.BeWell experts and BeWell.com are dedicated to the wellness of the often unrecognized 'Best Supporting Actress.' All women, including mothers, should have regular eye exams based on age and risk. We believe, as you do, that dealing with an issue before it gets out of hand is the best medicine. There is none keener than the eye of the mother, the person who keeps the family together and healthy, often sacrificing herself.Women are the key to civilization propagating the family and serving everybody's needs. Women also have more eye problems, such as dry eye, cataract, normal tension glaucoma, and macular degeneration. Their healthy pantry should include omega-3 DHA, lutein (since they lose these to develop their offspring), and a good multivitamin.BeWell experts and BeWell.com are dedicated to the wellness of the often unrecognized 'Best Supporting Actress.' All women, including mothers, should have regular eye exams based on age and risk. We believe, as you do, that dealing with an issue before it gets out of hand is the best medicine. Fri, 24 Apr 2009 13:42:57 GMT http://community.bewell.com/_The-Eye-of-the-Mother/BLOG/1691876/142833.html RobertAbelJrMD 2009-04-24T13:42:57Z BeWell Community There is none keener than the eye of the mother, the person who keeps the family together and healthy, often sacrificing herself.Women are the key to civilization propagating the family and serving everybody's needs. Women also have more eye problems, such as dry eye, cataract, normal tension glaucoma, and macular degeneration. Their healthy pantry should include omega-3 DHA, lutein (since they lose these to develop their offspring), and a good multivitamin.BeWell experts and BeWell.com are dedicated to the wellness of the often unrecognized 'Best Supporting Actress.' All women, including mothers, should have regular eye exams based on age and risk. We believe, as you do, that dealing with an issue before it gets out of hand is the best medicine. nonadult false The Eye of the Mother text blog 103 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 1691876 19062825 Member 493 http://community.bewell.com/_Lower-Your-Risk-of-Macular-Degeneration/BLOG/1691874/142833.html Dr. William Christen and associates at Harvard have published a study in the February Archives of Internal Medicine indicating that certain B vitamins may reduce the risk for macular degeneration in women. The combination of folic acid (B4), pyridoxine (B6) and cyano cobalamine (B12) showed a 41% reduction in the treatment group. These three B vitamins attach methyl groups and are known to reduce the risk of serum homocysteine in heart disease. The authors hesitate to recommend the benefit of a vitamin B supplement vitamin, but I don't! Read more about the study, here. Dr. William Christen and associates at Harvard have published a study in the February Archives of Internal Medicine indicating that certain B vitamins may reduce the risk for macular degeneration in women. The combination of folic acid (B4), pyridoxine (B6) and cyano cobalamine (B12) showed a 41% reduction in the treatment group. These three B vitamins attach methyl groups and are known to reduce the risk of serum homocysteine in heart disease. The authors hesitate to recommend the benefit of a vitamin B supplement vitamin, but I don't! Read more about the study, here. Thu, 09 Apr 2009 19:22:35 GMT http://community.bewell.com/_Lower-Your-Risk-of-Macular-Degeneration/BLOG/1691874/142833.html RobertAbelJrMD 2009-04-09T19:22:35Z BeWell Community Dr. William Christen and associates at Harvard have published a study in the February Archives of Internal Medicine indicating that certain B vitamins may reduce the risk for macular degeneration in women. The combination of folic acid (B4), pyridoxine (B6) and cyano cobalamine (B12) showed a 41% reduction in the treatment group. These three B vitamins attach methyl groups and are known to reduce the risk of serum homocysteine in heart disease. The authors hesitate to recommend the benefit of a vitamin B supplement vitamin, but I don't! Read more about the study, here. nonadult false Lower Your Risk of Macular Degeneration text blog 92 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 1691874 19062825 Member 493 http://community.bewell.com/_Vitamin-D-Get-Your-Daily-Dose/BLOG/1691885/142833.html Recent studies have associated Vitamin D deficiencies with a 2.3 times increased risk of dementia. Lower vitamin D levels have also been associated with decreased resistance to upper respiratory tract infections, like common colds. Previous articles have stressed the importance of Vitamin D for all sorts of immunity. High levels of vitamin D appear to protect against breast cancer. Those with high levels have shown a 24% lower risk of both estrogen positive and progesterone positive breast cancer. One article also indicated a protective effect of vitamin D on prostate cancer; in fact higher blood levels of vitamin D reduced the mortality of prostate cancer seven-fold. Therefore my recommendation is that each of us should have our serum level of Vitamin D-3 (cholecalciferol) measured with our routine physicals or when we get blood work. The new recommendation for vitamin D from nutrition experts is 2000 to 4000 IU a day. Your blood level should average between 