Make Cataract Surgery Choices with Your Doctor

Make Cataract Surgery Choices with Your Doctor - eye surgery

The three types of cataract surgery today are phacoemulsification, extracapsular extraction, and intracapsular phacoemulsification.

Intracapsular phacoemulsification is the type of cataract surgery that is most used. The surgeon makes a tiny incision, and an ultrasound probe is used to dissolve the cloudy lens. Using the same probe, the fragments of the lens are suctioned out. No stitches or eye patches are necessary. Below is an instructional animation video on phacoemulsification.

Extracapsular cataract extraction is done when the cataracts are too advanced to break into fragments. A larger incision is made and the lens is removed whole. Sutures and eye patches are required.

With intracapsular cataract surgery, a procedure not used often, it is necessary to make an even larger incision, the entire lens and the capsule around it are removed together. The lens then will be put in front of the iris.

Once the cataract is removed, one of three types of artificial lens is put into the thin capsular bag where the other lens was located. Some intraocular lenses will block ultraviolet light, some work like bifocals, some are rigid and some are flexible. The rigid ones require stitches but the flexible ones do not.

Monofocal lenses are the most commonly used in cataract surgery. They provide good distance vision that may require eye glasses, especially for reading. The Toric lens will correct distance vision and can also correct astigmatism but vision may still require eye glasses for close tasks. Your ophthalmologist may also prescribe moist contact lenses that offer UV protection for superior comfort.

Multifocal lenses use the latest technology. With these, vision is improved for varying distances, both near and far and in between, but they will not correct astigmatism. It is best to discuss with your surgeon the type of lens that is best suited to your condition.

Intraocular lenses are very durable and can last a lifetime. The lens capsule around it may become cloudy, a situation that can be easily treated by laser to clear it up. Cataract surgery is usually done as an outpatient procedure with a local anesthetic. However, if surgery is not an option for a patient,  vision problems can still be corrected with comfortable contact lenses that define eye color.

Make Cataract Surgery Choices with Your Doctor - color contact lenses

Common Cause of Untreated High Blood Pressure



Usually, it’s one of the simplest things you can do to help yourself for prolonging your life”. Janet was a bit startled by the sudden exclamation of her doctor. They sat facing each other in the exam room. “I’m talking about blood pressure, Janet!”


They had been exchanging small talk when Janet casually asked the doctor what she could do to be healthy. Being in her 40’s, Janet didn’t think of herself as being unhealthy. Still, she wanted to be proactive. Doc Wilson kept talking. “You know, Janet, it’s such a simple thing, if people would just check their blood pressure from time to time.

The fact is that many people, we’re talking millions and millions just don’t get their blood pressure checked on a regular basis. They figure they feel fine so why rock the boat”. About 65 million Americans are walking around with high blood pressure a.k.a hypertension. And many of them don’t even know it! Almost one billion people worldwide have high blood pressure (a.k.a hypertension).

Doc Wilson was on a roll now, “Medicine has made huge advances in the treatment of hypertension. Even the rich and famous were not spared. I was just reading that one of President Franklin Roosevelt’s doctor wrote”.

“I have often wondered what turn the course of history might have taken if the modern methods for the control of hypertension had been available”.


“The thing is that you can have high blood pressure and still feel pretty good. High Blood Pressure is often silent. Ok, sometimes you may have a headache or slight dizziness but very often you feel nothing unusual”. So why do people have high blood pressure?  “That’s a pretty good question, and amazingly there are a lot of cases, we just don’t know. Oh, sure we know sometimes, but a lot of the time we don’t. Still that’s not the same as not being able to treat it. Most people can get their blood pressure under control with medicine and some other things like weight loss but they can’t get it under control if they don’t even know they have it.”


About 65 million Americans are walking around with high blood pressure a.k.a hypertension. And many of them don’t even know it! Worldwide, there are almost one billion people that have high blood pressure. What is blood pressure anyway? Your body needs oxygen rich blood all the time. Your heart is the master pump that pumps blood. But blood pressure is more complicated than just the heart.

The pressure is created by the heart but the arteries and channels that carry the blood also exert pressure. An analogy is the way fuel flows in a car. In a car, the fuel is pumped from the fuel pump. When you put your foot on the accelerator more fuel is pumped to meet demand. When you exercise your heart pumps harder to meet demand. The fuel flows through pipes to the parts of the engine.

