Joey M.D.

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29 Jun

Daily Disposable Contact Lenses

While most of us would want to have perfect 20/20 vision, sadly, not all of us are blessed with such.  Thankfully, one of the most common causes of less than perfect vision is error of refraction, which is easily correctable by the right spectacles or contact lenses.  Or, if budget permits and you’re so inclined, there are also ways to correct vision surgically, that is, with laser surgery or lens implants.

Short of surgery, many people prefer contact lenses over glasses for various reasons, especially with higher refractions. Here are a few of the reasons:

  • Better peripheral vision
  • Less image distortion
  • Doesn’t fog up with temperature changes
  • Much lighter than glasses
  • Difficult to use in sports
  • Readily available over-the-counter at most optical shops (unless you have an unusual grade)
  • For higher refractions, contact lenses are usually cheaper
  • Aesthetically more pleasing

However, contact lenses also have their disadvantages.  These are the following:

  • Requires special care — you need to clean them regularly
  • May predispose one to corneal infections and other problems especially if not cleaned regularly
  • Some people develop allergies to contact lens solutions
  • Easily torn, especially soft and extended wear lenses
  • Dry eyes are a common occurrence
  • Need reading glasses for the presbyopic age group (age 40 and above)

One way to prevent some of the disadvantages of contact lens wear like allergies and infection and tearing of the lenses is to use disposable lenses.  These disposable contact lenses are use-once-then throw away.  They may seem more expensive, but when you factor in the fact that you no longer have to buy cleaning and deproteinizing solutions and have less need to change them when they become brittle and tear, well, that doesn’t seem like such a bad deal.  These may also be used for people who do not want to wear contact lenses all the time but want to use them for special occassions like their wedding day.

For people who are on spectacles but want to try out contact lenses, the of use disposable contact lenses is an option, so that they may try to see if contact lenses are right for their lifestyle in the long run.  This is especially if they are hesitant to buy the regular daily wear or extended wear lenses at the moment.

28 Jun

On Losing Weight

I’ve just given birth to a baby girl last week!  Childbirth has to be the fastest weight loss process.  Imagine, losing 15 pounds after a few hours!  And getting an adorable child in the process.

But I still have a long way to go, although not really by much.  I’m 9 pounds over my prepregnancy weight, which is not bad, considering I’m only 1 week postpartum and I haven’t done any diet or exercise yet.  I’m also breastfeeding, which means that I’ll be losing some more weight through that.  I also breastfed my firstborn, and was back to my prepregnacy weight when he was 3 months old, so I can attest to that.  After all, the body stores extra fat supplies during pregnancy for milk production so it stands to reason that breastfeeding will use up these stores and make you lose weight faster.

I never did get to my prepregnancy figure however.  My tummy remained a bit protruberant, like I was a few months pregnant, even 3 years after giving birth.  This time, I’m hoping to achieve a body that’s more sexy.  I’m aware though, that I need to put in extra effort for this, meaning I have to exercise to achieve the look that I want.

16 Jun

I’m Back Online…

…for the past few days, I’ve had some difficulty logging in.  Blame it on the advancing age, pregnancy, whatever, I just plain FORGOT how to login to be able to write posts again.  Oh well…

Anyway, I hope I can be active again, at least after I get back from giving birth!  I’ll be admitted tomorrow and my Cesarean section will be on Thursday.  Will be in the hospital for a few days so you’ll probably see this blog updated again next week at the earliest.

When I get back, I’ll be proud mama to another baby.  This time it’s a girl!!!

22 May

First Case of Swine Flu in the Philippines — Confirmed!

The first confirmed case of H1N1 (Influenza A) in the Philippines was just confirmed last night.  See new articles here and here.  It happened with a 10 year old female who arrived from the United States with her parents.

I think that this was bound to happen, what with all the traveling that people are doing.  We don’t really expect any virus to remain confined in just one place.  The good thing about this is that we are more vigilant about this, and the child’s parents were responsible enough to have their child examined for H1N1 when she displayed flu symptoms.  This is much more responsible than some high profile people who who didn’t want to subject themselves to quarantine and tests when they arrived.  They should have set a good example.  While they may be healthy NOW, how sure are we that they wouldn’t develop the symptoms when they are already here?