50-80 ng/ml year round. Don't just count on the sun or trust your calcium supplements to do the job. Recent studies have associated Vitamin D deficiencies with a 2.3 times increased risk of dementia. Lower vitamin D levels have also been associated with decreased resistance to upper respiratory tract infections, like common colds. Previous articles have stressed the importance of Vitamin D for all sorts of immunity. High levels of vitamin D appear to protect against breast cancer. Those with high levels have shown a 24% lower risk of both estrogen positive and progesterone positive breast cancer. One article also indicated a protective effect of vitamin D on prostate cancer; in fact higher blood levels of vitamin D reduced the mortality of prostate cancer seven-fold. Therefore my recommendation is that each of us should have our serum level of Vitamin D-3 (cholecalciferol) measured with our routine physicals or when we get blood work. The new recommendation for vitamin D from nutrition experts is 2000 to 4000 IU a day. Your blood level should average between 50-80 ng/ml year round. Don't just count on the sun or trust your calcium supplements to do the job. Thu, 09 Apr 2009 18:56:18 GMT http://community.bewell.com/_Vitamin-D-Get-Your-Daily-Dose/BLOG/1691885/142833.html RobertAbelJrMD 2009-04-09T18:56:18Z BeWell Community Recent studies have associated Vitamin D deficiencies with a 2.3 times increased risk of dementia. Lower vitamin D levels have also been associated with decreased resistance to upper respiratory tract infections, like common colds. Previous articles have stressed the importance of Vitamin D for all sorts of immunity. High levels of vitamin D appear to protect against breast cancer. Those with high levels have shown a 24% lower risk of both estrogen positive and progesterone positive breast cancer. One article also indicated a protective effect of vitamin D on prostate cancer; in fact higher blood levels of vitamin D reduced the mortality of prostate cancer seven-fold. Therefore my recommendation is that each of us should have our serum level of Vitamin D-3 (cholecalciferol) measured with our routine physicals or when we get blood work. The new recommendation for vitamin D from nutrition experts is 2000 to 4000 IU a day. Your blood level should average between 50-80 ng/ml year round. Don't just count on the sun or trust your calcium supplements to do the job. nonadult false Vitamin D: Get Your Daily Dose text blog 123 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 1691885 19062825 Member 493 http://community.bewell.com/_Computer-Grows-New-Brain-Cells/BLOG/1691883/142833.html A Boca Raton company has developed a computer based training program that can restore visions in areas of the brain blinded by stroke. Scientists previously thought that after such brain damage new brain cells could not grow in the higher cerebral centers. However, training with a computer on a regular basis may improve color and simple pattern recognition in the defective visual areas.Vision fixation cues and regular practice may allow neurons in healthy areas of the brain to extend their dendrites into blind areas. If this proves correct then return of vision may be possible. If this is an area that applies ask your eye doctor or neurologist about Nova Vision (http://www.novavision.com/) restoration therapy. At this time the jury is still out as to whom may benefit and by how much. God Bless You. A Boca Raton company has developed a computer based training program that can restore visions in areas of the brain blinded by stroke. Scientists previously thought that after such brain damage new brain cells could not grow in the higher cerebral centers. However, training with a computer on a regular basis may improve color and simple pattern recognition in the defective visual areas.Vision fixation cues and regular practice may allow neurons in healthy areas of the brain to extend their dendrites into blind areas. If this proves correct then return of vision may be possible. If this is an area that applies ask your eye doctor or neurologist about Nova Vision (http://www.novavision.com/) restoration therapy. At this time the jury is still out as to whom may benefit and by how much. God Bless You. Tue, 03 Mar 2009 00:14:17 GMT http://community.bewell.com/_Computer-Grows-New-Brain-Cells/BLOG/1691883/142833.html RobertAbelJrMD 2009-03-03T00:14:17Z BeWell Community A Boca Raton company has developed a computer based training program that can restore visions in areas of the brain blinded by stroke. Scientists previously thought that after such brain damage new brain cells could not grow in the higher cerebral centers. However, training with a computer on a regular basis may improve color and simple pattern recognition in the defective visual areas.Vision fixation cues and regular practice may allow neurons in healthy areas of the brain to extend their dendrites into blind areas. If this proves correct then return of vision may be possible. If this is an area that applies ask your eye doctor or neurologist about Nova Vision (http://www.novavision.com/) restoration therapy. At this time the jury is still out as to whom may benefit and by how much. God Bless You. nonadult false Computer Grows New Brain Cells text blog 115 