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WEATHERVANE

HAWAII OPHTHALMOLOGY SOCIETY NEWSLETTER

Volume XXIII, Chapter 5,  May 2008                              Editor R. T. Stodd, M.D.

FANTASY TRUMPS REALITY ANY DAY.

In recent years horror stories relating to problems with Lasik eye surgery have been circulating in magazine articles and on the internet. The great majority of patients are very happy following the refractive procedure but about 5% have serious difficulties which are hard to remedy. Dissatisfied patients complain of dry eyes, headache, blurred vision or double vision not correctable with glasses, facial pain, migraine headaches, depression and suicidal thoughts. Some have had to alter their life style or change occupations while others feel they have been abandoned by surgeons who refuse to believe their problems are real. In an attempt to bring an objective evaluation of these complaints, the Food and Drug Administration has recruited the National Eye Institute to study how patients’ quality of life has been affected by laser eye surgery other than vision correction. The American Academy of Ophthalmology and the American Society of Cataract and Refractive Surgery have agreed to participate with the National Eye Institute, and each organization will contribute $500,000 to the program. As with other elective cosmetic procedures such as face lifts, lipo-suction, breast augmentation, botox injections, etc., perfection is the expectation, but sometimes it just doesn’t happen.

COME ON OVER. WE’LL INHALE A MARTINI TOGETHER.

Spirit Partners Inc., bought the U.S. rights to a British invention that vaporizes liquor so that it can be inhaled rather than drunk. They had almost no sales, no advertising budget, and the future appeared bleak. Then a Kentucky politician came to the rescue by trying to ban the device. NBC picked up the story and did a segment on the Today show where an addiction expert claimed that the device might send alcohol directly to the brain producing a faster high. Overnight sales of the device ($299) called AWOL (alcohol without liquid) jumped off the board. Several states are considering restrictive laws and Wyoming banned the device although legislators didn’t know if anyone had even seen it. In Maryland a legislator publicly compared AWOL to crack cocaine, and the liquor industry began pushing hard for laws to ban the device. "There’s no way we could buy that kind of advertising," said the CEO of Spirit Partners. In fact, the device does away with the hangover, but it takes so long to vaporize liquor that it is useless for quick intoxication. For those wanting an alcohol buzz "they would be better off drinking a beer," according to one tavern owner who tried it with his wife. Meantime, until that word gets out the cash register is ringing at Spirit Partners.

THE CAR WAS INVENTED AS A CONVENIENT PLACE TO SIT OUT TRAFFIC JAMS.

Hybrid cars are vehicles that operate on battery-powered electric motors when idling and traveling at low speeds with internal combustion engines kicking in when the cars speed up. One of the pluses is how quiet they are in slow traffic or at intersections. This is not necessarily a good thing according to the National Federation of the Blind (NFB). Studies indicate that at slow speeds the hybrid must be 40% closer to pedestrians than combustion-engine cars before they can be heard. While no injuries have been reported preliminary results indicate that hybrids pose a risk to blind pedestrians. Perhaps these green vehicles should be equipped with loud external rap music when approaching intersections. Oh, yuk!

HEY! I THOUGHT THE POLE TAX WAS DEAD.

In Texas, legislators are creative in their efforts to get additional tax money. A proposal in 2004 would have provided for a tax on strip clubs to fund public schools which opponents called "tassels for tots." The measure died in committee. More recently Texas lawmakers planned to raise $44 million annually for rape prevention and treatment and to provide medical care for the uninsured by charging patrons $5 at the door of strip clubs where nude exotic dancers perambulate around poles. No can do according to District Judge Scott Jenkins who ruled that the right to perform such visual erotica is protected by the first Amendment. Moreover the state could not explain why adult nightclubs and their guests should be singled out to fund health care. After all, don’t strippers do enough for society already?

HE’S A HARD DOG TO KEEP UNDER THE PORCH.

Now perhaps America will see some action from Congress on a thorny social-financial issue. Jack Kevorkian, M.D. the former pathologist who served eight years of a 10 to 25 year sentence for second degree murder, was released on parole in June 2007. He is running to be the Representative of the 9th Congressional District in Michigan. The doctor claims to have taken part in 130 assisted suicides, so if elected he may offer some interesting ways to thin the herd of sick elderly Medicare patients, perhaps even some in Congress.