Flu outbreaks are really nothing new.  We’ve had several ones during the early part of this century, then more recently, SARS and bird flu.  The problem with controlling flu is that there are so many strains…and they evolve!  Swine flu is a novel case, a recent mutation.  What we should do right now is to observe proper hygiene, strengthen resistance and do social distancing—avoid going to crowded areas if the need is not urgent.  And, don’t panic!

CDC information on Novel Influenza A (H1N1).

25 Apr

Twitter

Twitter is all the rage these days. Do you have a twitter profile? I do — you can follow me at http://twitter.com/ethanmama — if you’re interested in what I have to say, although I express myself more in my blogs like this one, The Working Mom, Tsinay and Practical Tips and More.

What is Twitter? Twitter is a service for friends, family, and co–workers to communicate and stay connected through the exchange of quick, frequent answers to one simple question: What are you doing? Some call it microblogging. What’s interesting about twitter is that there are celebs and big time people there.

WhoCelebsTweet.com allows you to see what celebs are saying and who they’re saying it about.

11 Apr

Who is Joey?

I am Tsinay.  While I am of pure Chinese blood, having 2 immigrants as parents, I am born and raised in the Philippines.  As such, I am neither fully Chinese nor fully Filipino.  I am fluent in Filipino, English and 2 Chinese dialects (Fukien and Mandarin).

I am a doctor, and I love what I do.  I cannot think of any profession that would make me happier than being in my chosen field.

I am a wife.  Happily married at the relatively late age of 34 to my first and only boyfriend.  And I’m happy that even though romance came late for me, I married somebody I love with all my heart and someone who always makes me feel cherished and loved.

I am a mother.  Mom to one adorable, very active 3 year old son and a daughter who’s going to make her appearance in less than 3 months’ time.  I love being a mom.  Even if it’s probably the most difficult job I’ve ever had, I wouldn’t trade the experience for anything.

I am a daughter.  Probably not the best daughter in the world but I do try my best.  I love my parents dearly even though I did have arguments with them at one time or another.  I’ll probably still have some differences of opinion with my mom even if we both get older, but I know that she loves me and looks out for my welfare.  I love her too :).

I am a sister.  I have 2 brothers who played Voltes V, bahay-bahayan, card games, etc. with, who argue with me over what to watch on TV (I always lose because I’m always the minority, being the only girl).  With all their quirks (and mine too), we love each other as only siblings do.

I am a student.  Not only because I am trying to finish my Masters in Hospital Administration, but because I’m perpetually a student of LIFE.  There’s always something that life teaches me.  And although the lessons may sometimes be harsh, they shape me into what I am today.

So what am I?  Unfortunately, even I can’t really fully define who I am, because I am continuously evolving and changing.  What I am now is the result of everyone and everything that I have met and experienced, and who I will be is the result of people, things and events that will happen to me.

15 Mar

Medical ID Bracelets

In all my years of being in the health care industry and seeing so many people come in for emergencies, I realize that it’s bound to happen.  A patient could come in with some emergency, incoherent or not able to communicate, and the people who brought him in are not aware of any of his medical conditions.  Does he have hypertension? Diabetes? Epilepsy?  Drug allergies?  Is he taking any medications?  These are important questions that would help the doctors in the emergency room tailor their management for this particular patient.

This is where medical ID bracelets would have come in handy.  You can have all your current medical problems and medications with you all the time.  Here is some info on medical IDs.

The great thing about medical ID bracelets is that they look great too!  They are worn as jewelry, so you won’t really feel self-conscious about wearing them all the time.  They don’t shout “sick person” but they do provide vital medical information when the need arises.  I found some great looking ones at the keepsafejewelry website.  They also have watches with alarms to remind you of the time you need to take your meds a medical database too.  Prices are quite reasonable for something that could make the difference between life and death.

12 Mar

Today is World Glaucoma Day

Allow me to reprint a previous blog entry I made in my old blog, http://familyhealthtips.wordpress.com (also mirrored in http://familyhealthtips.blogspot.com).

Glaucoma - a thief in the night

19Apr07

This is an eye disease which is little understood by the general public. It’s a disease of the optic nerve, which usually affects the peripheral vision first then gradually going centrally. A rise in intraocular pressure is usually but not always noted.

Glaucoma may be acute or chronic.