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 1691883 19062825 Member 493 http://community.bewell.com/_You-Decide-on-Vitamins/BLOG/1691872/142833.html An article in the New York Times on February 17, 2009 cast doubt on the value of vitamins for heart disease and cancer in seniors. However, I feel it is necessary to respond, since the literature is replete with positive correlations between nutritional supplements and clinical disease.Omega-3 Fatty Acids have proven their value in childhood development, cardiovascular disease, macular degeneration, and even reduction of mortality. Vitamin D is now recognized as being essential in these same areas, as well as bone development, maintenance, and immunity support. Needless to say, it is important for each of us to do our own research and find informed consultants in order to make the right choices.Readers will always find negative articles highlighted in the media...because that makes news. Readers will not always read the scientific journals to learn of the countless positive articles that allow each of us to make healthy decisions. Fortunately, BeWell.com serves as such a source of information. An article in the New York Times on February 17, 2009 cast doubt on the value of vitamins for heart disease and cancer in seniors. However, I feel it is necessary to respond, since the literature is replete with positive correlations between nutritional supplements and clinical disease.Omega-3 Fatty Acids have proven their value in childhood development, cardiovascular disease, macular degeneration, and even reduction of mortality. Vitamin D is now recognized as being essential in these same areas, as well as bone development, maintenance, and immunity support. Needless to say, it is important for each of us to do our own research and find informed consultants in order to make the right choices.Readers will always find negative articles highlighted in the media...because that makes news. Readers will not always read the scientific journals to learn of the countless positive articles that allow each of us to make healthy decisions. Fortunately, BeWell.com serves as such a source of information. Tue, 03 Mar 2009 00:10:49 GMT http://community.bewell.com/_You-Decide-on-Vitamins/BLOG/1691872/142833.html RobertAbelJrMD 2009-03-03T00:10:49Z BeWell Community An article in the New York Times on February 17, 2009 cast doubt on the value of vitamins for heart disease and cancer in seniors. However, I feel it is necessary to respond, since the literature is replete with positive correlations between nutritional supplements and clinical disease.Omega-3 Fatty Acids have proven their value in childhood development, cardiovascular disease, macular degeneration, and even reduction of mortality. Vitamin D is now recognized as being essential in these same areas, as well as bone development, maintenance, and immunity support. Needless to say, it is important for each of us to do our own research and find informed consultants in order to make the right choices.Readers will always find negative articles highlighted in the media...because that makes news. Readers will not always read the scientific journals to learn of the countless positive articles that allow each of us to make healthy decisions. Fortunately, BeWell.com serves as such a source of information. nonadult false You Decide on Vitamins text blog 130 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 1691872 19062825 Member 493 http://community.bewell.com/_The-Horse-Before-the-Cart/BLOG/1691870/142833.html I recently learned that the mortality from non-dermatologic cancers has only fallen 8% since 1975. Compare that to the death rate from heart disease, which has decreased 60% in the same period of time. The research money allocated to cancer is primarily for diagnosed (contracted and end-stage) disease, whereas prevention has been the emphasis for cardiac ailments.The present trend holds true for the allocation of funds in ophthalmology. There are far more millions spent for therapy of macular degeneration, diabetes and cataract than for their risk reduction.I believe we should learn from the cardiologists in this age of diminished resources. We should be doing the most good for the most people so that they can reduce their risk of being a statistic for a disease. An ounce of prevention helps many more people than a pound of cure. I recently learned that the mortality from non-dermatologic cancers has only fallen 8% since 1975. Compare that to the death rate from heart disease, which has decreased 60% in the same period of time. The research money allocated to cancer is primarily for diagnosed (contracted and end-stage) disease, whereas prevention has been the emphasis for cardiac ailments.The present trend holds true for the allocation of funds in ophthalmology. There are far more millions spent for therapy of macular degeneration, diabetes and cataract than for their risk reduction.I believe we should learn from the cardiologists in this age of diminished resources. We should be doing the most good for the most people so that they can reduce their risk of being a statistic for a disease. An ounce of prevention helps many more people than a pound of cure. Mon, 02 Mar 2009 17:02:51 GMT