If the pipes get clogged it is harder for the fuel to be distributed, similarly, resistance in the arteries can force the blood pressure up. If there is a leak in the system the pressure can drop. If you lose a lot of blood the pressure drops and you can go into shock.

Even though we don’t know why most people have high blood pressure (some people do have identifiable factors like kidney problems) we do know many things that affect the pressure. If you are angry, angry at the traffic, angry at your boss and pretty much just plain always angry there’s a good chance it’s showing up in your pressure. Adrenalin gets pumped into your system, the nerves are stimulated. The nerves attached to the artery walls can alter the blood pressure. Anger and stress, especially chronic (long term) anger and stress are correlated with high blood pressure and heart problems.

“Nearly all people that have blood pressures consistently above 140/90, now called the high end of normal, have some treatment prescribed and yet up to half of the patients still have elevated pressures. Why? Because doctors are not aggressive and creative in treating the problem…

Many patients do not follow doctor’s orders and fail to fill prescriptions or neglect to take medicine daily; then the rising weight of Americans, the passion for high-salt processed and restaurant-prepared foods have raised the once-normal pressures of many people to levels that should be treated”.

Weight loss and improvements in diet and exercise habits can indeed help people lower an elevated pressure, but most people can’t adjust their lifestyles enough to normalize their blood pressure. Many people need help from medication and often it’s a combination of medicines.

What’s One of the Easiest Things You Can Do to Live a Longer and Healthier Life?

Regular blood pressure checks for longer lifeBelieve it or not, a lot of people have high blood pressure but they don’t get their blood pressure checked because they feel alright.

“Having your blood pressure taken may be one of the easiest things you can do to live longer,” a doctor said to his patient, Janet, inside the exam room. He then proceeded to tell her that having her blood pressure checked on a regular basis facilitates timely treatment and control of hypertension.

Over 65 million Americans and approximately a billion people across the globe have hypertension. And sadly, they walk around like ticking time bombs, and don’t even know that they have high blood pressure! Even those who have the means to seek treatment and have access to modern healthcare services fail to do so because they forget to have their blood pressure checked.

What is high blood pressure and what does it feel like?

To put it quite simply, high blood pressure happens when your arteries are clogged, providing resistance each time the heart pumps blood to your blood for distribution to different parts of the body. Resistance in your blood vessels will increase your blood pressure. And when this happens and remain uncontrolled with medicine and lifestyle changes, complications like heart disease and kidney problems.

headache and high blood pressure
You may have high blood pressure but still feel good. Hypertension is often silent and oftentimes, patients report dizziness or the usual headache. The ceiling of the normal range for blood pressure is 140/90 and a lot of people have blood pressures way more than that even after a doctor’s visit. Why? They neglect to follow the prescribed treatment protocol and continue with their diet of salty and processed foods. Stress is also a contributing factor.

The good news for people with elevated blood pressures, according to Janet’s doctor, is that it can be lowered effectively with the help of antihypertensive medicines, exercise, and a healthy diet. ‘The most important things to remember here is that there are things that can be done to normalize blood pressure but these are only possible if people know they have hypertension. This is the reason why you should have your blood pressure checked even if you feel absolutely fine. ” the doctor said.

Tragedy at the Ballgame

Tragedy at the ball game 28-year-old teacher chokes on a hot dog and a video about what to do when someone is choking: well worth the few minutes to learn to avoid being one of the thousands.

Estimated thousands of people die from choking how to avoid being a statistic?

How could a vibrant young woman choke on a hot dog? Why is it important to know what to do? It could happen to anyone.

Ineffable. That means it can’t be described in words. That seems an appropriate appellation for what happened at the ball game. A lovely young woman, a teacher, Maureen Oleskiewicz, a dedicated Cubs fan out to enjoy herself at the friendly confines of Wrigley Field chokes on a hot dog. It reminds us once again of how precious life is and sometimes how tenuous it can be. Do you know what to do if someone is choking? Do you know what to do if you are choking?


And what if you are choking and there’s no one around to help? How can you treat yourself for choking? Here’s a suggestion as depicted on some first aid sites.


  • To perform abdominal thrusts (Heimlich maneuver) on yourself:
  • First, if you’re alone and choking call 911 or your local emergency number immediately. Then, although you’ll be unable to effectively deliver back blows to yourself, you can still perform abdominal thrusts to dislodge the item.
  • Place a fist slightly above your navel.
  • Grasp your fist with the other hand and bend over a hard surface, a countertop or chair will do.
  • Shove your fist inward and upward.