In acute glaucoma, there is a sudden increase in intraocular pressure (the pressure inside the eyeball), causing severe eye pain, headache, nausea, vomiting, blurring of vision and iridescent vision (seeing rainbows around lights). This is considered as a relative ophthalmologic emergency, and it is imperative to see an ophthalmologist at this point so that management of the glaucoma can be instituted immediately.

In chronic glaucoma, there is no sudden increase in intraocular pressure, hence, the signs and symptoms are a lot more subtle. There may be occasional headaches or eye pain, but generally the patient does not really feel a pressing need to see a doctor because these symptoms are not that severe or get relieved with minor measures like over the counter medications. Or they may not even feel any symptoms at all. The tragedy of chronic glaucoma is that patients do not know that they have this disease until they have already lost a significant amount of peripheral vision.

It is important to remember that since the optic nerve gradually loses axons in this disease, any vision loss is considered permanent. That’s why an early diagnosis is important so that early intervention can be done and the progression of the disease can be minimized.

Current recommendations for people less than 45 years old and without risk factors for glaucoma to have an eye check at least every 4 years, and those above 45, at least every 2 years. If you have known risk factors for glaucoma, it’s recommended that an eye exam should be done at least every 2 years if you’re under 45 and every year if you’re above 45. The following are considered as risk factors: Family history, myopia (nearsightedness), previous eye injury, low blood pressure, African descent, diabetes, long exposure to cortisone. (Previous info from The Glaucoma Foundation, website www.glaucomafoundation.org .)

It is also important to note that glaucoma is a disease that is controlled, not cured. That means that patients should visit their eye doctors at periodic intervals so that the treatment regimen can be reassessed accordingly.

How is diagnosis made? The ophthalmologist screens for glaucoma by looking at the optic nerve through an ophthalmoscope or through a special lens and a slit lamp. He also measures the intraocular pressure using a tonometer. Then gonioscopy, which allows him to see the “angles” of the eye is done to determine if it’s an open angle or an angle closure type of glaucoma. This is important because the type of treatment is dictated by the type of glaucoma. Perimetry is then done to assess the peripheral visual function.

There are 3 basic treatment options available for glaucoma. These include medical treatment - with use of eyedrops and sometimes oral or IV medications, laser treatment and surgical treatment. The type of treatment is dependent upon the stage and the type of glaucoma.

It is important that patients undergoing glaucoma treatment understand that a careful and periodic monitoring of their disease by a qualified ophthalmolgist is a must in order that treatment plans are reevaluated and updated as needed, for maximum suppression of disease progression.

Should you have further questions, please do not hesitate to leave a comment and an email.

11 Mar

Dr. Foster Health

In the age of computers, more and more patients are turning to the internet for medical information.  This includes information on who to look for medical attention.  After all, not all health concerns can be addressed by self medication and internet consults.

A site like Dr Foster Health is certainly very helpful.  It includes Hospital Guides where you can look for the best hospital that will suit your needs — including their proximity to your location and whether they are qualified to perform the procedure that you are about to undergo.  We should have one here in the Philippines!

Another great feature is the Medical Dictionary.  This explains the diseases, the procedures (diagnostic or surgical), terminologies (so you’d understand what your doctor is saying), and even the people involved in your health care.

They also have a complementary therapist guide for such alternative treatment modalities like acupuncture, homeopathy, chipractic med, herbals, for people who would rather go to these modes of treatment rather than the conventional medical therapy.

Overall, I think it’s worth checking out.  Even if you’re not currently based in the United Kingdom, the site contains a lot of information that looks more reliable than some other sites, presented in an easy to understand manner.

08 Mar

Prepare for Life Beyond Medical School

Congratulations!  You’ve finished your medical education and are well on your way to being the doctor you dreamed of.  You’re now looking at the world through rose colored glasses, where everything looks bright, shiny and new.  Enjoy this feeling!  It’s your achievement and you deserve it!

Do understand, however, that the world doesn’t hand you everything on a silver platter just because you’ve finished medical education and earned the letters M.D. after your name.  You’re still going on to internship (if your graduation comes just after clerkship), you’ll still have to pass the board exams in order to earn the right to practice, you’re still going to be heavily dependent on your parents.

My advise to fresh graduates would be the following: Continue Reading »

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