http://community.bewell.com/_The-Horse-Before-the-Cart/BLOG/1691870/142833.html RobertAbelJrMD 2009-03-02T17:02:51Z BeWell Community I recently learned that the mortality from non-dermatologic cancers has only fallen 8% since 1975. Compare that to the death rate from heart disease, which has decreased 60% in the same period of time. The research money allocated to cancer is primarily for diagnosed (contracted and end-stage) disease, whereas prevention has been the emphasis for cardiac ailments.The present trend holds true for the allocation of funds in ophthalmology. There are far more millions spent for therapy of macular degeneration, diabetes and cataract than for their risk reduction.I believe we should learn from the cardiologists in this age of diminished resources. We should be doing the most good for the most people so that they can reduce their risk of being a statistic for a disease. An ounce of prevention helps many more people than a pound of cure. nonadult false The Horse Before the Cart text blog 101 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 1691870 19062825 Member 493 http://community.bewell.com/_The-Selective-Eye/BLOG/1691868/142833.html Two hundred years ago, on February 12, 1809, Charles Darwin and Abraham Lincoln were both born. These two unforgettable people had two special interests in common: the human eyes and the need to contribute to the betterment of mankind. Darwin was intensely interested in the evolution of the eye, from the optic pit surrounded by pigment to the development of the pupil and accommodation system. As he studied higher animals, he realized that evolution contributed to the progressive development of this vital organ. He also recognized that evolution only made things better in a completive environment and that survival characteristics were never detrimental. Interestingly enough, since Darwin's time studies have documented that the pace of evolution appears to have accelerated. A recent study found three million genetic variants in 269 people (of African, Asian and European origins). Many of these mutations are never expressed, but change is inherent in our genetic makeup. Abraham Lincoln suffered from headaches, fatigue, and nausea from childhood but would never give up his voracious reading. Observers commented that when Lincoln was tired his left eye would turn up. This great man actually was very farsighted and finally obtained the appropriate spectacles. In retrospect, I realize that he was an accommodative hyperope with an overacting eye muscle. This condition is usually detected in very farsighted children whose eyes will turn in, and occasionally up, when focusing. A child born today would have been diagnosed early and the condition treated with correct glasses. Darwin and Lincoln shared another fundamental trait: They were both firm abolitionists that believed in the equality of all men and women. They're remembered for being strong individuals with great insight and broad capacity for helping mankind. Happy bicentennial guys!   Two hundred years ago, on February 12, 1809, Charles Darwin and Abraham Lincoln were both born. These two unforgettable people had two special interests in common: the human eyes and the need to contribute to the betterment of mankind. Darwin was intensely interested in the evolution of the eye, from the optic pit surrounded by pigment to the development of the pupil and accommodation system. As he studied higher animals, he realized that evolution contributed to the progressive development of this vital organ. He also recognized that evolution only made things better in a completive environment and that survival characteristics were never detrimental. Interestingly enough, since Darwin's time studies have documented that the pace of evolution appears to have accelerated. A recent study found three million genetic variants in 269 people (of African, Asian and European origins). Many of these mutations are never expressed, but change is inherent in our genetic makeup. Abraham Lincoln suffered from headaches, fatigue, and nausea from childhood but would never give up his voracious reading. Observers commented that when Lincoln was tired his left eye would turn up. This great man actually was very farsighted and finally obtained the appropriate spectacles. In retrospect, I realize that he was an accommodative hyperope with an overacting eye muscle. This condition is usually detected in very farsighted children whose eyes will turn in, and occasionally up, when focusing. A child born today would have been diagnosed early and the condition treated with correct glasses. Darwin and Lincoln shared another fundamental trait: They were both firm abolitionists that believed in the equality of all men and women. They're remembered for being strong individuals with great insight and broad capacity for helping mankind. Happy bicentennial guys!   