LIVING WITH A CONSCIENCE IS LIKE DRIVING A CAR WITH THE BRAKES ON.

LEARN FROM YOUR PARENTS MISTAKES. USE BIRTH CONTROL.

In November 2007, the American College of Obstetricians and Gynecologists (ACOG) formulated policy for their members regarding ethics and morality of women’s reproductive rights. "Although respect for conscience is important, conscientious refusals should be limited if they constitute an imposition of religious or moral beliefs on patients .....All health care providers must provide accurate and unbiased information so that patients can make informed decisions....Physicians and other health care providers have the duty to refer patients in a timely manner to other providers if they do not feel that they can in conscience provide the standard reproductive services that patients request." Okay, that appears clear and reasonable, right? Well no, not to Health and Human Services Secretary Michael Levitt who takes the Bush agenda and joins Gene Rudd, vice president of the Christian Medical and Dental Associations and Joe DeCook, vice president of the American Association of Pro-Life Obstetricians and Gynecologists. They claim they could lose their board certification (not according to the ACOG President Kenneth Noller, M.D. nor the executive director of the Ob-Gyn Board.). Why does it appear that the most outspoken moralists on issues of women’s rights are males?

HOW STRANGE THAT ONCE IN AWHILE IT ALL SEEMS WORTH IT.

A study reported in the New England Journal of Medicine (NEJM) found that death from heart disease in the United States was cut in half between 1980 and 2000. According to a statistical analysis it was found that 47% of the reduction was due to medical measures of improved treatment with drugs to reduce blood pressure and serum cholesterol, and 44% of the improvement resulted from lifestyle improvements such as better diet, smoking cessation, and exercise. These pluses were partly offset by weight gain and higher incidence of diabetes. Obviously, the life style changes are much cheaper than medical intervention, and provide still more improvement with better health education campaigns.

YOU CAN LEAD A HORSE TO WATER, BUT NOT THE INTENSIVE CARE UNIT.

Nobody ever said that Wilcox Memorial Hospital on Kauai wasn’t a patient-friendly place to recover. A drunken man decided that the way to cheer up his sick friend was to bring his horse in for a visit. He got the animal into the hospital, on to the elevator and up to the third floor before security decided to intervene. Hospital personnel brought the patient out to visit his drunken buddy and the horse, but alas, "That’s not my horse!" Sometimes, the best laid plans of mice and men ...

DROP KICK ME, JESUS, THROUGH THE GOAL POSTS OF LIFE.

In Brooklyn, N.Y., a 26 year-old man robbed a bank. He escaped and changed his clothes a short distance away, piling the old clothes on the sidewalk. Unfortunately, he also left his wallet which contained his ID card with photograph, his social security card, his birth certificate, his welfare benefits card and a pay stub with his name.

PLEASE ADD SOME CHLORINE TO THIS GENE POOL.

In Columbiana County, Ohio, sheriff’s officers responded to an accident call involving an all-terrain vehicle (ATV). Two witnesses were following the ATV when the driver sped off rapidly, crashed into a tree and was killed. They noted that the dead man was blind and that he and the witnesses had been drinking. What a surprise!

ADDENDA -----

----- News headline, "Hatred of Hillary is likely the result of gender stereotypes." Right! Unscrupulous politics is still a man’s job.

----- Amount of time it takes for blood to circulate in a healthy human body is 23seconds. Exxon-Mobil profit in that same time is $28,000.

----- In 1958 Princeton professor John W. Tukey coined the term software.

----- Percentage of Democrats who consider themselves in excellent mental health is 38% while Republicans claim 58%.

----- "Right hand, left hand. It doesn’t matter. I’m amphibious." NBA basketball star.

Aloha, and keep the faith. ----------rts

Contents of this Newsletter do not necessarily reflect the opinion, policy or position of the Hawaii Ophthalmology Society or the Hawaii Medical Association. Editorial comment is strictly that of the writer

 
 

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