Thu, 12 Feb 2009 19:00:35 GMT http://community.bewell.com/_The-Selective-Eye/BLOG/1691868/142833.html RobertAbelJrMD 2009-02-12T19:00:35Z BeWell Community Two hundred years ago, on February 12, 1809, Charles Darwin and Abraham Lincoln were both born. These two unforgettable people had two special interests in common: the human eyes and the need to contribute to the betterment of mankind. Darwin was intensely interested in the evolution of the eye, from the optic pit surrounded by pigment to the development of the pupil and accommodation system. As he studied higher animals, he realized that evolution contributed to the progressive development of this vital organ. He also recognized that evolution only made things better in a completive environment and that survival characteristics were never detrimental. Interestingly enough, since Darwin's time studies have documented that the pace of evolution appears to have accelerated. A recent study found three million genetic variants in 269 people (of African, Asian and European origins). Many of these mutations are never expressed, but change is inherent in our genetic makeup. Abraham Lincoln suffered from headaches, fatigue, and nausea from childhood but would never give up his voracious reading. Observers commented that when Lincoln was tired his left eye would turn up. This great man actually was very farsighted and finally obtained the appropriate spectacles. In retrospect, I realize that he was an accommodative hyperope with an overacting eye muscle. This condition is usually detected in very farsighted children whose eyes will turn in, and occasionally up, when focusing. A child born today would have been diagnosed early and the condition treated with correct glasses. Darwin and Lincoln shared another fundamental trait: They were both firm abolitionists that believed in the equality of all men and women. They're remembered for being strong individuals with great insight and broad capacity for helping mankind. Happy bicentennial guys!   nonadult false The Selective Eye text blog 90 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 1691868 19062825 Member 493 http://community.bewell.com/_Smoke-Gets-Into-Your-Eyes/BLOG/1691867/142833.html No kidding! We all know that smoke gets in your eyes -- whether you're doing the smoking or a neighbor is blowing smoke into your face. Cigarette smoke causes tearing, redness, and irritation; it also exacerbates dry eyes. Regular exposure to cigarette smoke will cause the conjunctiva (the thin membrane over the surface of the inner eyelid and the white part of the eyeball) to yellow over the years and develop peculiar little bumps called 'pingueculae.' The tar and chemicals from cigarettes accumulate in the oil glands of the eyelids, contributing to inflammation and swelling. But worse yet, smoking a pack a day for twenty years markedly increases the risk of developing cataracts and macular degeneration. It not only increases the incidence of heart and lung problems, but adds to the anesthesia risk in surgery. So what you do today effects your health in the future. For clarity of thought and for healthy sight, it is definitely wise to choose a date to stop smoking. My colleagues at BeWell.com will be giving you practical suggestions on iVillage.com's 'Kick Butts' message board. Good luck and please share the message with others who are trying to quit. No kidding! We all know that smoke gets in your eyes -- whether you're doing the smoking or a neighbor is blowing smoke into your face. Cigarette smoke causes tearing, redness, and irritation; it also exacerbates dry eyes. Regular exposure to cigarette smoke will cause the conjunctiva (the thin membrane over the surface of the inner eyelid and the white part of the eyeball) to yellow over the years and develop peculiar little bumps called 'pingueculae.' The tar and chemicals from cigarettes accumulate in the oil glands of the eyelids, contributing to inflammation and swelling. But worse yet, smoking a pack a day for twenty years markedly increases the risk of developing cataracts and macular degeneration. It not only increases the incidence of heart and lung problems, but adds to the anesthesia risk in surgery. So what you do today effects your health in the future. For clarity of thought and for healthy sight, it is definitely wise to choose a date to stop smoking. My colleagues at BeWell.com will be giving you practical suggestions on iVillage.com's 'Kick Butts' message board. Good luck and please share the message with others who are trying to quit. Thu, 29 Jan 2009 17:45:02 GMT http://community.bewell.com/_Smoke-Gets-Into-Your-Eyes/BLOG/1691867/142833.html RobertAbelJrMD 2009-01-29T17:45:02Z BeWell Community No kidding! We all know that smoke gets in your eyes -- whether you're doing the smoking or a neighbor is blowing smoke into your face. Cigarette smoke causes tearing, redness, and irritation; it also exacerbates dry eyes. Regular exposure to cigarette smoke will cause the conjunctiva (the thin membrane over the surface of the inner eyelid and the white part of the eyeball) to yellow over the years and develop peculiar little bumps called 'pingueculae.' The tar and chemicals from cigarettes accumulate in the oil glands of the eyelids, contributing to inflammation and swelling. But worse yet, smoking a pack a day for twenty years markedly increases the risk of developing cataracts and macular degeneration. It not only increases the incidence of heart and lung problems, but adds to the anesthesia risk in surgery. So what you do today effects your health in the future. For clarity of thought and for healthy sight, it is definitely wise to choose a date to stop smoking. My colleagues at BeWell.com will be giving you practical suggestions on iVillage.com's 'Kick Butts' message board. Good luck and please share the message with others who are trying to quit. nonadult false Smoke Gets Into Your Eyes text blog 75 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 1691867 19062825 Member 493 http://community.bewell.com/_The-Value-of-Individualized-Care/BLOG/1691866/142833.html    It's an honor to be part of this renowned group of experts, a privilege to share in your issues and a long-term commitment to providing excellence in health and wellness.    I am excited to participate in a leading edge community of experts and clients who are molding the future of health care. BeWell.com, with your help, will be changing the paradigm of medical treatment of disease to promoting better health crafted around the consumer.  The BeWell.com website provides access to consumers hungry for information, options, and second opinions. Communication and conversations about categories of lifestyle issues and improvements will expedited through contemporary interactive tools and support groups.    The two snakes on the Caduceus staff represent both the art and science of medicine.  This same duality is supported by BeWell.com in representing the best in mind/body medicine in the 21st century.  I may be an ophthalmologist, but I have spent 30 years connecting the eye to the rest of the body and exploring causes rather than simply treating dissociated symptoms. It is you the consumer who has taught me so much and will continue to teach me more. I encourage the value of individualized care and that is why I wrote my books, especially The Eye Care Revolution.    I look forward to our partnership in the BeWell.com community and thank you for your energy.    It's an honor to be part of this renowned group of experts, a privilege to share in your issues and a long-term commitment to providing excellence in health and wellness.    I am excited to participate in a leading edge community of experts and clients who are molding the future of health care. BeWell.com, with your help, will be changing the paradigm of medical treatment of disease to promoting better health crafted around the consumer.  The BeWell.com website provides access to consumers hungry for information, options, and second opinions. Communication and conversations about categories of lifestyle issues and improvements will expedited through contemporary interactive tools and support groups.    The two snakes on the Caduceus staff represent both the art and science of medicine.  This same duality is supported by BeWell.com in representing the best in mind/body medicine in the 21st century.  I may be an ophthalmologist, but I have spent 30 years connecting the eye to the rest of the body and exploring causes rather than simply treating dissociated symptoms. It is you the consumer who has taught me so much and will continue to teach me more. I encourage the value of individualized care and that is why I wrote my books, especially The Eye Care Revolution.    I look forward to our partnership in the BeWell.com community and thank you for your energy. Thu, 20 Nov 2008 16:43:14 GMT http://community.bewell.com/_The-Value-of-Individualized-Care/BLOG/1691866/142833.html RobertAbelJrMD 2008-11-20T16:43:14Z BeWell Community    It's an honor to be part of this renowned group of experts, a privilege to share in your issues and a long-term commitment to providing excellence in health and wellness.    I am excited to participate in a leading edge community of experts and clients who are molding the future of health care. BeWell.com, with your help, will be changing the paradigm of medical treatment of disease to promoting better health crafted around the consumer.  The BeWell.com website provides access to consumers hungry for information, options, and second opinions. Communication and conversations about categories of lifestyle issues and improvements will expedited through contemporary interactive tools and support groups.    The two snakes on the Caduceus staff represent both the art and science of medicine.  This same duality is supported by BeWell.com in representing the best in mind/body medicine in the 21st century.  I may be an ophthalmologist, but I have spent 30 years connecting the eye to the rest of the body and exploring causes rather than simply treating dissociated symptoms. It is you the consumer who has taught me so much and will continue to teach me more. I encourage the value of individualized care and that is why I wrote my books, especially The Eye Care Revolution.    I look forward to our partnership in the BeWell.com community and thank you for your energy. nonadult false The Value of Individualized Care text blog 48 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 1691866 19062825 Member 493 http://community.bewell.com/_Living-Long-and-Well/BLOG/1691865/142833.html There are 80 million baby-boomers who were born between the years of 1946 and 1964.  This is a large influx of soon-to-be Medicare patients and we will need to keep up with the demand in a compassionate qualitative cost-effective way.  It is the 75-and-over group that is the fastest growing one in the United States.  Older people may have greater needs, which are medical, financial, and emotional and there is a need to prepare for all three.  So the choices that you and I make today may very well reflect how we do in the future.  Dr. Laurel Yates recently published a study of 2,300 healthy men who were followed as long as 25 years.  He and his colleagues found that avoiding smoking and diabetes, managing weight and blood pressure, and regular exercise contributed significantly to health survival after the age of 90.  Not only that, many of those people took few medications and maintained their cognitive functions. A European Norfolk study from University of Cambridge followed over 20,000 participants who were free of cardiovascular disease and cancer between 1993 and 1997.  Those individuals who did not smoke, were physically active, had moderate alcohol consumption and had a plasma vitamin C level consistent with eating five servings of fruits and vegetables a day added an additional 14 years to their life.  In fact, adjusting for a body size and age did not modify the results of that study.  Therefore, we all have a choice in how we lead our lives and the opportunity for behavioral changes that may allow us to retain superior continue with excellent cognitive function for as long as possible.  Become the shepherd of your own health.  Use your common sense, consult websites like BeWell.com and enjoy those bonus years. There are 80 million baby-boomers who were born between the years of 1946 and 1964.  This is a large influx of soon-to-be Medicare patients and we will need to keep up with the demand in a compassionate qualitative cost-effective way.  It is the 75-and-over group that is the fastest growing one in the United States.  Older people may have greater needs, which are medical, financial, and emotional and there is a need to prepare for all three.  So the choices that you and I make today may very well reflect how we do in the future.  Dr. Laurel Yates recently published a study of 2,300 healthy men who were followed as long as 25 years.  He and his colleagues found that avoiding smoking and diabetes, managing weight and blood pressure, and regular exercise contributed significantly to health survival after the age of 90.  Not only that, many of those people took few medications and maintained their cognitive functions. A European Norfolk study from University of Cambridge followed over 20,000 participants who were free of cardiovascular disease and cancer between 1993 and 1997.  Those individuals who did not smoke, were physically active, had moderate alcohol consumption and had a plasma vitamin C level consistent with eating five servings of fruits and vegetables a day added an additional 14 years to their life.  In fact, adjusting for a body size and age did not modify the results of that study.  Therefore, we all have a choice in how we lead our lives and the opportunity for behavioral changes that may allow us to retain superior continue with excellent cognitive function for as long as possible.  Become the shepherd of your own health.  Use your common sense, consult websites like BeWell.com and enjoy those bonus years. Tue, 08 Jul 2008 15:24:24 GMT http://community.bewell.com/_Living-Long-and-Well/BLOG/1691865/142833.html RobertAbelJrMD 2008-07-08T15:24:24Z BeWell Community There are 80 million baby-boomers who were born between the years of 1946 and 1964.  This is a large influx of soon-to-be Medicare patients and we will need to keep up with the demand in a compassionate qualitative cost-effective way.  It is the 75-and-over group that is the fastest growing one in the United States.  Older people may have greater needs, which are medical, financial, and emotional and there is a need to prepare for all three.  So the choices that you and I make today may very well reflect how we do in the future.  Dr. Laurel Yates recently published a study of 2,300 healthy men who were followed as long as 25 years.  He and his colleagues found that avoiding smoking and diabetes, managing weight and blood pressure, and regular exercise contributed significantly to health survival after the age of 90.  Not only that, many of those people took few medications and maintained their cognitive functions. A European Norfolk study from University of Cambridge followed over 20,000 participants who were free of cardiovascular disease and cancer between 1993 and 1997.  Those individuals who did not smoke, were physically active, had moderate alcohol consumption and had a plasma vitamin C level consistent with eating five servings of fruits and vegetables a day added an additional 14 years to their life.  In fact, adjusting for a body size and age did not modify the results of that study.  Therefore, we all have a choice in how we lead our lives and the opportunity for behavioral changes that may allow us to retain superior continue with excellent cognitive function for as long as possible.  Become the shepherd of your own health.  Use your common sense, consult websites like BeWell.com and enjoy those bonus years. nonadult false Living Long and Well text blog 49 0 0.0 http://community.bewell.com/service/displayKickPlace.kickAction?u=19062825&as=142833 http://media.kickstatic.com/kickapps/images/142833/users/RobertAbelJrMD_142833_1262293976399_portrait160X120.jpg false 0 0 1691865 19062825 Member 493